- 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 (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)
- …and Financial Analytics Consultant** ( Provider Contract / Cost of Care Consultant **)** will provide analytical support to the Cost of ... realized and recommends modifications as applicable. * Recommends standardized practices to optimize cost of care . * Educates provider contractors on… 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
- 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
- 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
- Elevance Health (Mason, OH)
- …and promote effective use of resources. Ensures medically appropriate, high quality, cost -effective care through assessing the medical necessity of inpatient ... + Ensures member access to medically necessary, quality healthcare in a cost -effective setting according to contract . + Consult with clinical reviewers… 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
- Elevance Health (Mason, OH)
- …**How you will make an impact:** + 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
- 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
- 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
- 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
- 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
- Belcan (Cincinnati, OH)
- …with internal customers to understand their budget and requirements in order to provide advice and support to meet their needs. This position will follow the ... instructions to source and procure, negotiate, manage supplier relationships, and manage contract compliance. Potential hybrid schedule. JOB DUTIES: * Lead simple to… more