• Cost of Care / Provider…

    Elevance Health (Columbus, OH)
    ** Cost of Care / Provider Contracting Data Analyst** **Location** : This role requires associates to be in-office 1-2 days per week, fostering ... an accommodation is granted as required by law. The ** Cost of Care / Provider Contracting...or any combination of education and experience, which would provide an equivalent background **Preferred Skills, Capabilities, and Experiences:**… more
    Elevance Health (11/13/25)
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  • Provider Contract Cost…

    Elevance Health (Mason, OH)
    …Senior** is responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering ... cost of care . + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
    Elevance Health (11/11/25)
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  • Provider Contract Data Consultant Sr

    Elevance Health (Mason, OH)
    …Provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims ... cost of care + Educates provider contractors on contracting analytics from a...or any combination of education and experience which would provide an equivalent background. **Preferred Qualifications:** + Experience providing… more
    Elevance Health (10/31/25)
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  • Provider Contracting Director…

    The Cigna Group (Cleveland, OH)
    …Must reside in the Cleveland or Independence, OH area.** The **Director** **,** ** Provider Contracting Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the ...cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative… more
    The Cigna Group (08/31/25)
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  • AVP, Provider Contracting…

    The Cigna Group (Cleveland, OH)
    …and Youngstown markets)** This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, ... Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting , develops networks and identifies and acts upon… more
    The Cigna Group (10/03/25)
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  • Senior Provider Network Contracting…

    CVS Health (Columbus, OH)
    …issues. **Required Qualifications** + A minimum of 3 years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral ... and exceeding accessibility, compliance, quality, and financial goals and cost initiatives. Collaborates cross-functionally to develop provider compensation… more
    CVS Health (10/29/25)
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  • Provider Engagement Account Manager

    Centene Corporation (Columbus, OH)
    …Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical ... and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care . + Performance Management: Uses data… more
    Centene Corporation (10/15/25)
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  • Vendor Account Senior Manager, Provider…

    CVS Health (Columbus, OH)
    …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... managing relationships with third-party vendors to ensure optimal performance, compliance, contracting and alignment with organizational goals to ensure the delivery… more
    CVS Health (11/13/25)
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  • Director Reimbursement Design & Market Evaluation

    Highmark Health (Columbus, OH)
    …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population health ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2… more
    Highmark Health (10/29/25)
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  • Lead Analyst, Healthcare Analytics- Managed…

    Molina Healthcare (Columbus, OH)
    …claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and ... cost containment reports and makes recommendations based on relevant...departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Maintains SharePoint… more
    Molina Healthcare (09/11/25)
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