- Elevance Health (Mason, OH)
- Provider Contract / Cost of Care Consultant Senior Location: This role requires associates to be in-office 1 day per week, fostering collaboration and ... an accommodation is granted as required by law. The Provider Contract / Cost of Care...or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities and Experiences:… more
- Outlier AI (Columbus, OH)
- …potential candidates should read through the following details of this job with care before making an application. Outlier is committed to improving the intelligence ... Forbes for partnering experts with top AI labs to provide the high quality data for LLMs. We believe...and engage with leading large language models free of cost Flexible schedule and time commitment No contracts, no… more
- The Cigna Group (Cleveland, OH)
- …analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. Manages key provider ... understanding and experience with larger, more complex integrated delivery systems, managed care , and provider business models. Team player with proven ability… more
- Molina Healthcare (Cleveland, OH)
- …Maintains contractual relationships with significant/highly visible providers. Advises Network Provider Contract Coordinators and Specialists on negotiation of ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. Develops and maintains provider contracts in APTTUS contract management software. Targets… more
- Molina Healthcare (Columbus, OH)
- …supports assigned contracts with VBC providers that result in high quality and cost -effective care . Maintains tracking system and publishes reports according to ... Qualifications REQUIRED EDUCATION: Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider 's office, managed… more
- Humana (Columbus, OH)
- …the data infrastructure that supports various downstream departmental processes, including provider contract review and interpretation and maintenance of ... expert (SME) for the creation and implementation of Humana's Primary Care Physician Recognition programs, including Model Practice, Patient-Centered Medical Home,… more
- UMB Bank (Columbus, OH)
- …Risk, Compliance, Information Security, Finance, and Business Operations to ensure contract terms meet applicable standards and adequately protect UMB interests. You ... renewals, software license, maintenance, support, subscriptions, and/or other third-party contract commitments. This position reports to the Senior Vice President,… more
- Generac Power Systems (Columbus, OH)
- …construction operations on multiple projects' design, procurement, and construction, including cost , schedule, and quality control. Oversees all aspects of each ... other similar roles, including the site management team, design team, contract administration, construction accounting, and others, to ensure the project's… more
- Battelle Memorial Institute (Columbus, OH)
- …Prepares and presents presentations to internal and customer senior leadership to provide reviews and updates on technical aspects, cost , and schedule. ... efforts within their programs. They will monitor and drive engineering cost and schedule performance, while ensuring program technical objectives are met.… more
- Molina Healthcare (Dayton, OH)
- …of care across the continuum, and contributes to overarching strategy to provide quality and cost -effective member care . Preferred licensure: Licensed ... services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term… more
