- Molina Healthcare (Columbus, OH)
- …oversight. Tighter knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts , negotiates Complex Provider ... in Value Based Relationship Contracts . * Develops and maintains provider contracts in contract management software. * Targets and recruits additional… more
- Molina Healthcare (Columbus, OH)
- …Joint Operating Committees, and delegation oversight. * In conjunction with Director, Provider Contracts , develops health plan-specific VBP provider ... VBC models to meet Molina goals. * Prepares the provider contracts in concert with established company...or matrix leadership position * 3+ years experience in provider contract negotiations in a managed healthcare… more
- Molina Healthcare (Columbus, OH)
- …management and credentialing. **Knowledge/Skills/Abilities** * In conjunction with the Director, Provider Contracts , develops health plan-specific provider ... of the Plan's patients or members. * Prepares the provider contracts in concert with established company...concert with Director. * Oversees the maintenance of all Provider and payer Contract Templates. Works with… more
- Elevance Health (Columbus, OH)
- ** Provider Contract Specialist Manager **...and a minimum of 5 years of experience with provider contracts , plan procedures, and policies; or ... insightful analytics to improve the delivery of care. The ** Provider Contract Specialist Manager ** functions...large hospital systems joining the network including creating standard contracts for providers as needed. **How you will make… more
- Meta (Columbus, OH)
- …industry--come join a high-powered team of industry leaders! **Required Skills:** Lead Contracts Manager - Data Center Design, Engineering & Construction ... program Key Performance Indicators (KPIs) and Service Level Agreements(SLAs), and complex contract administration. 2. Partner with Contracts leadership and other… more
- St. George Tanaq Corporation (Columbus, OH)
- Manager , Procurement and Contracting (Federal Contracts ) Fully Remote*GA Job Type Full-time Description **Overview** St. George Tanaq Corporation (SGT), an ... its stock is not publicly traded. **Position Summary** We are seeking a ** Manager for Procurement and Contracting (Federal Contracts )** to lead the Procurement… more
- Deloitte (Columbus, OH)
- As a senior member of Records & Contracts (R&C), the R&C Senior Manager : Compliance & Reporting leads teams (within US and India), and is responsible for ... implements, and evaluates the effectiveness of highly innovative records and contracts compliance and reporting projects that provide business analytics… more
- Elevance Health (Columbus, OH)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration ... promoting a dynamic and adaptable workplace. Alternate locations may be considered. The ** Provider Contract Cost of Care Analyst Senior** will be responsible for… more
- Intermountain Health (Columbus, OH)
- …and relevance of contractual agreements between physicians and Intermountain Healthcare. The Contract Manager collaborates with the PCS Director and other PCS ... the analysis of potential contracting arrangements. Assists with other contract areas as identified as-needed. For contracts ...mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers… more
- Elevance Health (Columbus, OH)
- …the quality-of-service delivery. + Research issues that may impact future provider contract negotiations or jeopardize network retention. **Minimum ... ** Provider Relationship Account Manager ** Carelon Behavioral...Surveys, required corrective action plan implementation and monitoring education, contract questions and non-routine claim issues. + Coordinates communications… more
- CDM Smith (Columbus, OH)
- …with Contract Lifecycle Management (CLM) systems. * NCMA Certified Professional Contracts Manager (CPCM) or Certified Federal Contracts Manager ... options.** We currently have an opening for a Lead Contracts Administrator in our Federal Group. This position will...as well as government regulations as defined in our contract requirements. Duties & Responsibilities: * Serves as the… more
- CVS Health (Columbus, OH)
- …heart, each and every day. **Position Summary** Supports network teams in provider negotiations and financial risk for Commercial, Medicare, Medicaid, and IFP ... Work directly with network, provides current and relevant data to support provider negotiations. + Communicate network performance analysis to Market leaders, noting… more
- Humana (Columbus, OH)
- …etc) utilized in Medicaid reimbursement + Reviewing Medicaid RFPs and state contracts to identify provider reimbursement requirements + Supporting implementation ... and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + Experience with Optum WebStrat or PSI applications + Experience interacting… more
- CVS Health (Columbus, OH)
- …Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level reviews and ... analysis, and manage dispute resolution and settlement negotiations of contracts , with large and complex, national, and market-based, behavioral health groups and… more
- American Electric Power (New Albany, OH)
- …+ Obtain resources required for project execution. Manage, or assist Project Manager in managing, contracts for outside services, including developing requests ... serve. We're powering the future - today! Are you a skilled and motivated Project Manager seeking a new opportunity in the Columbus, OH vicinity? Join our team where… more
- American Electric Power (New Albany, OH)
- …short- and long-range goals and to obtain maximum customer satisfaction. Provide project transparency and develop relationships and effectively communicate with all ... and administrative tasks as delegated by the lead project manager or supervisor. Act on behalf of the lead...and project/outage updates with supportive role in stakeholder presentations. Provide clear and concise written and oral reports and… more
- CVS Health (Columbus, OH)
- …_This is an individual contributor role._ **Required Qualifications** + 5+ years of Provider Contract Negotiations + 3+ years' experience with RFP **Preferred ... responsibilities include drafting, managing, and overseeing dental Medicaid and Medicare contracts across existing and new markets. This role involves negotiating … more
- Abbott (Columbus, OH)
- …projects and adherence to established PMO governance guidelines. + **Service Provider Contract Administration & Management:** Oversee the administration and ... of contracts with all service and software providers. Measure provider performance against SOW established KPIs. + **Process Improvement:** Identify and… more
- Meta (Columbus, OH)
- **Summary:** A qualified Site Selection Leasing Program Manager has extensive experience performing technical assessments, negotiating and administering large, ... of the legal agreements that accompany them. The Site Selection Leasing Program Manager will work with the Site Selection Leasing Lead to think both strategically… more
- Prime Therapeutics (Columbus, OH)
- …and drives every decision we make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote **Job Description** Innovative business clinician ... management of the account, including P&L responsibility; and accountability for contract compliance.Accountable for developing and executing the strategic plan for… more