- Elevance Health (Columbus, OH)
- **Anticipated End Date:** 2024-10-07 **Position Title:** Provider Contract / Cost of Care Consultant **Job Description:** ** Provider Contract / ... 50 miles of one of our PulsePoint 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
- Prime Therapeutics (Columbus, OH)
- …changes in contract documents. This position is responsible for monitoring provider contract compliance and for development of performance-based contract ... rate/funding changes. + Develops and implements process for monitoring provider contract compliance and performance based ...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Prime Therapeutics (Columbus, OH)
- …changes in contract documents. This position is responsible for monitoring provider contract compliance and for development of performance-based contract ... rate/funding changes. + Develops and implements process for monitoring provider contract compliance and performance based ...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Prime Therapeutics (Columbus, OH)
- …empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If ... passion and drives every decision we make. **Job Posting Title** Maximum Allowable Cost Programs Specialist - Remote **Job Description Summary** The purpose of this… more
- CVS Health (Columbus, OH)
- …will: + Drive the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. + ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Humana (Columbus, OH)
- …us put health first** The Delaware Valley ACO (DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' ... the program may include rotations through various DVACO departments including Care Coordination, Practice Transformation, Data Analytics, Post-Acute Care and… more
- Option Care Health (Columbus, OH)
- …alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly ... resulting in high quality outcomes at a significantly reduced cost . Option Care Health has more than...treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through… more
- Elevance Health (Columbus, OH)
- …include, but are not limited to: + Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient ... **Anticipated End Date:** 2024-11-01 **Position Title:** Nurse Care Mgr II (US) **Job Description:** The Nurse...or any combination of education and experience, which would provide an equivalent background. + Current, valid active unrestricted… more
- HomeSafe Alliance (Columbus, OH)
- …include but not limited to schedule, delivery, performance, quality, safety, cost control, P&L, Service Provider relationships, and customer satisfaction. ... GHC prime contractor and household goods moving service integrator, we provide earlier visibility into upcoming moves and greater network throughput… more
- IMSolutions, LLC (Columbus, OH)
- …to work at the agency's office in Washington, DC._** As a **Federal Contract Specialist** , you provide acquisition support services, including contract ... and contract closeouts. + Market research/analysis, selection and administration of contract terms and conditions, cost , and price analysis. + US Citizenship… more
- Battelle Memorial Institute (Columbus, OH)
- …in program cost controls & estimating functional requirements for all contract sizes and types; may assist with pricing strategy, modeling and analysis to ... capture strategy, execution, and business decisions, along with program cost control and estimating functional requirements. **Responsibilities** + Independently… more
- JBT Corporation (Columbus, OH)
- Overview Overview JBT is a leading global technology solutions provider to high-value segments of the food and beverage industry. JBT designs, produces, and services ... Sustain engineering support for model line maintenance, and execution of VAVE/ cost projects. Establish priorities for team members (design and sales engineers),… more
- Battelle Memorial Institute (West Jefferson, OH)
- …+ Prepares and presents presentations to internal management and to external customers to provide reviews and updates on technical aspects, cost , and schedule. + ... candidates for Program Manager or Sr. Program Manager based upon experience and contract . This position will be located in **West** **Jefferson, OH** . Battelle's… more
- Elevance Health (Columbus, OH)
- …adjudication of claims; accurate claims system and benefits configuration; achievement of cost objectives and service level goals; provider data management and ... the activities for India based Commercial Claims Operations, Claims System Configuration, and Provider Data Management departments to ensure the prompt and accurate… more
- Highmark Health (Columbus, OH)
- …configurations and onboarding of new plans/providers. Translates configuration rules, fee schedules, contract terms, provider data code sets, and benefits into ... to benefits, business rules, screen design and functionality, templates, workflows, provider contracts, user task analysis, personalization to different plans, and… more
- Planate Management Group LLC (Columbus, OH)
- …facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering, ... quality control, and submittal reviews beyond the expertise of construction managers + Provide quality assurance for ongoing projects, and serve as a mentor to fewer… more
- Prime Therapeutics (Columbus, OH)
- …of data. + Supports the account management team ensuring revenue goals are met, cost of care and administrative expenses are managed and segment profit targets ... assigned account (s). + Demonstrates a thorough knowledge of Cost of Care and implications internally and...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Elevance Health (Columbus, OH)
- …and post payment auditing. + Correlates review findings with appropriate actions ( provider education, recovery of monies, cost avoidance, recommending sanctions ... and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and … more
- Prime Therapeutics (Columbus, OH)
- …empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If ... is responsible for performing multifaceted financial analyses to assess manufacturer contract performance, plan performance and to develop rebate estimates related… more
- Sedgwick (Columbus, 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