- Molina Healthcare (Columbus, 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 (Columbus, 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 (Columbus, 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
- Evolent (Columbus, OH)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... OR THE SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement… more
- Prep Network (Columbus, OH)
- …that create long-lasting memories for prep athletes What You'll Do As an Event Director with Prep Network , you'll take the lead in delivering high-quality, ... to closing-ensuring that each event runs seamlessly and reflects Prep Network 's commitment to professionalism, safety, and inclusivity. Working closely with our… 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
- 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
- Acxiom (Columbus, OH)
- As the Director , Campaign Management , Retail & Commerce Networks Acxiom's Commerce & Retail Media Network Practice, you will play a critical role in ... channels. In this role, you will focus on yield optimization, campaign management , media activation, and performance reporting, ensuring every campaign is planned… 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 - Building and Construction - Midwest Professional...Promise and core values of the company. + P&L Management : Responsible for driving the business to achieve and… more
- Cardinal Health (Columbus, OH)
- …we can get life-changing therapies to patients who need them-faster.** The Director of Business Development, Patient Hub Services, is responsible for business ... of Access and Patient Support, Clinical Services and Reimbursement Services. The Director will build key customer relationships to uncover customer needs to align… more
- Highmark Health (Columbus, OH)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... provider contract documents and overall contract management process **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Excellent… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- **Job Summary** **Job Description** The Associate Director (AD), Federal Government Affairs, will assist in the development, communication, and deployment of ... activities and policy priorities that promote access to therapies, preserve patient/ provider choice, and generally protect Otsuka's business interests in policy… more
- SHI (Columbus, OH)
- …every year since, and today we're proud to be a $15 billion global provider of IT solutions and services.** **Over 17,000 organizations worldwide rely on SHI's ... **Job Summary** SHI is seeking an executive visionary to serve as Sr Director of Services Delivery Integrators & GTM Alliances, responsible for crafting the program,… more
- Molina Healthcare (Columbus, 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
- CVS Health (Columbus, OH)
- …medical license without encumbrances in one of these states.** + In the Medical Director role you will provide oversight for medical policy implementation. + You ... Appeals / Special Projects and Committee participation when needed. + The Medical Director will provide clinical, coding, and reimbursement expertise as well as… more
- Ace Hardware (Columbus, OH)
- …Hardware and E-retailer customer segments. As an **Emery Jensen Distribution Sales Director ,** you are responsible for the performance and development of all sales ... team members in the assigned geography/market. The Sales Director will have direct responsibility for achieving all revenue...coach. They will also flawlessly execute on the sales management process and ensure that the Emery Jensen value… more
- Merck (Columbus, OH)
- …plans in partnership with Precision Medicine Health Systems Oncology Medical Affairs Director (PM HSO-MADs), oncology account management , and precision medicine ... **Job Description** + The Precision Medicine - Medical Affairs Director - Health Systems Oncology (PM MAD-HSO) develops ongoing professional relationships with… more
- Hilton (Columbus, OH)
- …brands by being relentlessly motivated to grow market share\. On the Strategic Account Management team reporting to the Managing Director , you will lead a ... the combined benefits of scale, access, competence, and experience\. As a Director , Sales Worldwide Accounts \(Strategic Accounts\) _,_ you will support the team… more
- Cardinal Health (Columbus, OH)
- … of Sales, Market Access_ will directly support the team's diverse account management responsibilities across our network of 500+ existing payers. This hands-on ... healthcare services and products company headquartered in Dublin, OH. The _National Director of Sales, Market Access_ serves as the dynamic commercial leader for… more
- Merck (Columbus, OH)
- …activities from innovation, development, commercialization, as well as product lifecycle management for drug-device combination products. Reporting to the Sr. ... Director of Device Product Assessment & Innovation (DPAI), the Director , Lead of Strategy for Device Product Assessment & Innovation will define and build… more