- Molina Healthcare (Dayton, OH)
- …**Required Experience** + 10+ years progressive experience in Healthcare Administration, Managed Care and/or Provider Services. + Experience managing employees. ... Administration, or related field. **Preferred Experience** Experience with Medicaid and Medicare managed care plans. \#PJHPO \#LI-AC1 To all current Molina… more
- Prime Therapeutics (Columbus, OH)
- …work experience, including 12 years of experience as an attorney and 5 years representing managed care companies, health care clients, or clients in highly ... company's brand and business + Provide strategic advice to senior leaders on the most complex legal scenarios +...False Claims Act, with a focus on PBM and managed care operations + Experience engaging with… more
- Elevance Health (Mason, OH)
- …the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, ... on the team in preparation for advancement to the senior level. Within the case management role will within...to interpret and apply member contracts, member benefits, and managed care products strongly preferred for associates… more
- Evolent (Columbus, OH)
- …and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups ... sales with long cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers and risk-bearing organizations)… 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 ... of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic direction and management… more
- The Cigna Group (Cleveland, OH)
- …+ Intimate understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. + Team player with ... impact of high spend or increasingly complex provider contracts and alternate contract terms. + Manages key provider relationships and is accountable for interface… more
- Element Materials Technology (Cleveland, OH)
- …* Provide technical leadership to the project team with support from senior colleagues and Technical Specialists * Arrange and supervise on-site witnessing by ... Perform review and audit activities on jobs including technical contract review, technical procedure review / audit, job start...review * Provide regular progress reports for the projects managed * Report and present results, closing projects and… more
- Red Hat (Columbus, OH)
- …in building enterprise technology infrastructures that are scalable, optimally managed , and adaptable to technological improvements using Red Hat technological ... record of working in a strategic advisory role to senior IT and business executives * Applied knowledge and...coverage * Flexible Spending Account - healthcare and dependent care * Health Savings Account - high deductible medical… more