• Provider Network Negotiation Specialist

    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
    Sedgwick (05/09/24)
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  • Executive Director, Network Management - OH/KY

    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
    CVS Health (04/18/24)
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  • Managed Care Coordinator Clinician Non RN

    Elevance Health (Columbus, 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 (05/10/24)
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  • RVP Medicare Market President (OH)

    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
    Elevance Health (05/21/24)
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  • Contracts Specialist, Federal Government -…

    IMSolutions, LLC (Columbus, OH)
    …to work at the agency's office in Washington, DC._** As a **Federal Contract Specialist** , you provide acquisition support services, including contract ... and contract closeouts. + Market research/analysis, selection and administration of contract terms and conditions, cost , and price analysis. + US Citizenship… more
    IMSolutions, LLC (05/29/24)
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  • Director, Clinical Account Services - Remote…

    Prime Therapeutics (Columbus, OH)
    …and satisfaction. Develops and tracks appropriate metrics that monitor the quality and care cost impact of the clients' program. Provides guidance, assistance ... all clinical recommendations is essential for both the client's cost of care and the overall administration...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
    Prime Therapeutics (04/04/24)
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  • Pharmacist Account Manager - Remote Nevada

    Prime Therapeutics (Columbus, OH)
    …satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client's program. Requires communication across all ... empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
    Prime Therapeutics (05/25/24)
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  • Director of Operations Excellence

    HomeSafe Alliance (Columbus, OH)
    …crate and freight alternate shipments. + Focus on GHC US Government Contract customer satisfaction, cost , schedule, delivery, safety, process improvements, ... of Operations Excellence** is responsible for HomeSafe Alliance Global Household Goods Contract PWS metrics, Key Performance Indicators, and Contract Deliverable… more
    HomeSafe Alliance (04/30/24)
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  • Project Manager - Life Science Research (OH…

    Battelle Memorial Institute (Columbus, OH)
    …+ Prepares and presents prtations to internal management and to external customers to provide reviews and updates on technical aspects, cost , and schedule. + ... program development and the implementation and management of program cost , schedule and performance, while meeting client expectations. **Responsibilities** +… more
    Battelle Memorial Institute (04/05/24)
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  • Surety Claims Specialist

    Sedgwick (Columbus, OH)
    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... To analyze complex or technically difficult surety and surety bond claims; to provide resolution of highly complex nature and/or high exposure surety claims; to… more
    Sedgwick (05/10/24)
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  • Project Manager - Federal Civil Works (US Hybrid)…

    Black & Veatch (Columbus, OH)
    …passionate professionals. Our vision is to be the greatest infrastructure solutions provider delivering top tier and high-quality design and engineering services to ... is expanding our Federal A/E areas of focus** using a variety of contract vehicles, including Architecture/Engineering (A/E) IDIQ, MATOC, SATOC and MACC (D/B) for… more
    Black & Veatch (05/31/24)
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  • Pharmacist Account Executive - Remote Louisiana

    Prime Therapeutics (Columbus, OH)
    …value to the customer, derived from identifying, demonstrating and selling valued pharmaceutical care and cost solutions that meet the desired outcomes of the ... fashion. + Demonstrates the value of pharmacy solutions (unit cost , utilization management & patient care enhancement)....achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
    Prime Therapeutics (04/12/24)
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  • Senior Pharmacist Account Manager - Remote…

    Prime Therapeutics (Columbus, OH)
    …outcomes. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of client programs. Requires coordination and communication ... and analysis. Demonstrates the value of pharmacy solutions (unit cost , utilization management & patient care enhancements)....achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
    Prime Therapeutics (05/10/24)
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  • Acquisition Specialist Mid (CS2), Federal…

    IMSolutions, LLC (Columbus, OH)
    …the US_** As a **Mid-Level Acquisition Specialist (CS2)** , you will provide acquisition support services, including contract pre‐award, administration, and ... of both industry and business practices, procurement, contracting policies, methods, cost relationships, and options. + Specialized knowledge of pre‐award … more
    IMSolutions, LLC (05/29/24)
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  • Claims Team Lead (Auto)

    Sedgwick (Columbus, OH)
    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide more
    Sedgwick (05/17/24)
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  • Sr. Director, Procurement

    Battelle Memorial Institute (Columbus, OH)
    …and implementing procurement strategies; managing supplier relationships and ensuring cost -effective procurement of goods and services The incumbent will lead ... capture, requests for proposal (RFP) review, proposal development and submission, contract structure and negotiation, and contract management and close-out… more
    Battelle Memorial Institute (05/15/24)
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  • Senior IT Software Vendor Management Professional

    Humana (Columbus, OH)
    …holds Humana's technology partners accountable via performance management, contract compliance, and relationship management, thereby allowing internal partners ... with internal business partners to forecast future needs and to develop cost effective strategies aligned with business objectives. Drives the strategy and selection… more
    Humana (05/21/24)
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  • Claims Team Lead - Liability / Property Damage

    Sedgwick (Columbus, OH)
    Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide more
    Sedgwick (05/31/24)
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  • Sr. Rebate Trade Analyst - Remote

    Prime Therapeutics (Columbus, OH)
    …empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If ... is responsible for performing multifaceted financial analyses to assess manufacturer contract performance, plan performance and to develop rebate estimates related… more
    Prime Therapeutics (05/17/24)
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  • Sr Director, Value Based Pricing - Preferably…

    Prime Therapeutics (Columbus, OH)
    …empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If ... program and presents compelling recommendations to help improve program performance and cost savings. + Develops innovative unit cost and formulary utilization… more
    Prime Therapeutics (04/23/24)
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