- Elevance Health (Columbus, OH)
- ** Provider Network Management Director ** _Location: Alternate locations may be considered. This position will work a hybrid model (1-2 days/week in ... of one of our Elevance Health PulsePoint locations._ The ** Provider Network Management Director...significant impact. + May assist management in network development planning. + May provide work… more
- CVS Health (Columbus, OH)
- …area experience. **Required Qualifications** + A minimum of 10 years professional work experience in provider network management . + A minimum of 3 years in a ... each and every day. **Position Summary** Provides strategic leadership and oversight for network management and provider relations. Develops and implements … more
- Elevance Health (Columbus, OH)
- …will be responsible for spearheading the development and maintenance of the LTSS provider network , ensuring robust network demographics, and leading the ... overall network 's effectiveness (internal company title is ** Director Network Relations** ) **How will you...implements strategic business plan for all aspects of PN ( Provider Network ) Operations. + Ensures the LTSS… more
- Datavant (Columbus, OH)
- …ideal candidate has an entrepreneurial mindset, with experience in revenue cycle management , in particular provider coding (inpatient and outpatient), health ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...for healthcare. **The role** We are seeking a Product Director to lead the strategy and development of our… more
- Molina Healthcare (Columbus, OH)
- …strategy and planning in the successful development of the provider network , including development, contracting and management of provider relationships ... in the successful development of the provider network including development, contracting and management of...provider network including development, contracting and management of provider relationships and communications *… more
- Trinity Health (Columbus, OH)
- …payment and reimbursement terms. + Maintains excellent working relationships with MediGold's provider network , internal department management , other business ... issues, and MediGold brand building. The individual will also assist the Director for Provider Contracting and Network Development to develop provider … more
- Elevance Health (Columbus, OH)
- ** Director Network Contract Coordinator** **Location:** This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, ... a dynamic and adaptable workplace. Alternate locations may be considered. The ** Director Network Contract Coordinator** is responsible for managing and… more
- Dodge Construction Network (Columbus, OH)
- Director , Data Acquisition Location: Remote, United States, United States **Description** The Director , Data Acquisition, is responsible for overseeing the ... efficient and effective management of a remote and offshore team focused on...construction project data that adds value to the information network used by our clients. Timely and high-quality data… more
- Pearl Interactive Network (Columbus, OH)
- …Interactive Network is actively sourcing passionate and dynamic **Program Director (PD)** to Join Our Talent Community and spearhead future program operations. ... As a **Program Director ,** you'll take charge of managing the overall operations...of all contract support activities. **Operational Leadership & Performance Management :** + Provide day-to-day operational oversight, ensuring… more
- Huntington National Bank (Columbus, OH)
- Description Summary:Huntington's Director , Sponsor and Leveraged Finance - Portfolio Management will manage a book of business in the bank's Sponsor and ... vertical within Huntington's Corporate Specialty and Government Banking group. The Director , Portfolio Management services and, in conjunction with Relationship… more
- Huntington National Bank (Columbus, OH)
- Description Summary:Huntington's Director , Portfolio Management will manage a book of business in the bank's Aerospace & Defense (A&D) vertical within ... Huntington's Corporate Specialty and Government Banking group. The Director , Portfolio Management services and, in conjunction with Relationship Management ,… more
- Molina Healthcare (Columbus, OH)
- …and caring manner.' **Knowledge/Skills/Abilities** * Under the leadership of the AVP, Provider Network Management & Operations, oversees development and ... providers who: * Are aligned with our mission to provide quality health services to financially vulnerable families and...with provider association(s) and Joint Operating Committee management ); Delegation Oversight; Provider Network … more
- Centene Corporation (Columbus, OH)
- …consultants for reviewing complex cases and medical necessity appeals. + Participates in provider network development and new market expansion as appropriate. + ... fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management , quality… 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 - Midwest Professional Service Industries, Inc. (Intertek-PSI)...Promise and core values of the company. + P&L Management : Responsible for driving the business to achieve and… more
- Elevance Health (Columbus, OH)
- …compliance with program requirements, rules, and regulations. + Implement and oversee provider management functions for LTSS services, including provider ... Job Description **LTSS Director - Planning & Strategy Lead** **(** **Strategy...an impact:** + Accountable for implementing and overseeing clinical management functions for members receiving LTSS, including assessments, service… more
- Lionbridge Technologies (Columbus, OH)
- …through innovative thinking and collaboration with internal technical, production, community, and management teams. + Provide training and guidance to internal ... **AI Program Director ** The AI Program Director functions...point for customer account(s) as it relates to quality management . Proactively monitors and shares customer feedback through the… more
- Molina Healthcare (Columbus, OH)
- …in the United States _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the value-based payments ... to business and system requirements of customers as it pertains to contracting, network management and credentialing. Manages the exchange of data and reporting… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to the ... as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices,… more
- Highmark Health (Columbus, OH)
- **Company :** enGen **Job Description :** **JOB SUMMARY** The Director of Sales & Partnerships is a critical leadership role responsible for driving significant ... including a core administrative platform, modular utilization and care management solutions, patient-focused digital products, and clinical data exchange… more
- Molina Healthcare (Columbus, OH)
- …live in the United States _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of...models. Seeks input on new reimbursement models from Corporate Network Management , legal and VP level engagement… more