• Provider Contract Cost

    Elevance Health (Mason, OH)
    ** Provider Contract Cost of Care Consultant Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... Tampa, FL or Nashville, TN. 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
    Elevance Health (10/11/24)
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  • Provider Contract / Cost

    Elevance Health (Mason, OH)
    …miles of one of our Elevance Health office locations.** The ** Provider Contract / Cost of Care Consultant** will provide analytical support to 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
    Elevance Health (10/29/24)
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  • Provider Contract Cost

    Elevance Health (Mason, OH)
    ** Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... Tampa, FL or Nashville, TN. 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 (10/11/24)
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  • Provider Contract / Cost

    Elevance Health (Mason, OH)
    ** Provider Contract / Cost of Care Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). ... miles of one of Elevance's Pulse Point locations. **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 (09/22/24)
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  • Provider Contract Analyst Senior

    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 (10/03/24)
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  • Program Manager - Cost Controls - Capital…

    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
    Jacobs (09/05/24)
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  • Analyst, Network Strategy, Pricing & Analytics…

    Molina Healthcare (Covington, KY)
    …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality...financial impact. + Work independently to support and validate Provider Network contracting and unit cost management… more
    Molina Healthcare (10/17/24)
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  • Audit & Reimbursement Lead

    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
    Elevance Health (10/21/24)
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  • RN Transplant Case Mgr II (Transplant Experience)

    Elevance Health (Mason, OH)
    …for more complex medical transplant issues. + Ensures medically appropriate, high quality, cost effective care by utilizing the applicable medical policy and ... 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 (11/02/24)
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  • Claims Adjuster - Liability

    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 (08/14/24)
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  • Claims Team Lead - Consumer

    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
    Sedgwick (09/07/24)
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  • Nurse Medical Mgmt I (US)

    Elevance Health (Mason, OH)
    …and to promote effective use of resources. Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient ... member access to medical 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 (10/16/24)
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  • Nurse Medical Mgmt I (US)-2

    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 ... member access to medical 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 (10/27/24)
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  • Sr Equipment Qualification Engineer

    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
    Curtiss-Wright Corporation (08/28/24)
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  • Commercial Auto Claims Representative - Liability

    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
    Sedgwick (08/07/24)
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  • Senior Construction Representative 1

    CDM Smith (Cincinnati, OH)
    …matches construction plans. Identifies deficiencies in constructed structures. Reviews contract terms and conditions. Ensures construction timelines, costs, and ... materials are in compliance with contract terms and conditions. Provides technical guidance and training...the work of more junior staff. Documents deficiencies, expected cost overruns, materials issues and any other related construction… more
    CDM Smith (09/17/24)
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  • Process Solution EPC/Services Pursuit Manager…

    Black & Veatch (Cincinnati, OH)
    …and manages pursuit team expenditures to align with approved budgets. + Participate in cost review and influences team to provide responses with competitive ... controls, construction, procurement, subcontracts, LIFTT) are held accountable to provide deliverables in accordance with proposal development schedule. + Monitors… more
    Black & Veatch (10/22/24)
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  • Athletic Trainer - Reading High School

    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 ... be assigned. Requests appropriate referrals for other services, if indicated (ie, orthotics). Provide services as described in the contract or expectations set… more
    Bon Secours Mercy Health (09/25/24)
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  • Computer Systems Analyst (Non-Competitive)

    City of Cincinnati (Cincinnati, OH)
    …a hands-on approach, with the flexibility to visit different sites and provide in-field support to staff when needed. Key responsibilities include evaluating, ... practices, ensuring system reliability, security, and efficiency. Additionally, they will provide technical support and training to end-users, reducing downtime and… more
    City of Cincinnati (11/04/24)
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  • Pursuit Manager - Advanced Power Generation Hybrid…

    Black & Veatch (Cincinnati, OH)
    …and manages pursuit team expenditures to align with approved budgets. + Participates in cost review and influences team to provide responses with competitive ... subcontracts, LIFTT), as needed for the proposal, are held accountable to provide deliverables in accordance with proposal development schedule. + Monitors… more
    Black & Veatch (10/22/24)
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