- Premier Health (Dayton, OH)
- …identify and collaborate to solve physician contracting issues as they arise. 5. Provide support to Director of Physician Contracting and PPN operational ... 80 hours per pay** **Summary of Position** The Physician Contracting Specialist will collaborate with the Director ...Physician Contracting Specialist will collaborate with the Director of Physician Contracting , legal counsel, and… more
- Cardinal Health (Columbus, OH)
- …and provider (s) to ensure optimal reimbursement including managed care contracting , enrollment, credentialing, and any other activity as it relates to payer ... Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care, the Manager of Contracting... Director of Managed Care, the Manager of Contracting is responsible for managing legal review, policy compliance,… more
- CVS Health (Columbus, OH)
- …do it all with heart, each and every day. **A Brief Overview** The Lead Director , Provider Data Compliance is responsible for overseeing the compliance of ... audit readiness and collaborates with Compliance, Legal, Medicaid Health Plans, Network Contracting , and Provider Relations to ensure alignment with regulatory… more
- Medical Mutual of Ohio (OH)
- …government programs. **Technical Skills and Knowledge** . Comprehensive knowledge of provider network development, contracting , managed care, and regulations and ... oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health,… more
- Grifols Shared Services North America, Inc (Mansfield, OH)
- …WAC/ASP deltas, share shifts). + Track win/loss trends to refine pricing and contracting strategies. Provide insights into pricing and contracting ... services in more than 110 countries and regions. The Director , Pricing & Access Analytics is responsible for developing...rationale + Track win/loss trends to refine pricing and contracting strategies. Provide insights into pricing and… more
- Molina Healthcare (Cincinnati, OH)
- …other health care field. **Required Experience** 5+ years previous experience in contracting with large specialty or multispecialty provider groups. **Preferred ... **JOB DESCRIPTION** **Job Summary** Molina National Level Contracting jobs are responsible for accurate and timely...are responsible for accurate and timely maintenance of critical provider information on all claims and provider … more
- Highmark Health (Columbus, OH)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... to drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark… more
- Parker Hannifin Corporation (Cleveland, OH)
- …the inclusion of core corporate policies. + Self-Assessment Validation Reviews (SAVRs): Provide leadership for SAVRs at primary Government Contracting and Civil ... Director , US Government Compliance Location : CLEVELAND, OH,...Training: Mentor division leadership to enhance understanding of government contracting requirements and compliance strategies, promoting a culture of… more
- Danaher Corporation (Cleveland, OH)
- …the world's biggest healthcare challenges. We are looking for a dynamic Director , National Government Accounts who will be responsible for creating and executing ... the commercial strategy including sales, marketing and contracting with the US Government including the Federal Supply Schedule, VISN's/VA's, DHA, Indian Health, and… more
- Molina Healthcare (Cleveland, OH)
- …Previous leadership experience + Peer review, medical policy/procedure development, and provider contracting experience + Current clinical knowledge + Experience ... party regulations + Peer review, medical policy/procedure development, and provider contracting experience. **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** *… more
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