- JEFFERSON INDUSTRIES CORPORATION (West Jefferson, OH)
- …Product Quality Planning. Our facilities support high quality product manufacturing, and we provide a timely and flexible approach to meeting the needs of our ... (SNAP). *Establish Daily, Weekly & Monthly reviews and reflections using CAPDo. COST *Supports the development and management of Weld Department budget and costs.… more
- Battelle Memorial Institute (Columbus, OH)
- …Prepares and presents presentations to internal and customer senior leadership to provide reviews and updates on technical aspects, cost , and schedule. ... efforts within their programs. They will monitor and drive engineering cost and schedule performance, while ensuring program technical objectives are met.… more
- Battelle Memorial Institute (Columbus, OH)
- …Sourcing engagements at this level requires industry expertise, consideration of total cost of ownership, financial modeling and negotiation skills, to meet the ... trains and develop lower-level sourcing staff to assume more complex contract activity. **Key Qualifications** + Bachelor's degree; eight years of experience;… more
- JE Dunn Construction Company (Columbus, OH)
- …optic system installations, both subcontracted and self-performed. + Instructs on proper care , custody, and control of assigned fiber and building technology scopes. ... on tracking budgets, costs, and productivity using project management tools and cost reports. + Teaches strategies for communicating key project information to… more
- Elevance Health (Columbus, OH)
- ** Provider Contract Cost of Care Consultant - VBC** **Location** : This role requires associates to be in-office 1-2 days per week, fostering ... granted as required by law. The ** Provider Contract Cost of Care Consultant...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- Centene Corporation (Columbus, OH)
- …account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. + Serve ... and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care . + Performance Management: Uses data… more
- Elevance Health (Columbus, 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 (Columbus, OH)
- …Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation of ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets… more
- Molina Healthcare (Columbus, OH)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or project ... customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare provider … more
- CVS Health (Columbus, OH)
- …Aetna's National Provider business. This role maintains and updates provider demographic and contract information, including contractually sensitive or ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Molina Healthcare (Columbus, OH)
- …outcomes and financial performance of the product. Contributes to overarching strategy to provide quality and cost -effective member care . **ESSENTIAL JOB ... regulations. **REQUIRED QUALIFICATIONS:** + At least 12 years of experience in health care leading state Medicaid long-term care services programs in a… more
- Molina Healthcare (Columbus, OH)
- …of care across the continuum, and contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties + ... services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term… more
- Molina Healthcare (Columbus, OH)
- …other cost recovery processes + Direct PM experience in Managed Care Operations (claims, system configuration, provider data management preferred) + ... Builds work breakdown structures, monitors task activities, and ensures state contract timelines are met. Monitors the project from inception through delivery.… more
- Molina Healthcare (Columbus, 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 (Columbus, 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 (Upper Arlington, OH)
- …ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost -effective member care . Essential Job ... We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are… more
- Molina Healthcare (Columbus, 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 (Columbus, 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
- Highmark Health (Columbus, OH)
- …and provider contracting or revenue management + 2 years Understanding of provider contract documents and overall contract management process **LICENSES ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...of healthcare + Comfort and with real-time calculations of cost , membership, etc. (ie, "back of the envelope" estimations)… more
- Humana (Columbus, OH)
- …. The case manager will offer guidance, support, and coordination of the beneficiary's care as directed by the beneficiary, the provider (s) or other members of ... needs of TRICARE beneficiaries, to maximize each beneficiary's capacity for self- care , to cost -effectively achieve desired clinical outcomes and to enhance… more
