- Elevance Health (Mason, OH)
- ** Provider Contract / Cost of Care Consultant Senior** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration ... an accommodation is granted as required by law. The ** Provider Contract / Cost of Care...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- Elevance Health (Mason, OH)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration ... granted as required by law. The ** Provider Contract Cost of Care Analyst...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Mason, OH)
- …office. **Position Overview:** Provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses ... develop contracting strategy and supports all aspects of the contract negotiation process. Works with multiple provider ...modifications as applicable + Recommends standardized practices to optimize cost of care + Educates provider… more
- Elevance Health (Mason, OH)
- Provider Success Consultant Sr. (Ohio Market) **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... This position will require the candidate to travel to provider locations in Ohio at a minimum of 50%...at a minimum of 50% of the time. **The Care Consultant Sr.** is responsible for fostering long-term partnerships… more
- Molina Healthcare (Cincinnati, OH)
- …supports assigned contracts with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes reports according to ... Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider 's office,… more
- Molina Healthcare (Cincinnati, OH)
- …standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost -effective member care . Essential ... related business documents. Required Qualifications * At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more… more
- Molina Healthcare (Cincinnati, OH)
- …claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and ... cost containment reports and makes recommendations based on relevant...materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of… more
- Molina Healthcare (Cincinnati, OH)
- …delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * ... Assesses services for members to ensure optimum outcomes, cost -effectiveness and compliance with all state/federal regulations and guidelines. * Analyzes clinical… more
- Molina Healthcare (Cincinnati, OH)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. * Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- Molina Healthcare (Cincinnati, OH)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. + Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- Elevance Health (Mason, OH)
- …successful criteria for the future. + Identifies and develops best practices and cost of care improvement processes around physician, hospital and ancillary ... design participation, and operations. + Oversees the identification of potential cost of care savings opportunities through complex analytics, development… more
- Bon Secours Mercy Health (Cincinnati, OH)
- At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... and network integrity. + Support financial forecasting, scenario modeling, and contract performance projections in collaboration with Managed Care , Actuarial,… more
- City of Cincinnati (Cincinnati, OH)
- …Participates in the development and administration of assigned program budget. Create cost estimates and other contract documents. Identify and apply for ... phases of multiple projects.? Check construction plans, design calculations, or cost estimations to ensure completeness, accuracy, or conformity to engineering… more
- Bon Secours Mercy Health (Cincinnati, OH)
- At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... responsible for managing and leading 340B Program Analysts and Auditors who provide supportive services for respective covered entities, child sites, and contract… more
- Curtiss-Wright Corporation (Cincinnati, OH)
- …for the performance of complex, highly technical projects in accordance with contract requirements and company policies, procedures and guidelines. As a Project ... supporting customer deliverables. You will participate on teams and provide guidance to less experienced engineers and technical staff....will be evaluated when extending an offer._ **We Take Care of Our People** ! Paid Time Off **I**… more
- CDM Smith (Cincinnati, OH)
- …federal background check. * Knowledge of design review, construction administration, cost estimating, scheduling, and contract management. * Demonstrates ... and prepares technical reports and/or project status reports. * Provide engineering judgment for field modifications, non-conformance issues, value engineering… more
- Curtiss-Wright Corporation (Cincinnati, OH)
- …for the performance of complex, highly technical projects in accordance with contract requirements and company policies, procedures and guidelines. You must rely on ... will be evaluated when extending an offer._ **We Take Care of Our People** ! Paid Time Off **I**...that all requirements and expectations are addressed effectively. + Provide technical input on the generation of proposals for… more
- Belcan (Cincinnati, OH)
- …you will be responsible for planning, monitoring, and controlling project schedule and cost for Major Type Design Changes (MTDH), Advanced Repair Development and ... Cost -out projects in Services Engineering. This role will play... and schedule integration are aligned to scope and contract requirements. 3. Facilitate project daily management to ensure… more
- Molina Healthcare (Cincinnati, OH)
- …of care across the continuum, and contributes to overarching strategy to provide quality and cost -effective member care . Preferred licensure: Licensed ... services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term… more
- US Tech Solutions (Cincinnati, OH)
- …in collaboration with a dedicated team of professionals as you independently provide holistic, evidenced based care inclusive of accurate assessment, diagnosis, ... **Duration: 4+ months contract possible contract extension or conversion...Description:** + The Family Nurse Practitioner delivers defined patient care services in a retail clinic environment. + You… more