- Sedgwick (Columbus, OH)
- …ancillary provider contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and to ... Taking care of people is at the heart of...quality program(s). **QUALIFICATIONS** **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… more
- Molina Healthcare (Columbus, OH)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or project ... customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare provider … more
- Liberty Utilities (Columbus, OH)
- …and as an employee team. As the successful candidate Our Mission We provide safe, secure, reliable, cost -effective and sustainable energy and water solutions. ... Lead, Environment (6 month contract ) Tyler, TX, US, 75703Ozark, MO, US, 65721Forsyth,...56159 **At** **Algonquin-Liberty** **, we hire passionate people who care about doing the right thing for our customers.… more
- Actalent (New Albany, OH)
- …re-projections of project spending and cash flows, budget variance monitoring, cost tracking/analysis; provide analysis and verification for SOX activities. ... of experience, our scalable talent solutions and engineering and sciences services provide the expertise our customers need to achieve more. The Project Coordinator… 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
- 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
- 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
- Humana (Columbus, OH)
- …The Service Fund Senior Value-Based Programs Analyst supports our Market and Provider partners through ensuring Provider payments and settlements are complete, ... of value-based contracts + Supports the markets in all value-based contract administration strategies and supports implementation of those strategies through regular… more
- Intermountain Health (Columbus, OH)
- …to reoccurring issues. Identifies problems and process improvement practices and provide solutions related to benefit designs, provider relations, financial ... SHOBE, EDI, or other electronic enrollment systems), billing reconciliation, contract compliance, and other identified areas. MARKETING MATERIALS: Orders and… more
- Prime Therapeutics (Columbus, OH)
- …satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client's program. Requires communication across all ... 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… more
- Motion Recruitment Partners (Columbus, OH)
- …and track project delivery and budget performance. + **Oversight and Leadership:** Provide oversight for project performance, including cost , scope, schedule, ... Project Manager- Senior - VF Columbus, OH **Hybrid** Contract Up to $70.36/hr Job Title: Project Manager...efforts to achieve project goals effectively. + **Leadership Reporting:** Provide regular status updates to Service Provider … more
- Amentum (Columbus, OH)
- …for union employee benefits and analyzes union benefits demands. Obtains and prepares cost data for company and union proposals and final settlements. + Process ... reports such as benefits utilization, trend analysis, claims, fees, and provider performance evaluations + Assists in administration of benefits enrollment process,… more
- Battelle Memorial Institute (Columbus, OH)
- …with all Battelle procurement systems and guidance as well as prime contract flow-downs. The Manager will be responsible for engaging cross-functionally with ... Legal, Compliance, etc.), and external suppliers to drive procurement efficiency, cost savings, supplier performance, and compliance success. This position requires… more
- Battelle Memorial Institute (Columbus, OH)
- …+ Prepares and makes presentations to internal management and to external customers to provide reviews and updates on technical status, cost , and schedule. + Has ... + Prepares and presents presentations to internal management and to external customers to provide reviews and updates on technical aspects, cost , and schedule. +… more
- Sedgwick (Dublin, 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 ... technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor individual claim activities; to provide … more
- Humana (Columbus, OH)
- …Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims ... coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are… more
- Elevance Health (Columbus, 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