- Elevance Health (Columbus, OH)
- …Network Contract Coordinator** is responsible for managing and negotiating contracts with large home health (HH), durable medical equipment (DME), large vendors ... contract specialists responsible for managing specific payer relationships and contracts , ensuring the contract administration goals are obtained and… more
- System One (Dayton, OH)
- Title: Project Manager ALTA is supporting a 6-month contract opportunity working 100% remote. ALTA IT Services is a wholly owned subsidiary of System One, a ... Data & Advanced Analytics, and Agile Transformation Services. The Project Manager II is responsible for managing...+ Familiarity of healthcare payer industry and knowledge of Medicaid and Medicare a plus Licensure and Certification :… more
- System One (Dayton, OH)
- Title: Project Manager ALTA is supporting a 6-month contract opportunity working 100% remote. This person must have a strong domain expertise in Claims and ... Facets experience. The Project Manager II is responsible for managing...lifecycle (ideally Agile) + Familiarity of and knowledge of Medicaid and Medicare a plus Licensure and Certification: +… more
- Humana (Columbus, OH)
- … contracts and managing vendor relationships. + Knowledgeable in project management methodologies, tools, understanding of IT products and services, including ... bottom line (hard savings, contractual entitlements and restrictions, expiring contracts , software assessments, consolidating the IT supply base, alongside… more
- Humana (Columbus, OH)
- …+ Work collaboratively with the Continuous Improvement team for multi-business unit project implementations. + Coordinate with Contract Managers to identify and ... and help us put health first** The IT Infrastructure Procurement Category Manager will report directly into the Director of IT Infrastructure Procurement and… more
- Prime Therapeutics (Columbus, OH)
- …Prime's contracts and Provider Manual. The Network Client Services Manager supports efforts to ensure all network (non-financial) performance guarantees are met ... decision we make. **Job Posting Title** Network Client Services Manager **Job Description** The Networks Client Services Manager...+ Support Client facing teams in business case and project request development; serve as liaison back to the… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Program Manager , SPS Vendor Management - Remote **Job Description** The Program Manager ... within Prime's Vendor Lifecycle Management (VLM) team. The Program Manager will be the primary VLM point of contact...2 years of work experience in healthcare, PBM, state Medicaid plans, specialty pharmacy, or health care consulting +… more
- Molina Healthcare (Cincinnati, OH)
- …for all Medicare lines of business the annual Medicare and Medicare- Medicaid Plan Applications and Plan Benefit Package design. Provides centralized year-round ... and languages. Supports Medicare and MMP lines of business for upcoming contract year business readiness. Reviews Medicare mandated materials for compliance per the… more
- Elevance Health (Cincinnati, OH)
- …Network Management Director** is responsible developing provider networks through contract negotiations, relationship development, and servicing for large strategic ... Primary focus of this role is contracting and negotiating contract terms. **How you will make an impact:** +...may be involved in associate development and mentoring. + Contracts involve non-standard arrangements that require a high level… more
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