- Molina Healthcare (Dayton, 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 (Dayton, OH)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- Molina Healthcare (Dayton, 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
- Molina Healthcare (Dayton, OH)
- … and senior leadership/ management . * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to ... Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract… more
- Molina Healthcare (Dayton, 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
- Dayton Early College Academy (Dayton, OH)
- DIRECTOR OF DEVELOPMENT JOB DESCRIPTION Does this describe you ? + Do you have a track record of achievement that puts you in the top 5% in everything you do? + Do ... your presence and charisma? + Are you able to provide structure and organization to your time and priorities?...income shouldn't determine their educational outcome. As an award-winning network of charter schools serving 1,300 students K-12 in… more
- Molina Healthcare (Dayton, OH)
- …+ Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation ... provider and routine ancillary contracts. + Evaluates provider network and implement strategic plans with...models. Seeks input on new reimbursement models from Corporate Network Management and legal. + Educates internal… more
- RELX INC (Dayton, OH)
- …employees worldwide, is part of RELX (https://www.relx.com/) , a global provider of information-based analytics and decision tools for professional and business ... the Business Unit CFO, this role works closely with the business unit management team and receives support from other functional finance teams. Responsibilities: + … more
- Bon Secours Mercy Health (Springfield, OH)
- … orientation and facilitates onboarding and offboarding of providers into the assigned network as related to panel management and other Clinical Integration key ... are recognized for clinical and operational excellence. **Reports to Title:** Director Clinical Population Health Outcomes **\# of Direct Reports:** 0 **Primary… more
- RELX INC (Dayton, OH)
- …with proven ability to provide both detailed information and summarize to a management level + Tenacity; ability to work through problems and reach a solutions + ... countries with 11,800 employees worldwide, is part of RELX, a global provider of information-based analytics and decision tools for professional and business… more
- Premier Health (Dayton, OH)
- …identify and collaborate to solve physician contracting issues as they arise. 5. Provide support to Director of Physician Contracting and PPN operational ... of Position** The Physician Contracting Specialist will collaborate with the Director of Physician Contracting, legal counsel, and operational leadership in the… more
- Vontier (Dayton, OH)
- …and revenue and customer satisfaction goals are met. This position reports to the Senior Director of Product Management and is open to a remote location in the ... to gather market insights **ABOUT YOUR EXPERIENCE** + 5+ years of product management experience in the software industry, with a strong preference for candidates… more
- Xylem (Yellow Springs, OH)
- …discovered. + Work closely with Engineers, Chemists and Project Managers and Product Management to resolve issues + Provide recommendations for improving product ... of all product lines and systems. This role reports directly to the Director , R&D - YSI. **Responsibilities:** **Planning and Strategy** + Collaborate with team… more