Current jobs related to Senior Contracting amp; Network Strategic Consultant - Columbus - Ohio State University Wexner Medical Center
-
Senior Network Consultant
7 days ago
Columbus, Ohio, United States TechnoGen Full timeJob Title: Senior Network ConsultantJob Summary:We are seeking a highly skilled Senior Network Consultant to join our team at TechnoGen. As a Senior Network Consultant, you will be responsible for ensuring all work activities are performed in accordance with policies, practices, procedures, standards, and rules of the company.Responsibilities:- Comply with...
-
Senior Network Consultant
3 days ago
Columbus, Ohio, United States TechnoGen Full timeJob Title: Senior Network ConsultantJob Summary:We are seeking a highly skilled Senior Network Consultant to join our team at TechnoGen. As a Senior Network Consultant, you will be responsible for ensuring all work activities are performed in accordance with policies, practices, procedures, standards, and rules of the company.Key Responsibilities:Comply with...
-
Senior Financial Reporting Analyst
2 weeks ago
Columbus, Ohio, United States AMP Public Power Partners Full timeJob Title: Senior Financial Reporting AnalystAt AMP Public Power Partners, we are seeking a highly skilled Senior Financial Reporting Analyst to join our team. As a key member of our accounting and finance department, you will be responsible for providing financial planning and analysis support to our transmission subsidiary, AMP Transmission, LLC.Key...
-
Senior Network Consultant
3 days ago
Columbus, Ohio, United States TechnoGen Full timeJob Summary: TechnoGen is seeking a highly skilled Senior Network Consultant to join our team in Columbus, OH. As a key member of our team, you will be responsible for ensuring all work activities are performed in accordance with company policies, practices, procedures, standards, and rules. You will also be responsible for complying with regulations and...
-
Grants amp; Contracts Management Specialist
3 weeks ago
Columbus, United States Ohio State University Wexner Medical Center Full timeGrants amp; Contracts Management Specialist to manage pre- and post-award activities for assigned investigators. Duties Include: Reads and interprets sponsor guidelines Reviews contract terms and conditions from sponsor Provides fiscal management of research grants Reconciles project expenses to budgets and sends financial summaries to PIs Monitors...
-
Senior Recruitment Consultant
3 weeks ago
Columbus, Ohio, United States Hamilton Bradshaw Group Full timeAbout the RoleWe are seeking a highly skilled Senior Recruitment Consultant to join our team at Hamilton Bradshaw Group. As a key member of our construction, engineering, and supply chain recruitment team, you will be responsible for delivering top-tier talent solutions to our clients in Ohio.With a proven track record of success in recruitment, you will...
-
Senior Provider Network Contracting Manager
3 days ago
Columbus, Ohio, United States CVS Health Full timeJob SummaryCVS Health is seeking a skilled Senior Provider Network Contracting Manager to join our team. As a key member of our contracting team, you will be responsible for reviewing, analyzing, negotiating, and executing complex Medicaid contracts with health systems, physician groups, and behavioral health providers. Your goal will be to maintain and...
-
Senior Provider Network Contracting Manager
3 days ago
Columbus, Ohio, United States CVS Health Full timeJob SummaryWe are seeking a skilled Senior Provider Network Contracting Manager to join our team at CVS Health. As a key member of our contracting team, you will be responsible for reviewing, analyzing, negotiating, and executing complex Medicaid contracts with health systems, physician groups, and behavioral health providers.Key Responsibilities- Review and...
-
Senior Recruitment Consultant
4 weeks ago
Columbus, United States Hamilton Bradshaw Group Full timeElevate Your Career in Construction, Engineering & Supply Chain Recruitment!Are you a skilled Recruitment Consultant with over 3 years of experience in the construction, engineering, and supply chain sectors? Hamilton Bradshaw is looking for a Senior Recruitment Consultant to drive our growth and take the lead in delivering top-tier talent solutions in Ohio....
-
Senior Recruitment Consultant
4 weeks ago
Columbus, Ohio, United States Hamilton Bradshaw Group Full timeAbout the RoleWe are seeking a highly skilled Senior Recruitment Consultant to join our team at Hamilton Bradshaw Group. As a key member of our construction, engineering, and supply chain recruitment team, you will be responsible for delivering top-tier talent solutions to our clients in Ohio.With a proven track record of success in recruitment, you will...
-
Senior Contract Paralegal
3 weeks ago
Columbus, Ohio, United States Cardinal Health Full timeJob SummaryWe are seeking a highly skilled Senior Contract Paralegal to join our team at Cardinal Health. As a key member of our legal department, you will play a critical role in providing strategic, proactive, and cost-effective legal advice and services to protect our organization's assets, operations, and image.Key ResponsibilitiesAnalyze contract...
-
Senior Financial Reporting Analyst
1 week ago
Columbus, Ohio, United States American Municipal Power, Inc Full timeJob SummaryAs a Senior Financial Reporting Analyst at American Municipal Power, Inc., you will be responsible for providing accounting and finance support to the company's transmission subsidiary, AMP Transmission, LLC. This includes preparing and managing the submission of monthly financial reports to the AMP Executive Management Team, as well as AMP's...
-
Senior Transformation Consultant
1 month ago
Columbus, Ohio, United States Worldpay Full timeAbout the RoleWe are seeking a highly skilled Senior Transformation Consultant to join our Customer Experience team. As a key member of our team, you will play a critical role in driving business process improvements and delivering exceptional results for our clients.Key ResponsibilitiesDevelop and implement business process solutions to drive efficiency and...
-
Senior Contracting Paralegal
6 days ago
Columbus, Ohio, United States Cardinal Health Full timeJob SummaryCardinal Health is seeking a highly skilled Senior Contracting Paralegal to join our team. As a key member of our legal department, you will be responsible for providing strategic, proactive, and practical legal advice and services to support the company's operations and assets.Key ResponsibilitiesAnalyze contract requirements, special provisions,...
-
Senior Contract Paralegal
2 weeks ago
Columbus, Ohio, United States Cardinal Health Full timeJob SummaryWe are seeking a highly skilled Senior Contract Paralegal to join our team at Cardinal Health. As a key member of our legal department, you will play a critical role in providing strategic, proactive, and cost-effective legal advice and services to support the organization's assets, operations, and image.Key ResponsibilitiesAnalyze contract...
-
Senior OpenText Consultant
3 days ago
Columbus, Ohio, United States Syntricate Technologies Full timeKey Responsibilities:As a Senior OpenText Consultant at Syntricate Technologies, you will be responsible for developing and maintaining a robust pipeline of opportunities, meeting quarterly booking targets and exceeding client expectations.Key Skills:Negotiating project terms, deliverables, and costs to ensure alignment with client needs and OpenText...
-
Senior Learning Consultant
6 days ago
Columbus, Ohio, United States OhioHealth Full timeWe are a healthcare system that believes in the power of education and learning. As a Senior Learning Consultant at OhioHealth, you will play a critical role in supporting our hospitals and business units as an educational support liaison. Your responsibilities will include consulting, instructional design, strategic planning, and project management based on...
-
Senior Contract Manager for Clinical Trials
2 days ago
Columbus, Ohio, United States Innova Solutions Full timeInnova Solutions is a leading provider of strategic technology and business transformation solutions, employing approximately 50,000 professionals worldwide and reporting an annual revenue approaching $3 Billion. We deliver our services through global delivery centers across North America, Asia, and Europe, enabling our clients to operate as leaders within...
-
Senior Learning Consultant
2 weeks ago
Columbus, Ohio, United States OhioHealth Full timeJob Title: Senior Consultant Learning- PT casualWe are a healthcare system that believes in the importance of wellness and sickness as part of a lifelong partnership. We are seeking a Senior Consultant Learning- PT casual to join our team, who will work closely with our hospitals and business units to provide educational support and resources.Key...
-
Senior Recruitment Consultant
2 weeks ago
Columbus, Ohio, United States Hamilton Bradshaw Group Full timeAbout the RoleHamilton Bradshaw Group is seeking a seasoned Recruitment Consultant to lead client-centric recruitment efforts in Ohio's key industries, specifically construction, engineering, and supply chain.This sales-led role focuses on delivering impactful talent solutions to external clients, driving revenue growth, and building strong relationships...
Senior Contracting amp; Network Strategic Consultant
2 months ago
Scope of Department
The Provider Network Management department evaluates, initiates, and maintains the provider relationships for The OSU Health Plan faculty and staff provider network and external business provider networks, including but not limited to, Ohio PPO Connect. The department manages activities related to system and provider contracting, network and provider information management, and credentialing. Team members negotiate contract terms and ensure regulatory, business, and contract requirements are met. Responsibilities of the team include the development and support of statewide provider relationships,provider-relatedfinancial and quality analysis, network configurations, claim reimbursements, and other activities in support of provider networks. The Provider Network Management Department is responsible for greater than $300 million in medical spend through the universitys third party administrator. The team serves approximately 150,000 lives as well as partners with external lines of business to implement customized provider networks that optimize access, cost, and quality.
Scope of Position
This position serves as the Senior Contracting amp; Network Strategic Consultant on the health plan provider relations team. The Senior Contracting amp; Network Strategic Consultant reports to the Director of Provider Network Management and works collaboratively with clients, third party administrators, directors, managers, clinicians, and other provider network management team members to optimize access, cost, and quality within our provider networks. The Senior Contracting amp; Network Strategic Consultant collaborates with the Director of Provider Network Management and the Manager of Provider Network Management to create, execute, and evaluate high level network and contracting strategies.
Position Summary:
The Senior Contracting amp; Network Strategic Consultant fosters relationships with key contacts at critical professional, facility, and ancillary service providers and leads highly complex contract negotiations for professional, facility, and ancillary service providers. The senior consultant leverages the senior financial analysts in the evaluation of the financial and quality performance of contracted providers and proposes innovative, financially beneficial, and value-based reimbursement models for strategic providers. The senior consultant tracks, trends, and makes recommendation on network adequacy and ensures the health plans compliance with any professional, facility, or ancillary service provider contract exceptions.
The Senior Contracting amp; Network Strategic Consultant represents the Provider Network Management department in its strategic network partnerships, including participating in the Ohio PPO Connect Executive Committee and the High Performance Health Network Steering Committee. The senior consultant collaborates with the Business Development Director on new and renewal business pricing proposals and facilitates responses to all provider network management RFPs. The senior consultant completes external business budgets and administers projects related to providers, networks, reimbursement methodologies, contract documentation, and provider communications.
The Senior Contracting amp; Network Strategic Consultant oversees the development and maintenance of all provider contract templates, including but not limited to, contract body, fee schedule and network attachments, and any special provisions and collaborates with external legal counsel on an as needed basis to modify contract templates to ensure compliance with regulatory requirements. The senior consultant sets the agenda for the Network Strategy workgroup and educates the Provider Network Management Specialists on best practices for effective and efficient payment methodologies, contract preparation, and negotiation.
Minimum Qualifications
For Hire: Bachelors Level Degree or equivalent education and experience required. Masters degree preferred. Minimum of 8 years of experience in contracting/network development with significant autonomous and diverse experience in professional, facility, and ancillary service contracting. Extensive independent knowledge of provider reimbursement methodologies required, including but not limited to, value-based, bundled payment, capitation, percent of Medicare, percent of billed charges, and case rates/per diem strategies. Extensive knowledge of provider network management desired (network design, products, customer service, provider communities).
Full comprehension of health care issues to effectively collaborate with health plan, provider organization, and facility practice personnel required. Demonstrated superior critical thinking, negotiation and analytical skills required. Ability to work effectively with deadlines. Ability to cope with frequent interruptions and to prioritize projects. Ability to be organized and methodical in coordinating provider contracting activities with various departments within OSUHP as well as external entities. Strong collaboration and communication skills are a requirement. Experience in health plan or health insurance preferred.
Ongoing: Maintains knowledge of The Ohio State University Health Plans policies and procedures and functions within those guidelines; maintains positive member and colleague relations.
