- Cardinal Health (Columbus, OH)
- …(ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review, ... between payer and provider(s) to ensure optimal reimbursement including managed care contracting , enrollment, credentialing,...any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …care sites and clinicians are recognized for clinical and operational excellence. **DIRECTOR MANAGED CARE CONTRACTING - LARGE ACCOUNTS** **| REMOTE** This ... position is responsible for developing, managing, and leading the day-to-day activities associated with managed care contracting for both fee for service and… more
- Elevance Health (Mason, OH)
- …in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that ... development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… 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 ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct… more
- Elevance Health (Mason, OH)
- …or related field; minimum of 5 years of experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... Consultant** provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Molina Healthcare (Akron, OH)
- …equivalent combination of education and experience **Required Experience** * 5-7 years managed care experience, including min. 2 years of supervisory experience ... Association** N/A **Preferred Education** Bachelor's Degree **Preferred Experience** * 7+ years managed care experience * QNXT; SQL experience * Crystal Reports… more
- Molina Healthcare (Cincinnati, OH)
- …experience in health care field including, but not limited to, provider's office, managed care , or other health care field. **Required Experience** 5+ ... **JOB DESCRIPTION** **Job Summary** Molina National Level Contracting jobs are responsible for accurate and timely maintenance of critical provider information on… more
- Molina Healthcare (Akron, OH)
- …supervisory/management experience with appeals/grievance and/or claims processing within a managed care setting. **Preferred Education** Bachelor's degree ... with local Health Plan requirements * Works with Claims, Configuration, Contracting , Provider Data Management, and other business partners to resolve provider… more