- Elevance Health (Columbus, OH)
- …for employment based sponsorship **Develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this ... role is contracting and negotiating contract terms. Typically works with the most complex providers....Strong negotiation skills for successfully securing Commercial, Medicare and Medicaid rate agreements with complex providers. + Proven ability… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Vendor Program Manager Senior **Job Description** The Vendor Program Manager is ... the relationship between Prime's external vendor and our clients. The Vendor Program Manager will handle the management of vendor solutions, showcasing the value of… more
- CVS Health (New Albany, OH)
- …network teams in provider negotiations and financial risk for Commercial, Medicare, Medicaid , and IFP businesses. + Work directly with network, provides current and ... Information Center), pModel, SAI Database, QAT, COIN. + Evaluate contract deviations and contract outliers, drive for improvement in costs to better position… more
- CenterWell (Columbus, OH)
- …responsible for reporting, implementation, and maintenance of Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work ... situations or data requires an in-depth evaluation of variable factors. The Senior Pharmacy Contracting Professional ensures contract compliance and performs… more
- Elevance Health (Columbus, OH)
- … Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... **Audit & Reimbursement Senior ** _Location:_ This role enables associates to work...federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more
- Elevance Health (Mason, OH)
- …long term services and supports, and psychosocial needs._ **Network Education Representative Senior - LTSS** **Location:** This position is based in Ohio, the ... workplace. Alternate locations may be considered. The **Network Education Representative Senior - LTSS** is responsible for enhancing and overseeing a comprehensive… more