- Molina Healthcare (Cincinnati, OH)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- The Cigna Group (Cleveland, OH)
- …reside in the Cleveland or Independence, OH area.** The ** Director ** **,** ** Provider Contracting Network Management ** serves as an integral member of ... management of the day to day contracting and network management activities for a local given...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Evolent (Columbus, OH)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... OR THE NORTHEAST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement… more
- CVS Health (Columbus, OH)
- …do it all with heart, each and every day. **A Brief Overview** The Lead Director , Provider Data Compliance is responsible for overseeing the compliance of ... readiness and collaborates with Compliance, Legal, Medicaid Health Plans, Network Contracting, and Provider Relations to ensure...+ A minimum of 2 years of experience in provider data management and contracting support. +… more
- CVS Health (Columbus, OH)
- …peers to ensure alignment across the broader platform strategies and capabilities. + Provide change management rigor to ensure smooth transitions for end users ... We are recruiting to fill a critical leadership position on the Network Platform Solutions team. The role will have responsibility for identifying, understanding,… more
- Datavant (Columbus, OH)
- …to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and prioritize use cases ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...across different facets within prospective and concurrent solutions. + Provide mentorship, performance management , and career development… more
- Huntington National Bank (Columbus, OH)
- Description Summary:Huntington's Director , Portfolio Management will manage a book of business in the bank's Financial Institutions (FIG) vertical within ... Huntington's Corporate Specialty and Government Banking group. The Director , Portfolio Management services and, in conjunction with Relationship Management ,… more
- Molina Healthcare (OH)
- …drive structure and organization; extensive working knowledge of direct care provider workforce development, relationship development and management and ... internal and external stakeholders, including state agencies, community partners, professional provider associations and network providers + Align workforce… more
- Intertek (Columbus, OH)
- …Regional Director provides the day-to-day leadership, guidance and general management of a multi-site portfolio. This includes ensuring the business has proper ... Regional Director - Building and Construction - Midwest Professional...Promise and core values of the company. + P&L Management : Responsible for driving the business to achieve and… more
- Cleveland Clinic (Cleveland, OH)
- **Medical Director , Pediatric Cardiac Intensive Care Unit** The Division of Cardiology & Cardiovascular Medicine within the Pediatric and Adult Congenital Heart ... clinical skills and a strong history of leadership to serve as the Medical Director of our Pediatric Cardiac Intensive Care Unit (PCICU). The position will have a… more