- Molina Healthcare (Columbus, OH)
- … healthcare experience + Understanding of the drivers and strategies across functions in managed care organizations (MCOs) as well as broad knowledge of the ... Summary** The role, reporting directly to the Head of Strategy , is a critical member of the Strategy... Strategy , is a critical member of the Strategy team, which supports senior executives in creating corporate,… more
- Molina Healthcare (Columbus, OH)
- …with value-based contracting. * In-depth knowledge of managed care business, regulatory/legal requirements, products, programs, strategy and objectives. ... **Job Description** **Job Summary** Leads the market's strategy and planning in the successful development of the provider network, including development,… more
- Cardinal Health (Columbus, OH)
- …organizational development, and possesses a deep understanding of healthcare reimbursement ( managed care and specialty pharmacy operations). In addition to ... Strong project management skills + Understanding of the healthcare reimbursement and managed care + Excellent planning, budget forecasting, and presentation… more
- Molina Healthcare (Columbus, OH)
- …and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 8+ years of Medicaid managed care experience or in an equivalent related field * Ability ... with Medicaid Proposals and/or business development and requires demonstrated Medicaid managed care experience comprised of technical operational, sales, growth,… more
- Hilton (Columbus, OH)
- …be on our Development team who play a large part in driving Hilton's growth strategy through the addition of new hotels to our ever\-growing portfolio\! As a ... Director of Development, you will partner with owners and investors to grow our managed and franchised hotel estate and allow them to use our global expertise to… more
- Molina Healthcare (Columbus, OH)
- …equivalent experience. **Required Experience** At least 7 - 10 years of experience in Managed Care and/or health plan quality. Clinical experience is needed for ... of Care issues, and medical record abstraction. Technical and strategy experience is needed for positions focused on interventions. **Preferred Education**… more
- HomeSafe Alliance (Columbus, OH)
- **Title:** Director Pricing and Optimization **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household Goods ... last. **About the Role** We are seeking a meticulous and analytical Pricing Director with direct experience in Military Household Goods to join our HomeSafe team.… more
- Black & Veatch (Columbus, OH)
- **Solutions Sales Director - Industrial Cybersecurity** Date: Apr 29, 2025 Location: US Company: Black & Veatch Family of Companies **Together, we own our company, ... talents and perspectives to use. **The Opportunity** The Solution Sales Director for Industrial Cybersecurity will have the opportunity to coordinate internal… more
- Humana (Columbus, OH)
- …relevant advanced degree + Healthcare industry experience, particularly in managed care or provider sectors + Experience leading strategy projects from ... concept to execution **Additional Information** This role reports to the Director of Strategy , works collaboratively with members of rest of the team, and with… more
- Evolent (Columbus, OH)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial Services utilizes and develops analytical tools to… more
- CenterWell (Columbus, OH)
- …which you are required to practice + Eight (8) years of clinical experience in managed care or equivalent experience + Five (5) years' experience in effectively ... caring community and help us put health first** The Director Drug Trend and Pipeline Forecasting will be the...teams at all levels on the concepts, opportunities and strategy of managing traditional and specialty medications + Ability… more
- Highmark Health (Columbus, OH)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... budgetary responsibility and authority. + Develop the overall conceptualization, strategy alignment, financial models, and high-level design of new reimbursement… more
- Molina Healthcare (Columbus, OH)
- …experience. **Required Experience** 7 - 10 years minimum experience in Healthcare Administration, Managed Care , and/or Provider Network Mgmt & Operations with an ... of establishing a sufficient network of Participating Providers to serve the health care needs of Molina membership. * Develops and maintains a standard provider… more
- Molina Healthcare (Columbus, OH)
- …SKILLS & ABILITIES** : * 5-7 years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including 2+ years ... Contracting jobs are responsible for the value-based payments (VBP) network strategy and development with respect to financial performance and operational… more
- Elevance Health (Columbus, OH)
- …+ Service delivery coordination, discharge planning, or behavioral health experience in a managed care setting preferred. + RN, LISW, license in the State ... is responsible for supporting direct team oversight and program strategy and implementation of OH My Care ...counsels, and evaluates performance of direct reports. + Supports director with operational process and strategy to… more
- Molina Healthcare (Columbus, OH)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care environment. * 3+ years ... Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational… more
- CVS Health (Columbus, OH)
- …and with relevant external constituents** + **At least 3 years of experience in managed care which may include PBM, Pharma, market access, account management, ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...Services Growth is a critical member of the Trade Strategy team, which is tasked with leveraging CVS Health's… more