- Intermountain Health (Columbus, OH)
- **Job Description:** This position collaborates with the Physician Contracting Services Director , Legal Counsel, operational leadership, and other ... contracting goals. Scope This system-wide position reports to the Director of Physician Contracting and is expected to function with minimal supervision.… more
- Molina Healthcare (Akron, OH)
- …Education** Master's Degree **Preferred Experience** 3-5 years minimum experience in contracting with hospitals, physician groups, high volume specialists and ... **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support services, standards and resources to help Molina… more
- Molina Healthcare (Akron, OH)
- …in the successful development of the provider network, including development, contracting and management of provider relationships and communications. Manages a team ... or type of contract, such as fee for service or value-based contracting . **Knowledge/Skills/Abilities** * Leads the market's strategy and planning in the successful… more
- Molina Healthcare (OH)
- …activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid, ... Improvement activities. + Stabilizes, improves and educates the Primary Care Physician and Specialty networks. Monitors practitioner practice patterns and recommends… more
- Travelers Insurance Company (Columbus, OH)
- …Will You Do?** + Provide overall program leadership as the organization's lead physician . Serve as the key enabler and facilitator for the Travelers medical ... input and support medical vendor strategies including vendor selection, negotiation and contracting . + Medical Direction and Oversight: + Participate in the design… more
- Molina Healthcare (Cincinnati, OH)
- … Director , Provider Contracts, develops health plan-specific VBP provider contracting strategies. This includes identifying VBP provider targets and assist with ... the development of new reimbursement models in concert with Director . * Oversees the maintenance of all Provider and...setting ideally in negotiating different provider contract types, ie physician , group and hospital contracting , etc. *… more
- Molina Healthcare (Columbus, OH)
- …managed healthcare setting ideally in negotiating different provider contract types, ie physician , group and hospital contracting , etc. * Working familiarity ... Ohio _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with… more
- Grifols Shared Services North America, Inc (Columbus, OH)
- …necessary stakeholders. The KAM will report directly to the Regional Sales Director with responsibility for their specific geographic alignment. **The KAM Role will ... Sales Directors and their team of Specialty Sales Representatives to develop physician influencer champions to submit and approve P&T requests to add product… more
- Evolent (Columbus, OH)
- …providing better health outcomes. **Collaboration Opportunities:** + Works with the physician reviewer to monitor the adverse determination process and ensure ... determination decisions against criteria and policy, escalating questions to the physician reviewer, and creating letters that meet regulatory and Plain Language… more
- Holzer Health System (Gallipolis, OH)
- The Registered Nurse will work under the supervision of the Director of Hospice. Performs skilled nursing care using the nursing process to meet the age-specific ... hospice patients and families as indicated by protocols and physician orders. * Utilizes the nursing process to deliver...and presenting cost saving ideas to the supervisor and/or Director . * Performs patient and staff education. * Participates… more
Recent Jobs
-
Kindergarten Teacher (Campus Hornwood)
- Etoile Academy Charter School (Houston, TX)