- Molina Healthcare (Columbus, OH)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Columbus, OH)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Evolent (Columbus, OH)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... OR THE SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement… more
- CVS Health (Columbus, OH)
- …peers to ensure alignment across the broader platform strategies and capabilities. + Provide change management rigor to ensure smooth transitions for end users ... We are recruiting to fill a critical leadership position on the Network Platform Solutions team. The role will have responsibility for identifying, understanding,… more
- Datavant (Columbus, OH)
- …to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and prioritize use cases ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...across different facets within prospective and concurrent solutions. + Provide mentorship, performance management , and career development… more
- Elevance Health (Columbus, OH)
- …on ethical and clinically appropriate use of healthcare data. + Partner with Provider Network leaders to shape modernization strategies that drive value-based ... **Manager, Medical Director - Transformation Initiatives** Location: This role requires...Payment Integrity** + **Care Management / Utilization Management (CM/UM) Modernization** + ** Provider Networking &… more
- Huntington National Bank (Columbus, OH)
- Description Summary:Huntington's Director , Portfolio Management will manage a book of business in the bank's Financial Institutions (FIG) vertical within ... Huntington's Corporate Specialty and Government Banking group. The Director , Portfolio Management services and, in conjunction with Relationship Management ,… more
- Intertek (Columbus, OH)
- …Regional Director provides the day-to-day leadership, guidance and general management of a multi-site portfolio. This includes ensuring the business has proper ... Regional Director - Building and Construction - Midwest Professional...Promise and core values of the company. + P&L Management : Responsible for driving the business to achieve and… more
- Merck (Columbus, OH)
- …world-class Asset Management , Maintenance and Reliability (MRAM) program across a network of ~30 manufacturing sites. This role will own the design, deployment ... role for a technical change agent with broad global experience in asset management , maintenance, reliability and systems engineering. **What you will do** + Lead the… more
- Datavant (Columbus, OH)
- …of Internal Audit will evaluate the effectiveness of internal controls, risk management practices, and governance processes across Datavant's Provider , Payer, ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...realize our bold vision for healthcare. **Role Summary:** The ** Director of Internal Audit** will design, implement, and oversee… more
- Cardinal Health (Columbus, OH)
- …we can get life-changing therapies to patients who need them-faster.** The Director of Business Development, Patient Hub Services, is responsible for business ... of Access and Patient Support, Clinical Services and Reimbursement Services. The Director will build key customer relationships to uncover customer needs to align… more
- Highmark Health (Columbus, OH)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... provider contract documents and overall contract management process **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Excellent… more
- Sumitomo Pharma (Columbus, OH)
- …the design and execution of program operations, systems, metrics, and HUB vendor network . The Director will work closely with key stakeholders including the ... seeking a dynamic, highly motivated, and experienced individual for the position of ** Director , Patient & HUB Operations, Rare Disease** . The Director , Patient… more
- OhioHealth (Columbus, OH)
- …our communities. **Job Description Summary:** The OhioHealth Research Institute Senior Director will provide system-wide leadership, administration and strategic ... that span industry trials, NCI community oncology research, multi-center network /consortium studies, and investigator-initiated research. The Senior Director … more
- Molina Healthcare (Columbus, OH)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- CVS Health (Columbus, OH)
- …it all with heart, each and every day. **Position Summary** + The Sales Director (ie Sr. Analyst, Sales Executive - internal title) will have an assigned territory ... in excess of assigned target. + Additionally, the Sales Director will support key activity related to prospecting and...will support key activity related to prospecting and RFP management across all territories. + This role will report… more
- WM (Columbus, OH)
- Waste Management (WM), a Fortune 250 company, is the leading provider of comprehensive waste and environmental services in North America. We are strongly ... industrial and municipal markets throughout North America through a network of collection operations, transfer stations, landfills, recycling facilities and… more
- Evolent (Columbus, OH)
- …mission with a company behind it. **What You'll Be Doing:** **Associate Director , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Associate Director of Performance Analytics** to lead data-driven initiatives focused...role plays a critical part in both **Medical Cost Management ** and **Product Management ** , leveraging advanced… more
- Hilton (Columbus, OH)
- …team members and HWS Sales Specialists to drive total account value and provide total client solutions\. + Network with business decision\-makers and executives ... the combined benefits of scale, access, competence, and experience\. As a Director , Sales Worldwide Accounts \(Group Sales\),you will support the team responsible… more
- Sevita (Columbus, OH)
- …us all every day. Join us today, and experience a career well lived. **Regional Director Operations Management ** Have you been looking for a fantastic role to ... oversees regional purchasing, and ensures billing compliance and documentation. + Provide leadership including direct supervision of Area Directors and/or Program… more