- CVS Health (Columbus, OH)
- …and every day. **Position Summary** Join Aetna's Network Management team as a behavioral health Contract Negotiator and play a key role in building and ... maintaining a high-performing provider network . You'll leverage your negotiation skills and analytical expertise...medical cost initiatives. **Required Qualifications** + 5+ years of behavioral health facility and provider contracting and… more
- CVS Health (Columbus, OH)
- …executes complex Medicaid contracts with health systems, physician groups, and behavioral health providers in accordance with company standards to maintain ... experience in a provider contracting or provider relations role, Medicaid and/or behavioral health experience preferred. + Proven working knowledge of physician… more
- Highmark Health (Columbus, OH)
- …aid in formulation and execution of security strategy for the team. The Senior Cyber Incident Responder interfaces with other internal teams to determine scope of ... from a variety of sources (eg, individual host logs, network traffic logs, firewall logs, and intrusion detection system...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Columbus, OH)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs wide range of third-party reimbursement services and acts as ... (15%). + Provides expertise and education in budgeting, revenue recognition , reimbursement, system and process changes.Correlates Revenue/Expense to volumes and… more
- Highmark Health (Columbus, OH)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY:** This job collaborates with Sales Client Management and the Sales Executive team. The position ... most appropriate type of provider for members' unique needs, assess which providers are in- network and ensure that the members are fully informed of the tools and… more
- Dayton Children's Hospital (Dayton, OH)
- …Job Details: This role will partner closely with Dayton Children's enterprise behavioral health operational and clinical leadership, Partners for Kids leadership ... coordination activities for an assigned area of responsibility in partnership with the Senior Director and ACMO of Population Health . This individual leads a… more
- Highmark Health (Columbus, OH)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee ... health benefits. HNAS is part of Highmark Health...is a contributor to the divisional planning process and senior management team. Responsible for managing the identification of… more
- Elevance Health (Independence, OH)
- …informed, culturally competent, person‐centered coordination for all members that addresses physical health , behavioral health , long term services and ... plans and/or contracts. + Works on reviews that may require guidance by more senior colleagues and/or management. + May serve as a resource to less experienced… more
- Highmark Health (Columbus, OH)
- **Company :** Allegheny Health Network **Job Description :** **JOB SUMMARY** This job actively prospects for new clients and business for the profitable sale of ... profitability and growth of existing business. + Manage relationships at senior levels with clients by creating valued business partnerships, demonstrating business… more
- The Cigna Group (Cleveland, OH)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, ... work 3 days per week in the office.** **Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, Canton, and… more