- Elevance Health (Mason, OH)
- **Anticipated End Date:** 2024-09-13 **Position Title:** Provider Contract / Cost of Care Analyst Senior **Job Description:** ** Provider Contract / ... 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 (Mason, OH)
- **Anticipated End Date:** 2024-09-27 **Position Title:** Provider Contract / Cost of Care Analyst Senior-Analytics **Job Description:** ** Provider ... dives to uncover root-cause trend drivers and support initiative design for remediation. The ** Provider Contract / Cost of Care Analyst Senior** provides… more
- Elevance Health (Cincinnati, OH)
- **Anticipated End Date:** 2024-09-13 **Position Title:** Value Based Contract / Cost of Care Consultant **Job Description:** **Value Based Contract / ... of Care Consultant** The **Value Based Contract / Cost of Care ...will be responsible for providing analytical support to the Cost of Care and/or Provider … more
- Elevance Health (Mason, 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
- 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
- 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
- Elevance Health (Cincinnati, 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 Sr (US) **Job Description:** The Nurse...or any combination of education and experience, which would provide an equivalent background. + Current, active valid unrestricted… 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 ... administration of a multibillion-dollar Capital Investment Program (CIP) for a large Health Care client in Iowa City, IA. Relocation to Iowa City area available.… 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
- 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)
- …position will also design various analyses for stakeholders using Snowflake database to analyze cost of care and various valued metrics key to the organization. ... * Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance deviations and… more
- Elevance Health (Mason, OH)
- …administration of behavioral health medical services, to ensure the appropriate and most cost effective medical care is received. May be responsible for ... developing and implementing programs to improve quality, cost , and outcomes. May provide clinical consultation...as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as… more
- Elevance Health (Mason, 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
- Elevance Health (Mason, OH)
- …physical and/or behavioral health medical services, to ensure the appropriate and most cost -effective medical care is received. May be responsible for developing ... and implementing programs to improve quality, cost , and outcomes. May provide clinical consultation...as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as… more
- Belcan (Mason, OH)
- …Area Code: 513 ZIP Code: 45040 Start Date: Right Away Job Type: Contract Pay Rate: $22 / hr DOE Schedule: 1st shift Keywords: #ManufacturingPlanner ... within a supply chain and optimize inventory planning that needs service, cost , and timeliness objectives of the employer. * Oversee different employees and… 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
- Veterans Affairs, Veterans Health Administration (Cincinnati, OH)
- …with leadership of the section, clinical management, education, and research. They will provide direct care to inpatients, participate in the clinical education ... of the section as delegated by the Hospitalist Section Chief. The DSCH will provide support to the clinical operations and staff of the Hospitalist Section under the… 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
- 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
- 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 ... manage relationships with all user communities as well as provide proper support and education to leaders and analysts...following: + Operations analytics on timeliness and accuracy of contract loading + Payor analytics and tracking around Fee… more