- Elevance Health (Mason, OH)
- ** Provider Contract Cost of Care Analyst** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within ... Elevance Health PulsePoint locations. **Preferred Location:** Columbia, MO. The ** Provider Contract Cost of Care Analyst** is responsible for providing… more
- Elevance Health (Mason, OH)
- ** Provider Contract / Cost of Care Analyst Senior** **Location:** Indianapolis, IN. This position will work a hybrid model (remote and office). The Ideal ... our Elevance Health PulsePoint locations. The ** Provider Contract / Cost of Care ...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Mason, OH)
- ** Provider Contract / Cost of Care Consultant** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within ... 50 miles of one of our PulsePoint locations. The ** Provider Contract / Cost of Care...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- Elevance Health (Columbus, OH)
- ** Provider Contract / Cost of Care Consultant Senior-Analytics** **Location:** This position will work a hybrid model (remote and office). Must live within ... dives to uncover root-cause trend drivers and support initiative design for remediation. The ** Provider / Cost of Care Consultant Senior** will mine data at a… more
- Elevance Health (Mason, OH)
- ** Provider Contract / Cost of Care Analyst Sr.** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... one of our PulsePoint locations. The ** Provider Contract , Cost of Care Analyst...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- Medical Mutual of Ohio (OH)
- …group sales opportunities. Performs other discount and RFP questionnaire support related to provider contract and network value. . Performs analysis of financial ... Performs other discount and RFP questionnaire support related to provider contract and network value. . Maintains...experience. Advanced degree preferred.** **.** **3 years of health care consulting, provider contracting, or provider… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …initiatives. Assists in supporting the contracting regions with quality, utilization, and cost analysis. ** Provider Network Performance Analyst I** + Gathers and ... skills. + Basic knowledge of health care operations or health care delivery systems. ** Provider Network Performance Analyst II** **Education and… more
- Humana (Columbus, OH)
- …the health of the communities we serve. The Regional Vice President will also provide executive leadership to the Provider Contracting, Provider Education ... Develop and lead efforts re: continuous improvement for unit cost strategy. + Ensure access to care ...with internal partners to ensure best in class credentialing, contract load and directory accuracy + Incorporate provider… more
- Sedgwick (Columbus, OH)
- …negotiate fee-for-service ancillary contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and ... Taking care of people is at the heart of...or university preferred. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… more
- CBRE (Columbus, OH)
- …basis and present these reports. Align cost plan with project master schedule; provide cost guidance and direction to achieve cost goals with ... cycle costing of LEED/sustainability initiatives (as appropriate). Review all invoices against cost plan; provide valuation services and signoff to project team… more
- Sherwin-Williams (Cleveland, OH)
- …come from in the world, there's a place for you at Sherwin-Williams. We provide you with the opportunity to explore your curiosity and drive us forward. ... a wide range of world-class benefits designed for you. From retirement to health care , from total well-being to your daily commute-it matters to us. A general… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …OH). **ESSENTIAL JOB FUNCTIONS** + Consults, contributes and participates in managed care contract negotiations for assigned payers (moderate to high ... Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our...contract modeling systems. + Prior experience with health care reimbursement operations is preferred (eg revenue cycle on… more
- Sharecare, Inc. (Columbus, OH)
- …-effective manner while ensuring high quality care . The RN coordinates with the Primary Care Provider and all other members of the health care team to ... increasing acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines.… more
- Intermountain Health (Columbus, OH)
- …Responsibilities:** + Assists with score card initiatives by working with assigned care provider 's program metrics. + Uploads and reviews quality documentation ... the efforts of providers and practice teams on office-based care delivery interventions resulting in cost of... care providers program metrics. + Consults with care team to provide care … more
- Option Care Health (Columbus, OH)
- …alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly ... resulting in high quality outcomes at a significantly reduced cost . Option Care Health has more than...treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through… more
- CVS Health (Columbus, OH)
- …in support of enterprise and local strategies. + Overall accountability for contract negotiations, involving all provider types including at-risk arrangements, ... contracting from modeling, configuration, utilization management, claims and analytics, including provider risk sharing. + Negotiating complex contract language… more
- JBT Corporation (Sandusky, OH)
- …2 years) Responsibilities RESPONSIBILITIES: Reporting to the Technical Manager Customer Care Engineering, you will perform activities related to the design, testing, ... production, and oversee implementation. Prepare mechanical engineering studies, specifications, and cost estimates. Perform CAD layouts and designs. Work with new… more
- Elevance Health (Mason, OH)
- …responsibility for the member's case, as required by applicable state law and contract , contributes to the care coordination process by performing activities ... in conjunction with the RN, member and the health care team, to ensure cost effective and...or any combination of education and experience, which would provide an equivalent background. + Current, unrestricted LPN/LVN, LSW,… more
- Elevance Health (Columbus, OH)
- …goals. **Position Responsibilities** + Manage the health plan(s) P&L to include revenue, cost management/ Cost of Care , SG&A, and forward-looking product ... the areas of service and Payment Innovation with deep partnership with Health Care Networks (HCN). Oversee value-based provider performance. + Develop and… more
- Cleveland Clinic (Cleveland, OH)
- …or payor organizations preferred. Experience and working knowledge of health care business basics including, physician practice workflows, provider billing, ... the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top… more