- Elevance Health (Columbus, OH)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Mason, OH)
- …Senior** provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- Elevance Health (Mason, OH)
- …of Care Consultant** provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- Elevance Health (Mason, OH)
- …Provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims ... cost of care + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Qualifications:** + Experience providing… more
- The Cigna Group (Cleveland, OH)
- …and Youngstown markets)** This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon… more
- CVS Health (Columbus, OH)
- …and external customers. **Required Qualifications** . 5+ years of experience in value-based care in contracting , provider relations, provider operations ... impact by:** . Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners. . Developing… more
- Elevance Health (Mason, OH)
- …Engineering** is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Mason, OH)
- …**Preferred Skills, Capabilities and Experiences** + Prior experience with Cost of Care , provider network contracting , provider networks, claims, ... an accommodation is granted as required by law._ **Summary** Provide support for CarelonRx including trend and rebate analytics...and rebate analytics and delivering a clear linkage from Cost of Care initiatives to financial statements… more
- Molina Healthcare (Cincinnati, OH)
- …previous experience in contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes… more
- Molina Healthcare (Columbus, OH)
- …out contracts/applications to prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider Relations team members. * ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...with assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost… more
- Molina Healthcare (Columbus, OH)
- …customer service, provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare provider ... negotiating different provider contract types, ie, physician, group and hospital contracting , etc. To all current Molina employees: If you are interested in… more
- CVS Health (Columbus, OH)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... We are seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across our...Three or more years of experience in network management, contracting , or related healthcare network functions. + One or… more
- Guidehouse (Beavercreek, OH)
- …program managers, engineering Leads, contracting officers, and budget analysts + Provide expert cost advice and insights to senior government leadership + ... You Will Do** **:** We're seeking a skilled and motivated Senior Air Force Cost Estimator to join our team, working alongside Air Force Program Management Offices to… more
- Western Digital (Columbus, OH)
- …supplier performance, resolve issues, and drive improvements in quality, delivery, and cost . + **Negotiation and Contracting :** Lead negotiations with suppliers ... Manages compliance to contracting terms and proactively develops and manages contracting metrics + ** Cost Optimization:** Drive cost -saving initiatives… more
- Highmark Health (Columbus, OH)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population health ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2… more
- The Goodyear Tire & Rubber Company (Akron, OH)
- …+ Develop/Update agreement templates and playbooks to drive cross-functional efficiencies. Provide periodic training in contracting , compliance, IP and other ... (as needed) to ensure efficient/timely completion of tasks. + Provide support for IT and IT contracting ...Care Line at ###. When contacting us, please provide your name, telephone number, and email address, along… more
- Prime Therapeutics (Columbus, OH)
- …(PBM), healthcare or other highly regulated industry; including 5 years of managed care experience in medical or pharmacy network contracting Must be eligible ... specialty, and quality-based networks aligning with Prime's Supply Chain Cost of Goods Sold (COGS) and network management strategies....different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for… more
- Oracle (Columbus, OH)
- …time estimates. + Gather, analyze, and document LOE data to prepare accurate project cost estimates for contracting purposes. + ** Contracting & Budgeting:** ... them turn data into lifesaving decisions and better patient care . We want people just as dedicated as we...the capture of the level of effort (LOE) for contracting work. This role will be essential in bridging… more
- CVS Health (Columbus, OH)
- …within the client organization that will improve quality, increase efficiency, and drive cost savings and improve the member and provider experience. + Identify ... delivery on the provider side + 2+ years experience in health care analysis methods and tools, Population health, care management including disease… more
- Veterans Affairs, Veterans Health Administration (Dayton, OH)
- …the application of engineering and mechanical concepts and methodology to provide lifecycle management and technical support of diagnostic, therapeutic devices. ... Technology (OIT), Patient Safety, Sterile Processing Service (SPS), Logistics, Contracting , Informatics, and Environmental Management Service (EMS). Specific tasks… more