Managed Care Contract Manager jobs in Ohio

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Skilled Resident Care Manager/MDS Nurse
Judson Services, Inc. - Cleveland, OH
Is responsible for the actual completion of these assessments for Medicare skilled residents and managed care admissions....
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Sponsored by Judson Services, Inc.
Manager, Provider Contracts (Contract Negotiations and Super...
Molina Healthcare 164 reviews - Columbus, OH
5 years in managed care with contract negotiations experience. Demonstrated knowledge of reimbursement methodologies, managed care processes, and managed care...
Sponsored by Molina Healthcare
Utilization Review Nurse Manager
Kelly Healthcare Resources 3,633 reviews - Mason, OH
Utilization Review Nurse Manager. Facilitates member care transition through the healthcare continuum and refers treatment plans/plan of care to clinical...
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Network Manager, Medicaid Contracting

Aetna 570 reviews - New Albany, OH
Evaluates current contracts, renegotiates where applicable, and applies managed care reimbursement principles (capitation, per diems, creative reimbursement,...

Contract Manager Job

Cleveland Clinic 787 reviews - Independence, OH
Negotiates and renegotiates managed care contracts. Contract Manager Mc. Facilitates the creation of managed care educational and training materials for payer...

Manager of Contracting

OhioHealth 70 reviews - Columbus, OH
Previous health care experience in managed care contracting/negotiation and physician practice required. This Manager oversees the day to day operations that...

Manager, Vendor Oversight

CareSource 51 reviews - Dayton, OH
§ A minimum of three (3) years in a Managed Care Organization; § Ensure staff and leadership training on regulatory, government contracts and accreditation...

Manager, Managed Care

Vernovis - Dayton, OH
Our Dayton, OH Healthcare Client is in search of a talented Manager of Managed Care. BS in Finance or related field Master's in Finance or Health Informatics or...
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Manager, Compliance (Medicare)

Centene Corporation 245 reviews - Columbus, OH
2+ years of Medicare and/or Managed Care experience. Experience with overseeing implementation of contract requirements....

Manager Care Management Job

Cleveland Clinic 787 reviews - Cleveland, OH
Manager Care Management. Assists in the development of department practices and procedures for utilization review, discharge planning ensuring compliance with...

Provider Network Mgr I or II - 109954 - Seven Hills, OH

Anthem, Inc. 636 reviews - Seven Hills, OH
Provider Network Mgr I or II Develops the provider network through contract negotiations, relationship development, and servicing....

Claims Liaison I-Columbus

Centene Corporation 245 reviews - Columbus, OH
3+ years of claims processing or provider billing experience, preferably in a managed care environment. Identify any system changes and work notify the Plan CIA...

Healthcare Network Development Manager (TC2017-28)

Ewings Associates - Westerville, OH 43082  +2 locations
Tricare Healthcare Network Contract Manager. Evaluate and negotiate contracts in compliance with company contract templates, reimbursement structure standards,...
Medical Management Specialist
Kelly Healthcare Resources 3,633 reviews - Youngstown, OH
1 year of experience with an understanding of managed care or Medicare. Unprecedented contract staffing benefits for our employees including seven (7) different...
Sponsored by CareerBuilder
Admissions and Marketing Director (Essex of Tallmadge)
Atrium Centers, LLC. - Akron, OH
Directs efforts to the managed care industry by setting up appointments with case managers and explaining the services provided....
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