- 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
- Molina Healthcare (Akron, OH)
- …Business, Health Administration or related field. **PREFERRED EXPERIENCE:** 10+ years managed care experience specifically within Risk Adjustment and/or Quality ... leaders to support implementation of best practices for optimal performance. The Program Director , RQS HP Engagement ensures that all RQS action plans are complete,… more
- Molina Healthcare (Dayton, OH)
- …new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified ... health care programs within specific markets/regions. Contributes to overarching strategy to provide quality and cost-effective member care . Essential Job… more
- Molina Healthcare (OH)
- …SKILLS & ABILITIES** : * 7+ years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including 2+ years ... Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational… more
- The Cigna Group (Cleveland, OH)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... LOCATION: Must reside in the Cleveland or Independence, OH area.** The ** Director ** **,** **Provider Contracting Network Management** serves as an integral member of… more
- Highmark Health (Columbus, OH)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... budgetary responsibility and authority. + Develop the overall conceptualization, strategy alignment, financial models, and high-level design of new reimbursement… more
- Humana (Columbus, OH)
- …relevant advanced degree + Healthcare industry experience, particularly in managed care or provider sectors + Experience leading strategy projects from ... concept to execution **Additional Information** This role reports to the Director of Strategy , works collaboratively with members of rest of the team, and with… more
- Molina Healthcare (Dayton, OH)
- …years clinical systems experience, preferably as a product owner / manager within a managed care , nursing informatics or health care environment, or ... senior leadership to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care . Essential… more
- Abbott (Cincinnati, OH)
- …**Working at Abbott** At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You'll ... contribution. + Tuition reimbursement, the Freedom 2 Save (https://www.abbott.com/corpnewsroom/ strategy -and-strength/tackling-student-debt-for-our-employees.html) student debt program and FreeU (https://www.abbott.com/corpnewsroom/ strategy… more
- Prime Therapeutics (Columbus, OH)
- …including pharmaceutical manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid. The Sr Director , Pharm Trade Relations leads a ... Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director , Pharmaceutical Trade Relations is responsible for managing Prime's Trade Relations… more