• Care Manager, LTSS (Nursing…

    Molina Healthcare (Columbus, OH)
    …ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost -effective member care . Essential Job ... Clark, Greene, Montgomery JOB DESCRIPTION Job Summary Provides support for care management/ care coordination long-term services and supports specific activities… more
    Molina Healthcare (01/04/26)
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  • Behavioral Health - Care Manager II

    Elevance Health (Mason, OH)
    **Behavioral Health - Care Manager II** **Location:** _Virtual:_ This role enables associate to work virtually full-time, with the exception of required in-person ... granted as required by law. The **Behavioral Health - Care Manager II** is responsible for managing psychiatric or...access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines… more
    Elevance Health (12/22/25)
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  • Senior Actuarial Analyst - Specialty Value Based…

    CVS Health (Columbus, OH)
    …from their analysis and develops recommendations to inform key decision makers + Provide input into performance monitoring and contract language to ensure ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
    CVS Health (12/17/25)
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  • Director Reimbursement Design & Market Evaluation

    Highmark Health (Columbus, OH)
    …and provider contracting or revenue management + 2 years Understanding of provider contract documents and overall contract management process **LICENSES ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...of healthcare + Comfort and with real-time calculations of cost , membership, etc. (ie, "back of the envelope" estimations)… more
    Highmark Health (10/29/25)
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  • Senior Analyst, Network Strategy, Pricing…

    Molina Healthcare (Cleveland, OH)
    …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. * Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
    Molina Healthcare (11/21/25)
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  • Senior Analyst, Network Strategy, Pricing…

    Molina Healthcare (Columbus, OH)
    …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. + Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
    Molina Healthcare (10/25/25)
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  • Manager, Real Estate & Procurement

    Help at Home (Columbus, OH)
    **Overview** _Help at Home is the leading national provider of in-home personal care services, where our mission is to enable individuals to live with ... caregivers across 12 states. We're looking for people who care about others, who are willing to listen, lean...estate partner (Cushman & Wakefield), ensures effective vendor and contract management, and leverages the Coupa procurement system to… more
    Help at Home (01/06/26)
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  • Georgia Medicaid Clinical Account Manager - Remote

    Prime Therapeutics (Columbus, OH)
    …value to the customer, derived from identifying, demonstrating and selling valued pharmaceutical care and cost solutions that meet the desired outcomes of the ... fashion. + Demonstrates the value of pharmacy solutions (unit cost , utilization management & patient care enhancement)....different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for… more
    Prime Therapeutics (12/18/25)
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  • Procurement Analyst

    Help at Home (Columbus, OH)
    …will play a large role in evaluating new vendor partnerships in order to provide cost saving initiatives across the organization. This position offers a flexible ... **Overview** _Help at Home is the leading national provider of in-home personal care services,...large role in evaluating new vendor partnerships in order to provide cost saving initiatives across the… more
    Help at Home (01/06/26)
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  • Senior Strategic Sourcer - Supply Chain…

    Western Digital (Columbus, OH)
    …The ideal candidate will have extensive experience in supplier negotiations, contract management, cost reduction strategies, and commodity market analysis. ... key supplier relationships, driving strategic sourcing initiatives, and ensuring cost -effective procurement across specific commodity categories. This is a principal… more
    Western Digital (12/10/25)
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