- 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. ... efforts within their programs. They will monitor and drive engineering cost and schedule performance, while ensuring program technical objectives are met.… more
- Battelle Memorial Institute (Columbus, OH)
- …and implementing procurement strategies; managing supplier relationships and ensuring cost -effective procurement of goods and services The incumbent will lead ... capture, requests for proposal (RFP) review, proposal development and submission, contract structure and negotiation, and contract management and close-out… more
- Williams Companies (North Canton, OH)
- …+ Accounts for front end construction planning, estimate development, analysis and contract management + Provides input in QA/QC staffing plans, construction cost ... to a Health Savings Account + Healthcare and Dependent Care Flexible Spending Accounts + Paid time off, including...mobility (we promote from within) + Parental leave (we provide up to 6 weeks for each parent) +… more
- ARCO (Cincinnati, OH)
- …career. **WHAT WE CAN OFFER YOU** At ARCO, we are committed to taking care of our greatest asset - our team. ARCO's best-in-class benefits and superior compensation ... and administrative aspects of data center projects, including estimating, contract negotiations, proposal preparation, planning, scheduling, budgeting, procurement, and… more
- Elevance Health (Mason, OH)
- ** Provider Contract / Cost of Care Consultant Senior** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration ... an accommodation is granted as required by law. 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)
- ** Provider Contract / Cost of Care Consultant** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... an accommodation is granted as required by law. 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 (Columbus, OH)
- ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting Data...contract negotiation process. + Can work with multiple provider types, eg physician, ancillary, medical groups, or hospitals.… more
- The Cigna Group (Independence, OH)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- The Cigna Group (Cleveland, OH)
- …analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Manages key provider ... understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team player with proven… more
- Molina Healthcare (Columbus, OH)
- …as appropriate. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent provider contract , network development and management, or project ... provider service, or claims experience in a managed care setting. + Working familiarity with various managed healthcare... Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare… more
- CVS Health (Columbus, OH)
- … arrangements are functioning successfully and working to improve quality of care while reducing costs. . Provider Relationship Management - Understands ... performance. (External meetings include JOCs, clinical meetings, Informatics discussions, contract reconciliations, etc.) . Drives provider performance and… more
- Molina Healthcare (Columbus, OH)
- …Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation of ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets… more
- Molina Healthcare (Columbus, OH)
- …role supports negotiations with assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost effective and ... sent to prospective new providers. * Completes and updates Provider Information Forms for each new contract ....combination of education and experience **PREFERRED EXPERIENCE** : Managed Care experience To all current Molina employees: If you… more
- Molina Healthcare (Cincinnati, OH)
- …supports assigned contracts with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes reports according to ... Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider 's office,… more
- OhioHealth (Columbus, OH)
- … contract * Analyzing and synthesizing data (eg, population health utilization, cost , benchmarking reports) to communicate contract performance and advise on ... everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover...communities. **Job Description Summary:** The Senior Consultant, Value Based Contract Performance is charged with supporting teams in solving… more
- ProMedica Health System (Toledo, OH)
- …any funded research study. + Assists in reviewing budgets for consistency with contract terms and institutional cost principles. + Drafts appropriate amendments ... duties listed below are essential unless noted otherwise* + Evaluates contract terms to ensure compliance with ProMedica policies, applicable governmental… more
- Elevance Health (Mason, OH)
- …Healthcare (Pharmacy) Applications i** s responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. **How ... realized and recommends modifications as applicable. + Recommends standardized practices to optimize cost of care . + Educates provider contractors on… more
- Fresenius Medical Center (Cleveland, OH)
- …planning, evaluation, coordination, and implementation of various managed health care programs (HMOs, PPOs, POS, etc). Oversees Division's contractual relationships ... with managed care organizations and other third party payors regarding rate...establishment of other business terms per the FMCNA Guidelines, contract maintenance such as facility list updates and amendments.… more
- Abbott (Columbus, OH)
- …**Working at Abbott** At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. ... working mothers, female executives, and scientists. **The Opportunity** **Abbott Point of Care ** (APOC) is a global leader in providing critical medical diagnostic… more
- Highmark Health (Columbus, OH)
- …and provider contracting or revenue management + 2 years Understanding of provider contract documents and overall contract management process **LICENSES ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...of healthcare + Comfort and with real-time calculations of cost , membership, etc. (ie, "back of the envelope" estimations)… more
