- Elevance Health (Cincinnati, OH)
- ** Provider Contract / Cost of Care Analyst Senior-Analytics** **Location:** This position will work a hybrid model (remote and office). Must live within 50 ... dives to uncover root-cause trend drivers and support initiative design for remediation. The ** Provider Contract / Cost of Care Analyst Senior** provides… more
- Elevance Health (Cincinnati, OH)
- **Value Based Contract / Cost of Care ...will be responsible for providing analytical support to the Cost of Care and/or Provider Contracting ... Consultant** The **Value Based Contract / Cost of Care Consultant** will focus on...provider negotiations. + Analyzes claims experience to identify cost of care initiative opportunities. + Measuring… more
- Elevance Health (Mason, OH)
- ** Provider Contract Cost of Care Consultant**...care . **How you will make an impact:** + Provide analytic and consultative support on cost of ... Tampa, FL or Chicago, IL. The ** Provider Contract Cost of Care Consultant**...facilitate novel ways of exploring and explaining trends. + Provide input and consultative support to Medical Directors, Finance… more
- Elevance Health (Mason, OH)
- … Contract Analyst Senior** is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts ... Medical Directors, contract negotiators and management on cost of care issues to help reduce...modifications as applicable. + Recommends standardized practices to optimize cost of care . + Educates provider… more
- Elevance Health (Mason, OH)
- Cost of Care Manager - Healthcare Networks (JR127712) **Location:** This position requires you to reside within 50 miles of a relevant, open Elevance Health ... Strategy, you are required to work from your local office location 1 - 2 days/week. The ** Cost of Care Manager** leads and manages multiple cost of care … more
- Molina Healthcare (Covington, KY)
- …care , or other health care field. **Required Experience** 3 - 5 years provider contract negotiation experience in the health care field including, but ... QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider 's office,… more
- Jacobs (Cincinnati, OH)
- …terms of budget, cost , and multiple fund sources * Ability to transfer contract cost tracking and reporting requirements into an established cost ... and administration of a multibillion-dollar Capital Investment Program (CIP) for a large Health Care client in Iowa City, IA. Relocation to the Iowa City area is… more
- Elevance Health (Cincinnati, OH)
- …and to promote effective use of resources. Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient ... contracts. + Ensures member access to medical necessary, quality healthcare in a cost effective setting according to contract . + Consult with clinical reviewers… more
- Molina Healthcare (Covington, KY)
- … provider experience * Support and provide insightful provider / contract and value-based analytics * Create meaningful cost , enrollment and operational ... IT; Finance; Actuarial, Claims, Call Centers and Utilization and Care Management. Manages data analytic staff who assist in...related field or equivalent of 7 years+ in Managed Care or Medicare related field **Required Experience** + 10+… more
- Elevance Health (Mason, OH)
- …more complex medical transplant issues. + Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient ... member access to medically necessary, quality healthcare in a cost effective setting according to contract . +...and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management… more
- Elevance Health (Cincinnati, OH)
- …programs. The **Audit and Reimbursement Lead** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and ... Under direction of management, the Audit and Reimbursement Lead will provide technical leadership, supervision and coordination on contractual workload involving the… more
- Belcan (Mason, OH)
- …Area Code: 513 ZIP Code: 45040 Start Date: Right Away Job Type: Contract Pay Rate: $22 / hr DOE Schedule: 1st shift Keywords: #ManufacturingPlanner ... within a supply chain and optimize inventory planning that needs service, cost , and timeliness objectives of the employer. * Oversee different employees and… more
- Sedgwick (Cincinnati, OH)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... benefits due, and manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements. + Communicates claim… more
- Sedgwick (Cincinnati, OH)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... of examiners and technical staff for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … 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 ... subject matter expertise of Population Health RSA programs to ensure value-based contract success. **Essential Job Functions** + Reviews ambulatory encounters in the… 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 ... products and services. **Location** **:** Cincinnati, Ohio **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
- 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 ... people in mind, body and spirit through exceptional patient care . Success in this goal requires a culture of...manage relationships with all user communities as well as provide proper support and education to leaders and analysts… more
- Sedgwick (Cincinnati, OH)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... benefits due, and manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements. + Communicates claim… more
- Sedgwick (Cincinnati, OH)
- Taking care of people is at the heart of...Develops and maintains action plans to ensure state required contract deadlines are met and to move the file ... everything we do, and we start by taking care of you, our valued colleague. A career at...not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… more
- GE Vernova (West Chester, OH)
- …The Aero Product Services Engineering Leader will: + **Customer Issue Resolution** : Provide Strategic leadership to enable the QRC and regional PSE teams to ... effectively drive customer issue resolution prioritizing Safety, Quality, Delivery and Cost . + **Operational Excellence** : Own the operating rhythm (standard work)… more