- Anthem, Inc (Cincinnati, OH)
- …at one of America's leading health benefits companies and a Fortune Top 50 Company. Provider Contract / Cost of Care Consultant- Program Integrity - ... Anthem Office (Remote) Description: Provides analytical support to the Cost of Care and/or Provider ...develop contracting strategy and supports all aspects of the contract negotiation process. Can work with multiple provider… more
- Anthem, Inc (Cincinnati, OH)
- …leading health benefits companies and a Fortune Top 50 Company. Provider Contract Cost of Care Consultant Sr (Health Economics) PS36191 Preferred ... Mason, OH, Indianapolis, IN Provides analytical support to the Cost of Care and/or Provider ...Medical Directors, contract negotiators and management on cost of care issues to help reduce… more
- Ewings Associates, Inc. (Cincinnati, OH)
- …years of experience in a network management-related role, such as contracting or provider services. Managed care work experience contracting or recruiting a ... Reference # :19-00024Title : Provider Network ContractorLocation :Cincinatti, OHExperience Level :Start Date...broad access, stable network that achieves objectives for unit cost performance, trend management, and produces an affordable and… more
- J&J Family of Companies (Cincinnati, OH)
- …its operating companies, is the world's most comprehensive and broadly-based manufacturer of health care products, as well as a provider of related services, for ... & Johnson, Inc. is recruiting for a Sr. Director, Contract Management. This position can be located at one...and medical devices and diagnostics markets. We strive to provide scientifically sound, high quality products and services to… more
- The Christ Hospital Health Network (Cincinnati, OH)
- …team to develop processes to improve medication adherence and support value-based contract initiatives. The Ambulatory Care Pharmacist may perform the following ... + Value Based Contract Performance + Work with the director of Care management and the quality team to develop processes to improve performance in value-based… more
- Anthem, Inc (Cincinnati, OH)
- …part A Audit & Reimbursement department. This includes, but not limited to, processing provider submitted Medicare cost reports. The intent of this position is ... the foundation upon which we're creating greater access to care for our members, greater value for our customers...include, but are not limited to: + Review Medicare cost report re-openings initiated from provider requests,… more
- Anthem, Inc (Cincinnati, OH)
- …for completing reviews on teaching, organ acquisition hospitals and other complex provider cost reports. + Participates in special projects and review ... the foundation upon which we're creating greater access to care for our members, greater value for our customers...Reimbursement department. This includes, but not limited to, processing provider submitted Medicare cost reports. The intent… more
- Anthem, Inc (Cincinnati, OH)
- …auditing activities associated with performing audits and desk reviews of more difficult provider cost reports as part of our Medicare Administrative Contract ... the foundation upon which we're creating greater access to care for our members, greater value for our customers...to: + Complete the Uniform Desk Review/Audit Program on provider submitted Medicare cost reports for more… more
- American Medical Response (Erlanger, KY)
- …to compassionately deliver high-quality service and basic, as well as advanced patient care in a professional, caring and cost -effective manner. Essential Duties ... CPR and other procedures and medications as required to provide advanced medical care . * Develop and...Current BCLS, ACLS, PALS or PEPP, BTLS or PHTLS Provider Certification (where applicable or required by contract… more
- City of Cincinnati (Cincinnati, OH)
- …Prepare clear and concise reports and technical documents. Develop and recommend cost effective improvements for technical systems. Implement systems based on design ... to accomplish design objectives. Develop and apply various criteria to evaluate contract bids and recommend selections (as assigned). EXAMPLES OF WORK PERFORMED:… more
- City of Cincinnati (Cincinnati, OH)
- …evaluate the impact on City policies and procedures; assist with various contract negotiations, preparations and enforcement. Provide various written legal ... office activities with those of other departments, outside agencies and organizations; provide staff assistance to the City Solicitor; prepare and present staff… more
- Anthem, Inc (Cincinnati, OH)
- …Directors and/or delegated clinical reviewers to help ensure medically appropriate, quality, cost effective care throughout the medical management process. + ... a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for… more
- Jacobs (Cincinnati, OH)
- …company in the marketplace\. 99. Represent the Group and act as lead "client\- care officer" through direct contact with every client and business partner\. 99. ... + Coordinates across Regions/Business Units/LOBs to optimize resource management and provide experience opportunities for staff + Communicates with aligned staff… more
- Anthem, Inc (Mason, OH)
- …Top 50 company. At Anthem, Inc., we are working together to transform health care with trusted and caring solutions Bring your expertise to our innovative culture ... comprise Anthem's CSOC Engineering Operations Team + Responsible for cost center management of multiple cost centers...as to their impact on tactical plans, budgets, and contract compliance + Oversees and implements new tools and… more
- IQVIA (Cincinnati, OH)
- …drive healthcare forward. IQVIA Biotech is seeking an experienced Contract , Senior Clinical Research Associate with experience monitoring Gastrointestinal surgical ... simplified operating procedures, specialized, therapeutically-aligned teams, and advanced data science to provide a more agile way for our customers to reach their… more