- Cardinal Health (Columbus, OH)
- …align negotiation with strategy . **_Responsibilities:_** + In collaboration with the Director of Managed Care , negotiate and manage assigned contracts, ... Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the...and administrative tracking of all various managed care payors. Advances company payor strategy and… more
- Prime Therapeutics (Columbus, OH)
- …work experience within medical and pharmacy drug management within a PBM or managed care organization, or oncology management experience if supporting oncology ... our passion and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job… more
- Humana (Columbus, OH)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Grifols Shared Services North America, Inc (Cincinnati, OH)
- …presentations to appropriate groups such as the following: key accounts, managed care organizations, integrated systems, national medical associations, and ... and regions. The primary responsibility of the MSL Field Director is the management, performance, and coaching of a...Director ensures compliant execution of field medical plans, strategy , and activities within Medical Affairs, as aligned with… more
- Hilton (Columbus, OH)
- …on our Development team who play a large part in driving Hilton's growth strategy through the addition of new hotels to our ever\-growing portfolio\! **What will I ... be doing?** As a Senior Director Management Contract Services, you will partner with owners...will partner with owners and investors to grow Hilton's managed and franchised hotel portfolio\. On the Owner Relations… more
- Elevance Health (Cincinnati, OH)
- …+ 5+ years of clinical practice experience, with transition into payer, managed care , or healthcare leadership preferred. + Experience advising medical ... **Manager, Medical Director - Transformation Initiatives** Location: This role requires...+ **Real-time Decisioning & Analytics (RDA)** + **Cost of Care / Payment Integrity** + ** Care Management… more
- Prime Therapeutics (Columbus, OH)
- …is located + 3 years of relevant work experience in a retail, hospital, clinical and/or managed care setting, including at least 2 years of work experience in a ... every decision we make. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account ...clinical and/or managed care setting Must be eligible to… more
- Pfizer (Columbus, OH)
- …as appropriate. The individual may be involved in presentations to payers, managed care organizations, formulary decision makers and regional medical advisory ... and compliance guidance + Educating HCOs based on patient care gaps and aligned to medical strategy ...following: + Clinical, formulary, and/or other management experience + Managed Care , pharmaceutical industry, and/or Quality Improvement… more
- Elevance Health (Mason, OH)
- …limited to STAR, CHIP, STAR+PLUS, STAR Kids, ACA, and D-SNP preferred. * Managed Care Health Plan experience preferred. * Excellent communication skills (written ... ** Director Medicaid Plan Marketing** **Location:** 2505 N HWY...* Developing and implementing individual health plan Community Relations Strategy . * Collaboration in creating robust value-added benefits to… more
- Evolent (Columbus, OH)
- …professional experience in claims-based healthcare analytics with a payer, provider, vendor, managed care , or related healthcare consulting entity + Extensive ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more