- Molina Healthcare (Dayton, 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
- Molina Healthcare (Dayton, 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 (Dayton, 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
- 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
- Elevance Health (Mason, OH)
- **Behavioral Health - Care Manager II** **Location:** _Virtual:_ This role enables associate to work virtually full-time, with the exception of required in-person ... granted as required by law. The **Behavioral Health - Care Manager II** is responsible for managing psychiatric or...access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines… more
- Elevance Health (Mason, OH)
- **Behavioral Health Care Manager I - Ameriben** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person ... including medical management. **Hours: 8am-5pm (Local time)** The **Behavioral Health Care Manager I** is responsible for managing adult and pediatric inpatient… more
- Molina Healthcare (Dayton, OH)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. * Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- Molina Healthcare (Dayton, OH)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. + Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- Leonardo DRS, Inc. (Beavercreek, OH)
- …Responsibilities** Manage and direct the daily execution of multiple programs within contract requirements to assure that cost , schedules and performance goals ... the integrated product and/or project team (kick-off through project close). Provide interface, communication and coordination with internal and external customers… more
- Molina Healthcare (Dayton, OH)
- …management standardization, and cost -effective quality outcomes in a managed care environment. Contributes to overarching strategy to provide quality and ... and implementation of behavioral health medical policies, peer review processes, provider education, and contract reviews. + Represents the organization… more
- Elevance Health (Mason, 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
- Molina Healthcare (Dayton, OH)
- …of care across the continuum, and contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * ... services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term… more
- Guidehouse (Beavercreek, OH)
- …**What You Will Do** **:** The Senior Acquisition Program Manager will provide comprehensive support across the Department of Defense (DoD) acquisition lifecycle, ... in integrated reviews, source selections, and strategic reporting to ensure cost , schedule, and performance alignment across AFLCMC programs. + Demonstrate and… more
- Robert Half Office Team (Sharonville, OH)
- …Customer Service Representative to join our team in Sharonville, Ohio. In this long-term contract role, you will serve as the primary point of contact for customers, ... ensuring their needs are met efficiently and with care . This position offers an excellent opportunity to showcase your communication skills and your ability to… more
- GE Aerospace (West Chester, OH)
- …alternate casting technologies. **Job Description** **Roles and Responsibilities** + Provide process and product technical leadership for the Castings commodity, ... investment castings (SX or equiax), with demonstrated yield, capability, and cost improvements + Hands-on expertise across investment casting special processes (wax,… more
- CVS Health (Beavercreek, OH)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... sales teams in preparing and evaluating deal scenarios and contract terms. Collaborates with sales, IT and finance to...and ensure that the revenue recognition and forecasting systems provide accurate and timely data. May track sales vs.… more
- GE Aerospace (West Chester, OH)
- …work with decisive action during delivery challenges, maintaining customer trust. + Provide clear, timely communication on risks, trade-offs, and recovery plans. + ... supplier processes, and standards. + Guide design-for-casting producibility to reduce risk, cost , and cycle time before parts reach production. + Approve new parts,… more
- Black & Veatch (Blue Ash, OH)
- …heavy commercial and industrial clients have the water they need at the right cost , whenever and wherever it's needed. By joining our market sector, you will ... discipline + Understanding of budgets and financial metrics + Contract negotiation skill including knowledge of terms, risks, pricing...of this commitment and offers an array of health care benefits including but not limited to medical, dental… more
- Energizer Holdings, Inc. (Vandalia, OH)
- …possible. Position Summary As the Quality Manager for Energizer's Global Auto Care business, you will be responsible for managing and ensuring the outstanding ... teams related to improving process, products, and equipment as well as achieving cost savings + Lead plant troubleshooting efforts as needed to maintain compliance… more