- Elevance Health (Columbus, OH)
- …within 50 miles one of our Pulse Point locations. The ** Provider Contract / Cost of Care Consultant** will provide analytical support to the Cost ... ** 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
- Sedgwick (Columbus, OH)
- …hospital and medical group 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...or university preferred. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… more
- Sedgwick Government Solutions (Dublin, OH)
- Job Details Vendor and Contract Management Specialist ( Remote) 2024-1384 Dublin, OH, USA Product Development Full Time Description **Vendor and Contract ... on experience and qualifications.** **Overview** Are you passionate about managing cost effective vendor programs and driving high-quality contracts? Do you excel… more
- Sharecare (Columbus, OH)
- …-effective manner while ensuring high quality care . The RN coordinates with the Primary Care Provider and all other members of the health care team to ... increasing acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines.… more
- Elevance Health (Columbus, OH)
- …for autism and depression, and insightful analytics to improve the delivery of care ._ **Behavioral Health Care Manager II - Applied Behavioral Analysis** ... Must have a Clinical License Or BCBA certification The **Behavioral Health Care Manager II** is responsible for managing psychiatric and applied behavioral analysis,… more
- IMSolutions, LLC (Columbus, OH)
- …to work at the agency's office in Washington, DC._** As a **Federal Contract Specialist** , you provide acquisition support services, including contract ... and contract closeouts. + Market research/analysis, selection and administration of contract terms and conditions, cost , and price analysis. + US Citizenship… more
- Quanta Services (Columbus, OH)
- …all construction activities. + Responsible for working with project controls manager to provide project cost forecasting, monthly cost to complete ... on hard work and demanding opportunities. Position Title: Project Manager Provide overall administrative, technical, financial, and resource management of the… more
- Lumen (Columbus, OH)
- …price, cost plus fixed fee, cost plus award fee and cost reimbursable contract line-item numbers (CLINs). + Provides guidance and direction to assigned ... Modernization Program (BIM) is a multi-award indefinite delivery/indefinite quantity (ID/IQ) contract in support of AF Base Area Network (BAN) efforts to… 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 (Columbus, 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 liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … more
- Amgen (New Albany, OH)
- …pharmaceutical/biotechnology industry executing project controls on projects (Funding, Estimating, Cost Management, Scheduling, Compliance, Contract Strategy) + ... ability to develop, train, and manage a team of cost managers and schedulers through partnership with our outside...+ Understanding of the business aspects of projects to provide solutions to problems that require ingenuity and creativity.… 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
- Battelle Memorial Institute (Columbus, OH)
- …+ Prepares and presents presentations to internal and customer senior leadership to provide reviews and updates on technical aspects, cost , and schedule. + ... **Program Management** + Define project/program requirements, identifying all elements of cost , schedule, and technical performance. + Assess the impact of scope,… more
- Elevance Health (Columbus, 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
- Baylor Scott & White Health (Columbus, OH)
- **Position Overview:** Reporting to the VP, Value-based Care Analytics, he Director of Healthcare Economics and Trend Analytics will support the Baylor Scott & White ... to uncover trends and assist in managing and understanding incurred medical and pharmacy cost . - The Director will design, develop, and support the creation of core… more
- Sedgwick (Columbus, 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 (Columbus, 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
- Prime Therapeutics (Columbus, OH)
- …and satisfaction. Develops and tracks appropriate metrics that monitor the quality and care cost impact of the clients' program. Provides guidance, assistance ... all clinical recommendations is essential for both the client's cost of care and the overall administration...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Prime Therapeutics (Columbus, OH)
- …+ Book of Business and Financial Management: Ensures revenue goals are met, cost of care and administrative expenses managed, and (Earnings before Interest, ... contracts with assigned customers as well as ensuring ongoing contract performance through risk management activities including assurance of...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more