- Molina Healthcare (Akron, OH)
- …Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations ... and contracted provider network. They are responsible for network management including provider education, communication, satisfaction, issue intake, access/availability… more
- ZOLL Medical Corporation (Columbus, OH)
- …trusted to protect more than 1M patients at risk of sudden cardiac death. + HFMS (https://cardiacdiagnostics.zoll.com/products/heart-failure-arrhythmia- management ... patients suffering from serious cardiopulmonary and respiratory conditions.ZOLL Cardiac Management Solutions offers a unique portfolio of novel technologies designed… more
- Burns & McDonnell (Columbus, OH)
- …and project related items. + Assist in the development of internal and external project risk reviews with the Project Management team and consult with the Legal ... administration, including Request for Information (RFI's), submittals, meeting minutes, change management , and claims mitigation. + Support project cost… more
- O'Neal Industries, Inc. (Hamilton, OH)
- …contacts. + Manages supplier setup, approval process, and reapproval process in compliance with the Quality Management System utilizing the provider assessment ... report and other required documents. + Conducts supplier risk assessments in alignment with product management to ensure comprehensive supply and source… more
- Parker Hannifin Corporation (Cleveland, OH)
- …with the goal to develop skillsets in supervision, team leadership, and management . While in program, rotational assignments are structured to expose participants to ... suppliers, and may assist with bid evaluations, cost analyses, price justification, and risk assessment of suppliers. + May assist with supplier negotiations on new… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …strict servicing guidelines throughout the defaultcycle. Responsible and accountable for risk by openly exchanging ideas and opinions, elevating concerns, and ... drive a positive customer experience. While operating within the Bank's risk appetite, achieves results by consistently identifying, assessing, managing, monitoring,… more
- Fujifilm (Columbus, OH)
- …affecting the Medical Device businesses, including with respect to healthcare regulatory compliance , anti-kickback statutes, the False Claims Act, US government ... and handle a large volume of contracts, to ensure agreements mitigate legal risk and support business objectives. + Advise, counsel and report to Division General… more
- CVS Health (New Albany, OH)
- …- Reviews prior claims to address potential impact on current case management and eligibility. - Assessments include the member's level of work capacity and ... judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and...benefit overall claim management . - Utilizes case management processes in compliance with regulatory and… more
- HUB International (Cincinnati, OH)
- …a leading full-service global insurance broker and financial services firm providing risk management , insurance, employee benefits, retirement and wealth ... Our Benefit Consultants are responsible for the overall strategic management of a block of current clients; the primary...Care Reform + Lead and develop strategy based on claims data analytics + Listen and counsel on key… more
- The Cigna Group (Cleveland, OH)
- …partners including but not limited to, Claims Operations, Medical Management . Credentialing, Legal, Medical Economics, Compliance , Sales and Marketing and ... days per week in the office.** **Assistant Vice President, Provider Network Management , Cleveland and Northern OH (inclusive of Toledo, Akron, Canton, and Youngstown… more