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27 Jobs in Cincinnati, OH

  • Provider Network Manager Sr

    CINCINNATI, Ohio
    ... Description Summary:** **Develops the provider network through contract negotiations, relationship ... . Ensure that network composition includes an appropriate distribution of provider specialties ...
  • Audit & Reimbursement II- Cost Report Audit

    CINCINNATI, Ohio
    ... other associates. Analyze and interpret data per a provider’s trial balance, financial statements ...
  • Staff Vice President (VP) Governance (Health Benefits Operations)

    CINCINNATI, Ohio
    ... payments and encounter submissions, network, reporting, IT and infrastructure, performance guarantees and ...
  • Data Protection Engineer

    Cincinnati, Ohio
    ... problems; leads or plans implementations for access management and network security technologies ... security events and incidents; provides system and network architecture support for information and network ...
  • Principal Multi-Cloud Network Engineer

    Cincinnati, Ohio
    ... Principal Multi-Cloud Network Engineer Elevance Health is seeking a highly skilled Principal Multi-Cloud Network Engineer with expertise in Federal Risk and Authorization Management ...
  • Health Benefits Executive Director

    Cincinnati, Ohio
    ... repositioning in a market, legislative changes, network/provider changes/ medical management program and policy ...
  • Go to Market Director

    CINCINNATI, Ohio
    ... market plans to ensure readiness for products, network and digital features. **How you will make ... Management, Marketing, Operations Product, Network, Clinical, Member Experience) to evaluate opportunities ...
  • Audit & Reimbursement III - Medicare Cost Report Audit

    CINCINNATI, Ohio
    ... the manager. Prepare detailed work papers and present findings in accordance with Government ... data per a provider’s trial balance, financial statements, financial documents or other related ...
  • Senior Cloud Vulnerability & Security Advisor

    Cincinnati, Ohio
    ... an impact:** Leads system and network architecture support for information and network ... system administration, network infrastructure, IT operations, and data administration; provide Subject ...
  • FedRAMP SOC Analyst

    Cincinnati, Ohio
    ... and network security technologies. Develop testing plans to ensure quality of implementation ... network architecture support for information and network security technologies. Close or escalate ...
  • Provider Contract/Cost of Care Consultant Senior

    Cincinnati, Ohio
    ... claims costs, improving the quality of care, and increasing member and provider network satisfaction ... Provider Contract/Cost of Care Consultant Senior-Analytics Location: This ...
  • Information Security Executive Advisor

    Cincinnati, Ohio
    ... architecture oversight and planning for information and network security technologies. Leads development ... , 10) Security Architecture and Design, 11) Telecommunications and Network Security. Configure ...
  • Behavioral Health HEDIS Quality Program Director

    CINCINNATI, Ohio
    ... quality initiatives. Guides strategic efforts with clinical and network to improve experience of ... and implementing targeted clinical, network, and vendor programs to drive measurable improvements in ...
  • Cloud Cyber Security Analyst (Data Protection/DevOps)

    Cincinnati, Ohio
    ... resolution on complex problems and leads implementations for system and network security technologies ... . Coordinates and prepares the reporting of data security events and incidents; provides system and network ...
  • Audit & Reimbursement Senior - Medicare Cost Report Audit

    CINCINNATI, Ohio
    ... . Able to work independently on assignments and under minimal guidance from the manager. Prepare ...
  • Associate General Counsel

    CINCINNATI, Ohio
    ... and federal regulatory agencies. Familiarity with provider contracting and network adequacy ...
  • Nurse Medical Management I-1

    Cincinnati, Ohio
    ... services, focused surgical and diagnostic procedures, out-of-network services, and appropriateness of ...
  • Senior Identity & Access Management (CIAM) Security Advisor

    Cincinnati, Ohio
    ... network security, access control, and secure transaction/messaging solutions. The associate in the role ... impact:** Leads system and network architecture and successful technical delivery for ...
  • Cost of Care Mgr (US)

    Cincinnati, Ohio
    ... Green Belt preferred. Prior experience with provider network contracting, provider networks ... processes around physician, hospital and ancillary network contract negotiation strategies, utilization ...
  • Executive Cloud Services Engineer Advisor

    Cincinnati, Ohio
    ... Executive Cloud Services Engineer Advisor The **Executive Cloud Services Engineer Advi ...
  • FedRAMP Principal

    Cincinnati, Ohio
    ... architecting/engineering DevOps-based cloud network or cloud network security CI/CD deployment pipelines ...
  • Grievance/Appeals Analyst I

    CINCINNATI, Ohio
    ... grievances and appeals requests from customer types (i.e. member, provider, regulatory and third party) and ... Demonstrated business writing proficiency, understanding of provider networks, the medical management process ...
  • Wellness & Recovery Specialist

    CINCINNATI, Ohio
    ... forming a supportive, recovery network. Develops and implements provision of onsite psychiatric ...
  • Cloud Platform Principal Engineer

    Cincinnati, Ohio
    ... infrastructure (Compute, Storage, Network, Backups, DR, and Monitoring) Demonstrate and lead the ... infrastructure (Compute, Storage, Network, Backups, DR, and Monitoring) This job is assigned to an entity ...
  • Audit & Reimbursement III- Medicare Cost Report Audit

    CINCINNATI, Ohio
    ... manager. Prepare detailed work papers and present findings in accordance with Government Auditing ... supervisory review of work completed by other associates. Analyze and interpret data per a provider’s ...
  • Audit & Reimbursement II (US)

    CINCINNATI, Ohio
    ... . Perform cost report desk reviews. Analyze and interpret data per a provider’s trial balance ... reviews of provider exception requests as assigned. Minimum Requirements: **Requires ...
  • Audit & Reimbursement Sr

    CINCINNATI, Ohio
    ... guidance from the manager Prepare detailed work papers and present findings in accordance with ...
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