- Medical Mutual of Ohio (OH)
- …**Technical Skills and Knowledge** . Comprehensive knowledge of provider network development, contracting , managed care , and regulations and the ability ... (MHA) preferred. . 8 years progressive experience in provider network development, managed care , or equivalent, 5 years of which are in a managerial capacity.… more
- CVS Health (Columbus, OH)
- …Medicaid knowledge * 5+ years related experience, proven and proficient managed care network negotiating skills. * 3+ years contracting for large facilities ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Prime Therapeutics (Columbus, OH)
- …healthcare or other highly regulated industry; including 5 years of managed care experience in medical or pharmacy network contracting + Must be eligible ... implement network initiatives by facilitating and performing network analyses, contracting activities and fee schedule development aligning with strategy, priorities… more
- Intermountain Health (Columbus, OH)
- …+ Strong health care systems orientation including: managed care , retail and hospital pharmacy, pharmacy contracting , pharmaceutical company ... controlled substances. + Five years of pharmacy practice experience in a managed care or hospital environment. + Five years of Pharmacy Benefits management… more
- CVS Health (New Albany, OH)
- …heart, each and every day. **Position Summary** Aetna Better Health is Aetna's Medicaid managed care plan. Backed by over 30 years of experience managing the ... with complex behavioral health needs, multi-system experience, and understanding of managed care . + Demonstrated knowledge and understanding of Ohio's… more
- Evolent (Columbus, OH)
- …and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups ... cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers...for healthcare and subscribed to the vision of value-based care + Strong familiarity with risk-based contracting … 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 team of ... issues, contract analysis, and contract language needs in rebate contracting . + Serve as a government affairs expert including...experience within the PBM industry, with expert knowledge of Managed Medicaid, Medicare Part D, and health plans +… more
- Sanofi Group (Cincinnati, OH)
- …their assigned accounts. Efforts will include working with national headquarters of managed care organizations and leading pull-through strategies to local ... as well as initiatives with other large and local managed care organizations. The Regional Account Director...closely with the Sanofi Value and Access, Pricing and Contracting , Analytics, PSS, case management, reimbursement support (ie, FRMs,… more
- Evolent (Columbus, OH)
- …discussions . Experience building and developing team members . Knowledge of the managed care and oncology market trends (both payers and risk-bearing ... organizations) . Passion for healthcare and subscribed to the vision of value-based care . Strong familiarity with risk-based contracting . Thrives in an… more
- Molina Healthcare (OH)
- …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... and action plan, which includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate care at the most… more
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