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Director of Patient Financial Services at The Ohio State Uni...
Extensive knowledge of ICD-9-CM & ICD-10-CM coding, managed care contract negotiations. Experience in creating and improving processes, strong understanding of...
Vice President Health Plan - 953266
OhioHealth - 138 reviews - Columbus, OH 43224
Award Winning Care. Minimum 10 years prior managed care leadership experience leading an established health plan and/or has started a health plan with proven...
Associate Director, Clinical Health Outcomes
HPPS - Columbus, OH
5 years’ experience as medical/clinical executive within Managed healthcare (i.e. Up to 70% (with time managed between home office and field)....

Director – Care Coordination and Utilization

METROHEALTH SYSTEM - 12 reviews - Cleveland, OH 44115 (Downtown area)
Hospital and physician practice managed care experience. Care management/utilization review:. Recent experience in care management or utilization review....
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Director, Provider Network Operations

CareSource - 104 reviews - Dayton, OH 45402 (Downtown area)
Managed Care experience is preferred. Knowledge of managed care industry, trends, and accreditation, including quality improvement and NCQA provider network...

Assistant Director, Health Care Internal Operations and Plan...

State Teachers Retirement System of Ohio - 4 reviews - Columbus, OH 43215 (Downtown area)
Monitor advances or modifications in the health care environment including the health care pipeline, clinical practice advances, Medicare programs, health care...

Associate Director Systems of Care CV Account Management Cin...

Novartis Pharmaceuticals - 2,022 reviews - Cincinnati, OH  +1 location
Must have a working knowledge of managed care regulations and system dynamics, including inpatient settings and reimbursement....

Regional Director of Operations

Sound Physicians - 44 reviews - Cincinnati, OH 45236
Working knowledge of healthcare payment models, physician practice management, revenue cycle, payer contracting, managed care models, and Accountable Care...
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Vice President Managed Care Contracting

Mercy Health - 283 reviews - Cincinnati, OH
A minimum of 10 years payer or provider experience in managed care contracting required. Serve as a resource for Corporate and Regions concerning managed care...

VP, Market Operations

CareSource - 104 reviews - Dayton, OH 45402 (Downtown area)
§ Five years of management experience in managed care setting is required. § Bachelor of Science degree in finance, business, or health care field or equivalent...

Director Managed Care

SHCN - Youngstown, OH
Under the direction of the VP of Managed Care, the Director, Managed Care will work closely under the guidance of Senior Steward leadership to negotiate...

Associate Director

Ohio State University Medical Center - 544 reviews - Columbus, OH 43212
Previous experience in a managed health care environment desired; Scope of Position....

Commercial Claim Director-Workers Comp/Managed Care

Todd Mitchell Associates - Columbus, OH
Opportunity with an A+ Rated growing Property & Casualty Insurance carrier in Columbus, OH is seeking a Commercial Claim Director to oversee a Worker's
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Prior Authorization Nurse I
Knowledge of healthcare and managed care preferred. Collaborate with various staff within provider networks and case management team electronically or...
Medical Director
ALPS Services, Inc. - Cincinnati, OH 45215
Contemporary clinician who understands major trends in healthcare and managed care. Minimum 2 years as a Medical Director in a managed care company preferred....
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