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25 Jobs in Mason, OH

  • Behavioral Health Case Manger II

    MASON, Ohio
    ... during assessment. Monitors and evaluates effectiveness of care plan and modifies plan as needed. Supports member access to appropriate quality and cost effective care. Coordinates with internal and ...
  • UM Medical Director - Orthopedic Surgery

    Mason, Ohio
    ... consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care ... services, to ensure the appropriate and most cost-effective medical care is received. May be responsible ...
  • UM Medical Director - Physical Medicine and Rehabilitation

    Mason, Ohio
    ... enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff ... administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost ...
  • UM Medical Director - Cardiology

    Mason, Ohio
    ... enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff ... administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost ...
  • UM Medical Director - Internal Medicine or Family Medicine

    Mason, Ohio
    ... consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care ... services, to ensure the appropriate and most cost-effective medical care is received. May be responsible ...
  • Behavioral Health Medical Director - Child & Adolescent Psychiatry

    Mason, Ohio
    ... identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates ... will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our ...
  • Provider Contract / Cost of Care Analyst Senior

    MASON, Ohio
    ... Provider Contract / Cost of Care Analyst Senior Location: Indianapolis, IN. This ... of our Elevance Health PulsePoint locations. The **Provider Contract / Cost of Care Analyst ...
  • Provider Contract Cost of Care Analyst

    MASON, Ohio
    ... Provider Contract Cost of Care Analyst Location: This position will work a hybrid ... of Care Analyst** is responsible for providing analytical support to the Cost of Care and/or ...
  • Provider Contract/Cost of Care Consultant Senior

    Mason, Ohio
    ... Provider Contract/Cost of Care Consultant Senior-Analytics Location: This ... drivers and support initiative design for remediation. The **Provider/Cost of Care Consultant Senior ...
  • Provider Contract/Cost of Care Consultant

    Mason, Ohio
    ... Provider Contract/Cost of Care Consultant Location: This position will work a ... locations. The Provider Contract/Cost of Care Consultant provides analytical support to the ...
  • Cost of Care Mgr (US)

    Mason, Ohio
    ... The Cost of Care Mgr leads and manages multiple cost of care initiatives enterprise wide (e.g ... , but are not limited to: Identifies and develops best practices and cost of care improvement ...
  • National Medical Director - Total Cost of Care, Post Acute

    MASON, Ohio
    ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... Medical Director for a set of Post Acute Care Solutions.** This high-performing individual contributor ...
  • Provider Contract/Cost of Care Analyst Sr.

    Mason, Ohio
    ... Provider Contract/Cost of Care Analyst Sr. Location: This position will work a ... locations. The Provider Contract, Cost of Care Analyst Sr is responsible for analyzing ...
  • Network Support Consultant

    MASON, Ohio
    ... targets for cost of care and provider satisfaction within the scope of the assigned program are achieved ... a hybrid model (remote and office). The ideal candidate must live within 50 miles of our Elevance ...
  • Business Information Developer Consultant

    MASON, Ohio
    ... hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance ... . Performs modeling of information sources and flows. May coordinate the activities of a project team ...
  • Medicare Medical Director Clinical Programs

    Mason, Ohio
    ... including cost of care. This role will work on Cost of Care, trend management, value-based care support for ... : Consulting experience and/or MBA. Managed care experience improving cost of care trend ...
  • Medicare Business Strategy Director

    Mason, Ohio
    ... : Experience in Medicare and value base care as well as cost of care management preferred Master’s degree ... will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our ...
  • Rating/Claims System Senior Advisor

    Mason, Ohio
    ... model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health ... ; achievement of cost objectives and service level goals; provider data management and related downstream ...
  • Wound Care UM RN

    MASON, Ohio
    ... Wound Care UM RN Location: Remote, within 50 miles of a pulse point ... the advancement of care for the people we serve. The Wound Care UM RN is responsible for ...
  • Associate Medical Director - Neurosurgery

    Mason, Ohio
    ... leader in Illinois. Our platform delivers significant cost-of-care savings across an expanding set of ... and advanced practice nurses regarding established guidelines and accepted standards of care as it ...
  • Associate Medical Director - Interventional Pain

    Mason, Ohio
    ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... ** Interventional Pain Benefit Review Location : This position will work a hybrid model (remote and ...
  • Managed Care Coordinator Clinician Non RN

    MASON, Ohio
    ... Managed Care Coordinator Clinician Non RN Location: Remote, within 50 miles of an ... , member and the health care team, to ensure cost effective and efficient utilization of health benefits ...
  • Financial Consultant Lead/Manager

    Mason, Ohio
    ... Consultant Manager** is responsible for leading the process of preparation and interpretation of complex ... preferred. Health Care Industry experience a plus. Strong knowledge of internal business ...
  • Sr. Director, IT and Engineering

    MASON, Ohio
    ... (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health ... care and data analysis required. Understanding of multiple data sources and formats and excellent ...
  • Medical Oncology Medical Director - Utilization Review

    Mason, Ohio
    ... leader in Illinois. Our platform delivers significant cost-of-care savings across an expanding set of ... guidelines and accepted standards of oncology care. Document the pre-certification review in a complete ...
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