- Organon & Co. (Columbus, OH)
- **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director , Regional Payer Accounts. The RPAD ... generating potential solutions that enhance partnership. Collaborating with the National Account Director , the RPAD participates in the development of, as well as… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Director , Provider Contracting initiates, negotiates, and executes physician, hospital, ... contracts and agreements for the State of Ohio. The Director , Provider Contracting requires an...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- The Cigna Group (Independence, OH)
- **WORK LOCATION: Cleveland or Independence, OH area.** The ** Provider Contracting Director ** serves as an integral member of the Provider Contracting ... Team and reports to the Provider Contracting Senior Manager. This role assists in developing the...matrix partners for network implementation and maintenance. + May provide guidance or expertise to less experienced specialists. **POSITION… more
- Molina Healthcare (Columbus, OH)
- …departmental procedures. * Sends out contracts/applications to prospective providers upon request of Director or Manager and/or Provider Contracting and/or ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to… more
- Rubrik (Columbus, OH)
- The MSP business is one of Rubrik's fastest growing segments. The Director of Americas MSP will be a highly visible and strategic role within the MSP organization. ... sales teams to identify and recruit new partnerships + Provide overview of partnership program to the field and...MSP specific pricing models + Onboard new partners with contracting through Rubrik and Distribution partners. + Enable MSP's… more
- Molina Healthcare (Cincinnati, OH)
- **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to financial and ... **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 4-6 years' previous experience in contracting with large specialty or multispecialty provider groups. *… more
- Highmark Health (Columbus, OH)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... to drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- **Job Summary** The Associate Director , R&D HCP Engagement CoE is a critical change agent and system implementer responsible for designing the operating model and ... and exceptional service model for all Healthcare Professional (HCP) engagement and contracting within R&D. This role will seek to transform an inconsistent process… more
- Wolters Kluwer (Columbus, OH)
- The **Legal Director & Assistant General Counsel - FCC** will...FCC will serve as the lead attorney for and provide legal advice and guidance on a wide variety ... Manager of the Compliance Solutions business unit (Compliance Solutions). The Legal Director & Assistant General Counsel- FCC will, preferably, be based in New… more
- Molina Healthcare (Dayton, OH)
- …clinical criteria competency. * Peer review, medical policy/procedure development, and provider contracting experience. * Strong verbal and written communication ... appropriate care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Leads a… more
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