- 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 ... your local office location 1 - 2 days/week. The ** Cost of Care Manager ** leads...those savings. Understands, predicts and implements measures to control healthcare costs and to make healthcare more… more
- Elevance Health (Mason, OH)
- …behind medical trends. + Create and publish standard and ad hoc reports. + Perform healthcare cost and trend analysis to identify strategies to control costs. + ... **Provider Contract Cost of Care Consultant** **Location** :...or provider environment; considerable experience in statistical analysis and healthcare modeling; or any combination of education and experience,… more
- Elevance Health (Cincinnati, OH)
- …analyses which may include: developing moderately complex ROI models and performs healthcare cost analysis to identify strategies to control costs; projecting ... **Provider Contract/ Cost of Care Analyst Senior-Analytics** **Location:**...environment as well as experience in statistical analysis and healthcare modeling; or any combination of education and experience… more
- Elevance Health (Mason, OH)
- …analyses which may include developing moderately complex ROI models and performs healthcare cost analysis to identify strategies to control costs; projecting ... **Provider Contract/ Cost of Care Analyst Senior** **Location:**...environment as well as experience in statistical analysis and healthcare modeling; or any combination of education and experience… more
- Elevance Health (Cincinnati, OH)
- …PulsePoint locations on this posting. **How you will make an impact:** + Prepares healthcare cost analysis to identify new, innovative strategies to control ... **Value Based Contract / Cost of Care Consultant** The **Value...+ Performs complex modeling and analytics exercises. + Performing healthcare cost analysis to identify strategies to… more
- Molina Healthcare (Covington, KY)
- …PM develops and tracks the appropriate metrics to monitor the quality and care cost impact of the program. **Knowledge/Skills/Abilities** + Develops, implements, ... deliverables **Job Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree in Health Care , Population Health or Healthcare Administration **REQUIRED… more
- Molina Healthcare (Cincinnati, OH)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost -effective based on the severity ... **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long… more
- Molina Healthcare (Cincinnati, OH)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost -effective based on the severity ... Schedule: Monday thru Friday 8:00AM to 5:00PM **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members… more
- Molina Healthcare (Cincinnati, OH)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost -effective based on the severity ... Schedule: Monday thru Friday 8:00AM to 5:00PM EST. **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members… more
- Molina Healthcare (Covington, KY)
- …Data Analytics and Reporting team. Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... cost containment information. Evaluates, writes, and presents reports and...2+ years in supervisory and/or management experience in Managed Care or Medicare related field. + 3+ years in… more
- Molina Healthcare (Covington, KY)
- …Data Analytics and Reporting team. Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... cost containment information. Evaluates, writes, and presents reports and...2+ years in supervisory and/or management experience in Managed Care or Medicare related field. + 3+ years in… more
- Bon Secours Mercy Health (Mason, OH)
- At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... clinical and operational excellence. **Primary Function/General Purpose of Position** The Manager , Care Management is responsible for day-to-day oversight,… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Function/General Purpose of Position** In the capacity of a Registered Nurse, the Ambulatory Care Manager will provide clinical care management services to ... At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and… more
- Bon Secours Mercy Health (Green Township, OH)
- At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... both in hospital and community systems to advocate for cost containment without jeopardizing + patient quality efforts; Completes...documents ensuring they are current, and available to the healthcare team as part of the initial care… 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 ... operational excellence. **Primary Function/General Purpose of Position** The Clinical Quality Manager , Urgent Care will coordinate the maintenance, development,… more
- Option Care Health (Cincinnati, OH)
- …across the United States, resulting in high quality outcomes at a significantly reduced cost . Option Care Health has more than 70 infusion pharmacies and 100 ... infusion provider, there is no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and alternate site infusion services… more
- Molina Healthcare (Covington, KY)
- …key stakeholders in business domain across Health plans and Corporate Healthcare functions, * Requires highest level understanding of organization's business and ... facilitates process improvement efforts. Will lead re-engineering team and act as project manager in some cases. * Drives efficiency: looks for and documents ways to… 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 ... contracts. + Ensures member access to medically necessary, quality healthcare in a cost effective setting according...care products preferred. + Certification as a Case Manager is preferred. + Previous work from home/remote experience… more
- Elevance Health (Mason, OH)
- …technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . The **Pharmacist Program Manager ** will lead initiatives to ... drug spend through proactive clinical program ideation, deployment, integrated care , and strategic partnerships. The manager will...monitor programs that align with the goals of quality care and cost -effectiveness. **How you will make… 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 ... to work and help communities thrive. **SUMMARY** The Program Manager of Revenue Applications is responsible for the creation...care entities. + A broad knowledge of the healthcare industry, insurance, managed care and integrated… more