- Elevance Health (Columbus, OH)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- CVS Health (Columbus, OH)
- …and external customers. **Required Qualifications** . 5+ years of experience in value-based care in contracting , provider relations, provider operations ... impact by:** . Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. . Developing… more
- Molina Healthcare (Columbus, OH)
- …previous experience in contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes… more
- Molina Healthcare (Columbus, OH)
- …customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare provider ... negotiating different provider contract types, ie, physician, group and hospital contracting , etc. To all current Molina employees: If you are interested in… more
- CVS Health (Columbus, OH)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... We are seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across our...Three or more years of experience in network management, contracting , or related healthcare network functions. + One or… more
- Western Digital (Columbus, OH)
- …supplier performance, resolve issues, and drive improvements in quality, delivery, and cost . + **Negotiation and Contracting :** Lead negotiations with suppliers ... Manages compliance to contracting terms and proactively develops and manages contracting metrics + ** Cost Optimization:** Drive cost -saving initiatives… more
- Highmark Health (Columbus, OH)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population health ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2… more
- Prime Therapeutics (Columbus, OH)
- …(PBM), healthcare or other highly regulated industry; including 5 years of managed care experience in medical or pharmacy network contracting Must be eligible ... specialty, and quality-based networks aligning with Prime's Supply Chain Cost of Goods Sold (COGS) and network management strategies....different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for… more
- Oracle (Columbus, OH)
- …time estimates. + Gather, analyze, and document LOE data to prepare accurate project cost estimates for contracting purposes. + ** Contracting & Budgeting:** ... them turn data into lifesaving decisions and better patient care . We want people just as dedicated as we...the capture of the level of effort (LOE) for contracting work. This role will be essential in bridging… more
- Humana (Columbus, OH)
- …and Reporting, GL Accounting for Humana Military, Contract Accounting, Government Cost Accounting and Proposal Pricing. FP&A efforts include updating and maintaining ... Will include oversight of the contract accounting function (including Health Care cash flow reconciliation and enrollment fee balancing). Also includes development… 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 ... problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by leveraging… 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 ... problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by leveraging… more
- Oracle (Columbus, OH)
- …to market by managing pipeline intake and ensuring seamless engagement during contracting and estimating of Non-Recurring Costs (NRCs) with lease providers. This ... with precision and urgency. As a manager, you will provide strategic and operational leadership for a team of...maintain intake processes that balance speed with rigor. + ** Contracting & NRC Estimation** + Lead engagement with lease… more
- CVS Health (Columbus, OH)
- …working knowledge of business systems, applications, and tools supporting network management, contracting , and provider data systems + Experience in related ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...every day. This exciting role is a fast-paced healthcare provider support role, intended to foster a positive … more
- Molina Healthcare (Columbus, OH)
- … care in the most effective setting. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * ... clinical criteria competency. * Peer review, medical policy/procedure development, and provider contracting experience. * Strong verbal and written communication… more
- CDM Smith (Columbus, OH)
- … cost estimates and supporting analysis in coordination with government cost estimators and contracting officers. * Participate in pre-construction meetings, ... and prepares technical reports and/or project status reports. * Provide engineering judgment for field modifications, non-conformance issues, value engineering… more
- Molina Healthcare (Columbus, OH)
- …senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations ... in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment,… more
- Oracle (Columbus, OH)
- …BA/BS degree. **Responsibilities** Interfaces with internal and supplier stakeholders to provide cost -effective procurement of materials and components for ... **Job Description** Interfaces with operations, engineering and supplier stakeholders to provide materials and components for Oracle data center product supply… more
- Prime Therapeutics (Columbus, OH)
- …address changing market demands and ensure Prime is delivering the highest quality and lowest cost of care to its members and related client messaging as well as ... pipeline to capitalize on savings through effective negotiation and contracting + Develop strong working relationships and communication at...different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for… more
- Oracle (Columbus, OH)
- …is one of the world's leading information technology companies as a provider of database and application software, cloud solutions, engineered systems, and services. ... legal team and our internal business groups to improve efficiency, identify cost -saving opportunities, and assess technology. The team aims to develop innovative… more