- Elevance Health (Mason, OH)
- ** Provider Contract Cost of Care Consultant Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... Tampa, FL or Nashville, TN. The ** Provider Contract Cost of Care Consultant...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Mason, OH)
- …miles of one of our Elevance Health office locations.** The ** Provider Contract / Cost of Care Consultant** will provide analytical support to the ... ** Provider Contract / Cost of Care Consultant**...or any combination of education and experience, which would provide an equivalent background. **Preferred skills, capabilities, and experiences:**… more
- Elevance Health (Mason, OH)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... Tampa, FL or Nashville, TN. The ** Provider Contract Cost of Care Analyst...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- 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 (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
- 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)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality...financial impact. + Work independently to support and validate Provider Network contracting and unit cost management… more
- Elevance Health (Mason, 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
- 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 ... Health Value Based Programs (Alternative Payment Models) including Accountable Care Organization (ACO), Patient-Centered Medical Home (PCMH), Episode Based Payment… 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 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
- 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...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
- Black & Veatch (Cincinnati, OH)
- …and manages pursuit team expenditures to align with approved budgets. + Participate in cost review and influences team to provide responses with competitive ... controls, construction, procurement, subcontracts, LIFTT) are held accountable to provide deliverables in accordance with proposal development schedule. + Monitors… 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 ... be assigned. Requests appropriate referrals for other services, if indicated (ie, orthotics). Provide services as described in the contract or expectations set… more
- Black & Veatch (Cincinnati, OH)
- …and manages pursuit team expenditures to align with approved budgets. + Participates in cost review and influences team to provide responses with competitive ... subcontracts, LIFTT), as needed for the proposal, are held accountable to provide deliverables in accordance with proposal development schedule. + Monitors… more
- Elevance Health (Mason, OH)
- …Directors and/or delegated clinical reviewers to help ensure medically appropriate, quality, cost effective care throughout the medical management process. + ... Examples of such functions may include: review of precertification request, level of care review for inpatient admissions or out patient medical services, such as… more