- ChenMed (Columbus, OH)
- …specialists, hospital providers, and post-acute providers, including skilled nursing facilities, home health , behavioral health , social service, and other ... we need great people to join our team. The Director , Network is to be the business...physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're… more
- Centene Corporation (Columbus, OH)
- …a MD or DO without restrictions, limitations, or sanctions from government programs. For Behavioral Health only - Board certification by the American Board of ... on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality...or child psychiatry. 5+ years of experience working in behavioral health managed care or behavioral… more
- Highmark Health (Columbus, OH)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This role leads a Pharmacology & Therapeutics Committee and serves as a ... and maintains objectivity. Analyzes medication safety data, leads weekly network calls using a Just Culture approach, conducts Root...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Columbus, OH)
- …and lines of business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding of innovation and industry ... Advanced Analytics, Contracting and Provider Relations, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** +… more
- Highmark Health (Columbus, OH)
- …initiatives that fall within this strategy, including retail and mail network optimization, rebate, formulary & UM financial optimization, and additional programs ... pricing lever management, rebate contracting opportunities, and pharmacy programs ( network , formulary, UM, buy-up's) to achieve segment specific pharmacy enrollment… more
- Molina Healthcare (Columbus, OH)
- …have experience writing content in areas such as Clinical/Care Management, Provider Network , Quality and/or Behavioral Health within a healthcare/managed ... of proposals for government sponsored managed care programs or health care related areas, to produce a fully compliant...with editing, graphics, data and writing resources * Support Director , Proposal Writing (Writing Director ) on opportunity,… more