- CVS Health (Columbus, OH)
- …issues. **Required Qualifications** + A minimum of 3 years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral ... providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... requirements of internal customers as it pertains to other provider network management areas, such as ...Provider Services/ Provider Inquiry Research & Resolution, Provider Contracting / Provider Relationship Management). +… more
- Molina Healthcare (Columbus, OH)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial ... and system requirements of customers as it pertains to contracting and network management. **Job Duties** This...provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network ... primary point of contact between Molina Healthcare and contracted provider network . They are responsible for the...as valuable partners. + Requires an in-depth knowledge of provider services and contracting subject matter expertise.… more
- Molina Healthcare (Columbus, OH)
- …health plans on the financial impact. * Work independently to support and validate Provider Network contracting and unit cost management activities through ... **Job Description** **Job Summary** Sr. Analyst, Network Strategy, Pricing & Analytics guides the investment...required to present analytical results and findings to healthplans' senior management team and key stakeholder meetings (PowerPoint) *… more
- Molina Healthcare (Columbus, OH)
- …health plans on the financial impact. + Work independently to support and validate Provider Network contracting and unit cost management activities through ... **Job Description** **Job Summary** Sr. Analyst, Network Strategy, Pricing & Analytics guides the investment...to present analytical results and findings to health plans' senior management team and key stakeholder meetings (PowerPoint) +… more
- Humana (Columbus, OH)
- …of Associate's Degree + 4 or more years of Health care or managed care with Provider Contracting , Network Management or Provider Relations experience + ... of our caring community and help us put health first** The Provider Engagement Executive develops and grows positive, long-term relationships with physicians,… more
- Humana (Columbus, OH)
- …and help us put health first** The Value Based Market Support Senior Professional is responsible for providing comprehensive market support across assigned markets ... Business Review Meetings (QBR) with assigned market leaders to provide updates on VBP model performance, answer questions and...questions and resolve issues, consult on VBP strategy and provider targets, and ensure timely decision making on VBP… more
- Humana (Columbus, OH)
- …the network is strong enough to support serving customers. The Senior Network Adequacy Professional work assignments involve moderately complex to complex ... Senior Data & Reporting Professional tests the overall network in each county of operations to ensure...and effectively design dashboards and reports + Knowledge of Provider contracting + Project Management experience **Additional… more
- CVS Health (Columbus, OH)
- …+ Advance working knowledge of business systems, applications, and tools supporting network management, contracting , and provider data systems + ... with heart, each and every day. This exciting role is a fast-paced healthcare provider support role, intended to foster a positive provider experience by… more
- Datavant (Columbus, OH)
- …the right format. Our platform is powered by the largest, most diverse health data network in the US, enabling data to be secure, accessible and usable to inform ... life experiences to realize our bold vision for healthcare. **Job Summary** The Senior Manager, Facilities at Datavant will lead all aspects of facilities operations… more
- PagerDuty (Columbus, OH)
- …a flexible, award-winning workplace. **Job Overview** In this role the Partner GTM Senior Manager for our Enterprise Sales Segment and will be responsible for ... opportunities and risks. + **_Performance Reporting & Stakeholder Cadences:_** Provide effective and timely internal and external communication and coordination… more
- Deloitte (Columbus, OH)
- …help us position Deloitte as the clear legal technology leader. As a Legal Technology Senior , you will contribute to the growth and success of Deloitte Tax LLP in a ... to aid in the efficiency of tax and legal departments. + Support: Provide training and software support around day-to-day activities, related to processes and… more
- Cardinal Health (Columbus, OH)
- …will directly support the team's diverse account management responsibilities across our network of 500+ existing payers. This hands-on support spans the full ... relationship lifecycle, managing everything from pipeline generation and dynamic contracting efforts to executing strategies that maximize reach and market… more
- Molina Healthcare (Columbus, OH)
- …from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational ... analytical work experience within the health care industry (ie, hospital, network , ancillary, medical facility, health care vendor, commercial health insurance,… more
- Deloitte (Columbus, OH)
- …deploy, and operate integrated/verticalized sector solutions in software, data, AI, network , and hybrid cloud infrastructure. These solutions are powered by ... designs that deliver measurable and durable impact. A Specialist Leader serves as a senior advisor for the firm and for our clients by leveraging deep subject matter… more