Provider Contracts Manager
Columbus, OH
supports and oversees Molina dental providers.** Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers.
**KNOWLEDGE/SKILLS/ABILITIES**
+ In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines.
+ Develops and maintains provider contracts in APTTUS contract management software.
+ Targets and recruits additional providers to reduce member access grievances.
+ Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region.
+ Maintains contractual relationships with significant/highly visible providers.
+ Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts.
+ Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards.
+ Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney.
+ Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management and legal.
+ Educates internal customers on provider contracts.
+ Participates on the management team and other committees addressing the strategic goals of the department and organization.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience.
**Required Experience**
5-7 years
**Preferred Education**
Graduate degree
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Siebel administrator @ Hilliard, OH
Hilliard, OH
Job title: Siebel Admin Duration: 7 Months Siebel Admin Responsibilities: • Experience on Siebel Server administration activities, Siebel version 8.0, 8.1, 8.2 • Strong understanding of Siebel Enterprise Architecture and server components
• Strong understanding of SDLC processes and methodologies
• Provide expertise in application server installation, upgrades, patches, tuning, performance monitoring, troubleshooting, application deployments, support and documentation of standards, environments and procedures for Siebel and OBIEE application suites
• Participate in and/or lead infrastructure build activities as appropriate.
• OBIEE 11g Installation, Administration and Management
• Siebel Email Marketing Installation, Administration and Management
• Ability to support Multi lingual environment
• Administration of data such as List of Values, Responsibilities, Views, System Preferences etc.
• Migrate code between environments DEV, TEST, Pre Prod and Production using EIM, ADM and Excel Macro
• In depth knowledge of windows operating systems
• Experience working on F5 Load Balancer and Windows Clustering
• Ability to handle releases and activities in a timely, organized manner
• Experience on database related tools like Microsoft SQL Server
Siebel Maintenance Responsibilities:
• Hands of Experience in Siebel configuration (Browser Script, Business Components - New & Modifications , Business Services, Custom Table creation, Screens, Views & Applets - New & Modifications, Siebel Base Table extensions)
• Experience scripting (Browser and Server) and Siebel workflows
• Experience in campaign management and Email Marketing.
• Knowledge on OBIEE (Siebel Analytics)
• Knowledge on Smart scripts and stored procedures
• Good knowledge on Siebel EAI
• Exposure on open UI.
Skills Required:
• Siebel and OBIEE Server Installation in windows, F5 Load Balancer and Windows Clustering, SSO setup, deployments and knowledge on upgrades, Siebel Email Marketing Installation.
Must have:
• Siebel EAI, Configuration, and Scripting
Good to have:
• .Net, C#. Siebel Workflows, OBIEE, Smart Scripts, Open UI and SQL Server.
Additional Information
Contracts Coordinator Administrator III
Cincinnati, OH
Global Channel Management is a technology company that specializes in various types of recruiting and staff augmentation. Our account managers and recruiters have over a decade of experience in various verticals. GCM understands the challenges companies face when it comes to the skills and experience needed to fill the void of the day to day function. Organizations need to reduce training and labor costs but at same requiring the best "talent " for the job.
Qualifications
Ability to manage complex, global calendars for multiple
2. Knowledge of P&G systems for travel (Egencia/Travel Coordination) and Expense Online tooling.
3. Knowledge of P&G move systems
4. Fluency in Skin and Personal Care R&D
Additional Information
$25/hr
12 months
Purchasing Administrator
Hudson, OH
The Purchasing Administrator performs purchasing activities on behalf of customers and other internal stakeholders. Places, confirms, and obtains tracking information on all orders for the company based on assignment.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned to meet business needs.
Create all purchase orders
Confirmation of shipment with suppliers
Obtain tracking information on all orders
Follow-up on and track progress of all backorders
Requirements
QUALIFICATION/REQUIREMENTS:
Strong computer skills
Knowledge of Microsoft applications: Outlook, Word and Excel
Strong multitasking ability
Clear speaking voice/ good presence on the phone Detail oriented, clearly able to relay information toothers
EDUCATION/TRAINING/EXPERIENCE:
High school diploma or GED
Computer knowledge
Previous office experience (preferred)
Salary Description $17.00 pr hour
Custodial Contract Manager
Dayton, OH
SummaryTo develop the contract and facilitate operations. Manage project in a cost-effective manner by establishing and applying sound management policies pertaining to the organization. Essential Duties & Responsibilities Manage written correspondence with Contract representatives concerning performance of contract.
Implement/administer contract modifications.
Primary point of contact with customers and tenants for customer service for contracts managed.
Responsible for management of the custodial staff.
Operate to efficiently utilize all personnel and assigned resources.
Responsible for equipment and supplies (proper usage, maintenance, storage, replacement).\
Determine the work to be done and how it is done.
Responsible for scheduling and assigning work.
Train and develop employees to reach their full potential and maintain a stable workforce.
Meet required direct labor ratio for people with disabilities by training and developing them to meet their full vocational potential.
Train all employees in basic disability awareness and issues.
Responsible for evaluating quality and quantity of work performed, to include all reports, time studies, budget reports, work plans, etc.
Responsible for training employees within the job scope.
Responsible for maintaining discipline and ensuring that policies and procedures are properly followed.
Responsible for the safety and well-being of clients and employees.
Maintain a safe and orderly work environment.
Responsible for periodic review and implementation of crisis procedures.
Responsible for performance of safety drills and keeping Operation within OSHA and CARF standards.
Responsible for filing all reports (payroll, etc.) accurately and timely as required.
Responsible for the equal opportunity employment efforts and results, and must take action to prevent harassment of employees.
Train employees in safety standards: new employee first day orientation and ongoing hazard communication
Comply with all Agency policies, procedures and safety standards throughout work areas and maintain same to meet CARF, Department of Labor and other regulatory standards.
Supervisory Responsibilities
Directly supervise direct labor employees, lead workers, job coaches, and training coordinators at the assigned project site(s).
Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.
Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Education RequirementsHigh school diploma or general education degree (GED) required.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must maintain a valid Ohio driver's license and driving record acceptable to Goodwill's liability insurance provider.
Must have reliable transportation to and from the work site.
Must maintain the ability to pass a criminal background check and random drug screens.
Goodwill Easterseals Miami Valley is a federal government contractor subject to Executive Order 14042, which may require employees serving in this role or at your work location to be fully-vaccinated against Covid-19. Any and all job offers for this role may be contingent upon providing proof of full vaccination against Covid-19.
Skills & Abilities
Ability to supervise.
Ability to read and interpret documents such as safety rules, general business instructions, operating and maintenance instructions and procedure manuals.
Ability to speak effectively with staff, program participants, and the general public.
Uncompromising ethics and integrity
Ability to stand, walk, squat, bend, twist, crawl, kneel, drive, climb, and reach above shoulders.
Ability to maintain continuous walking, standing, bending or stooping for extended periods of time.
Ability to communicate effectively in both oral and written form.
Sight required to visually check for cleanliness.
Ability to work with hazardous cleaning solutions.
Work in an environment with dust.
Ability to hear and respond to internal paging system and warning devices on custodial equipment.
Must be able to follow through with projects and assignments in a timely and efficient manner.
This person must have a warm and friendly personality, be sensitive to the needs of others, and be able to relate well to the individual they serve and be willing to fulfill responsibilities in accordance with our philosophy.
Ability to deal with daily operational challenges in a fast paced environment.
Must possess excellent customer service, organizational, writing, and reading skills.
Must possess excellent interpersonal skills with the ability to relate well with a broad spectrum of people; including consumers, employers and employees.
Must be self-motivated.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; and talk or hear.
The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl; and taste or smell.
The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds, and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee occasionally works in outside weather conditions and is occasionally exposed to risk of electrical shock.
The noise level in the work environment is usually moderate.
Annuity Payouts Admin Processor
Cincinnati, OH
The Annuity Payouts Administrative Processor is responsible for processing annuity payouts transactions on deferred annuity contracts, rider exercise requests, settlement certificates, lottery payments, third party terminal funding and pension payments.
Your role and impact
Here's a glimpse of your responsibilities and the meaningful impact you'll create as the Annuity Payouts Administrator Processor:
Reviewing and processing entry-level financial and non-financial transactions including forced annuitization, deferral, quotes, direct deposit set up, reissue of returned payments, address changes, income verification and updates to tax withholding
Processing suitability reviews, fund requests from transfer company, book funds received via check or wire and submitting requests for commission payments
Communicating with agents and contract holders by telephone, letter and email regarding contract service and processing
What's in it for you
Competitive pay: Fair compensation for your hard work.
Healthcare coverage: Comprehensive medical, dental, and vision from day one.
Life insurance: Company-paid coverage for you and your loved ones.
401(k) plan: Matching contributions to help secure your financial future.
Family support: Paid parental leave and reimbursement for adoption and surrogacy expenses.
Work-life balance: Flexible time-off policy to recharge and pursue passions.
Dress for your day: Express your style comfortably at work.
Inclusion and Culture: A respectful environment that values unique contributions.
Flexible work options: Remote, hybrid, and onsite opportunities at various locations across the U.S. for better work-life integration.
Well-being focus: Programs to support a healthy balance between work and home life.
Community connections: Build strong relationships through virtual and in-person interactions, with resources for your growth.
Administrator
Cleveland, OH
Join us as an Administrator and see how your variety of routine and non-routine tasks make a difference and how critical it is to helping us deliver on our purpose and achieve our goals. This is a great opportunity to develop your Administration career within a Global TIC business.
At Element our shared purpose of ‘Making tomorrow safer than today' is what brings us together. We are energized by our ambition to make the world a better place and create a safer future for people. This is what sets us (and you, if you join us…) apart from the crowd.
Salary: $19-$25/hr
Responsibilities
Receive in customer purchase orders.
Create work orders based on customer purchase order requirements
Prepare job packets to be release to the work cells
Type and release certification reports
Provide Customers with feedback on work order status
Follow-up with Customers to clear discrepancies from Purchase Orders
Skills / Qualifications
Is this job for me?
This is a fast-paced environment, and we need someone who is proactive, self-motivated and a team player. The person for this role will be a specialist in their field, respected by all who they work with, keen to learn and enthusiastic in the face of challenge. You will:
Relevant experience within an office environment preferred
Highly motivated and organized individual with a flexible approach to work
Excellent attention to detail
Ability to work independently
Ability to work well under pressure and meet tight deadlines without compromising the quality of work or safety
NOTE: This position requires access to export-controlled commodities, technical data, technology, software, and services. U.S. citizenship, U.S. legal permanent resident status, protected person status under 8 U.S.C. § 1324b(a)(3), or U.S. Government export authorization is required. Any offer of employment is contingent upon the employer obtaining the necessary export authorization, including, if required, an export license from the U.S. Department of Commerce's Bureau of Industry and Security, the U.S. Department of State's Directorate of Defense Trade Controls, or other applicable government agency.
#LI-DM1
Company Overview
Element is one of the fastest growing testing, inspection and certification businesses in the world. Globally we have more than 6,500 brilliant minds operating from 200 sites across 30 countries. Together we share an ambitious purpose to ‘Make tomorrow safer than today'.
When failure in use is not an option, we help customers make certain that their products, materials, processes and services are safe, compliant and fit for purpose. From early R&D, through complex regulatory approvals and into production, our global laboratory network of scientists, engineers, and technologists support customers to achieve assurance over product quality, sustainable outcomes, and market access.
While we are proud of our global reach, working at Element feels like being part of a smaller company. We empower you to take charge of your career, and reward excellence and integrity with growth and development.
Industries across the world depend on our care, attention to detail and the absolute accuracy of our work. The role we have to play in creating a safer world is much bigger than our organization.
Diversity Statement
At Element, we always take pride in putting our people first. We are an equal opportunity employer that recognizes diversity and inclusion as fundamental to our Vision of becoming “the world's most trusted testing partner”.
All suitably qualified candidates will receive consideration for employment on the basis of objective work related criteria and without regard for the following: age, disability, ethnic origin, gender, marital status, race, religion, responsibility of dependents, sexual orientation, or gender identity or other characteristics in accordance with the applicable governing laws.
Auto-ApplyAdministrator
Cleveland, OH
Join us as an Administrator and see how your variety of routine and non-routine tasks make a difference and how critical it is to helping us deliver on our purpose and achieve our goals. This is a great opportunity to develop your Administration career within a Global TIC business.
At Element our shared purpose of 'Making tomorrow safer than today' is what brings us together. We are energized by our ambition to make the world a better place and create a safer future for people. This is what sets us (and you, if you join us…) apart from the crowd.
Salary: $19-$25/hr
Responsibilities
* Receive in customer purchase orders.
* Create work orders based on customer purchase order requirements
* Prepare job packets to be release to the work cells
* Type and release certification reports
* Provide Customers with feedback on work order status
* Follow-up with Customers to clear discrepancies from Purchase Orders
Skills / Qualifications
Is this job for me?
This is a fast-paced environment, and we need someone who is proactive, self-motivated and a team player. The person for this role will be a specialist in their field, respected by all who they work with, keen to learn and enthusiastic in the face of challenge. You will:
* Relevant experience within an office environment preferred
* Highly motivated and organized individual with a flexible approach to work
* Excellent attention to detail
* Ability to work independently
* Ability to work well under pressure and meet tight deadlines without compromising the quality of work or safety
NOTE: This position requires access to export-controlled commodities, technical data, technology, software, and services. U.S. citizenship, U.S. legal permanent resident status, protected person status under 8 U.S.C. § 1324b(a)(3), or U.S. Government export authorization is required. Any offer of employment is contingent upon the employer obtaining the necessary export authorization, including, if required, an export license from the U.S. Department of Commerce's Bureau of Industry and Security, the U.S. Department of State's Directorate of Defense Trade Controls, or other applicable government agency.
#LI-DM1
Company Overview
Element is one of the fastest growing testing, inspection and certification businesses in the world. Globally we have more than 6,500 brilliant minds operating from 200 sites across 30 countries. Together we share an ambitious purpose to 'Make tomorrow safer than today'.
When failure in use is not an option, we help customers make certain that their products, materials, processes and services are safe, compliant and fit for purpose. From early R&D, through complex regulatory approvals and into production, our global laboratory network of scientists, engineers, and technologists support customers to achieve assurance over product quality, sustainable outcomes, and market access.
While we are proud of our global reach, working at Element feels like being part of a smaller company. We empower you to take charge of your career, and reward excellence and integrity with growth and development.
Industries across the world depend on our care, attention to detail and the absolute accuracy of our work. The role we have to play in creating a safer world is much bigger than our organization.
Diversity Statement
At Element, we always take pride in putting our people first. We are an equal opportunity employer that recognizes diversity and inclusion as fundamental to our Vision of becoming "the world's most trusted testing partner".
All suitably qualified candidates will receive consideration for employment on the basis of objective work related criteria and without regard for the following: age, disability, ethnic origin, gender, marital status, race, religion, responsibility of dependents, sexual orientation, or gender identity or other characteristics in accordance with the applicable governing laws.
Administrator
Cleveland, OH
Join us as an Administrator and see how your variety of routine and non-routine tasks make a difference and how critical it is to helping us deliver on our purpose and achieve our goals. This is a great opportunity to develop your Administration career within a Global TIC business.
At Element our shared purpose of ‘Making tomorrow safer than today' is what brings us together. We are energized by our ambition to make the world a better place and create a safer future for people. This is what sets us (and you, if you join us…) apart from the crowd.
Salary: $19-$25/hr
Responsibilities
Receive in customer purchase orders.
Create work orders based on customer purchase order requirements
Prepare job packets to be release to the work cells
Type and release certification reports
Provide Customers with feedback on work order status
Follow-up with Customers to clear discrepancies from Purchase Orders
Skills / Qualifications
Is this job for me?
This is a fast-paced environment, and we need someone who is proactive, self-motivated and a team player. The person for this role will be a specialist in their field, respected by all who they work with, keen to learn and enthusiastic in the face of challenge. You will:
Relevant experience within an office environment preferred
Highly motivated and organized individual with a flexible approach to work
Excellent attention to detail
Ability to work independently
Ability to work well under pressure and meet tight deadlines without compromising the quality of work or safety
NOTE: This position requires access to export-controlled commodities, technical data, technology, software, and services. U.S. citizenship, U.S. legal permanent resident status, protected person status under 8 U.S.C. § 1324b(a)(3), or U.S. Government export authorization is required. Any offer of employment is contingent upon the employer obtaining the necessary export authorization, including, if required, an export license from the U.S. Department of Commerce's Bureau of Industry and Security, the U.S. Department of State's Directorate of Defense Trade Controls, or other applicable government agency.
#LI-DM1
Company Overview
Element is one of the fastest growing testing, inspection and certification businesses in the world. Globally we have more than 6,500 brilliant minds operating from 200 sites across 30 countries. Together we share an ambitious purpose to ‘Make tomorrow safer than today'.
When failure in use is not an option, we help customers make certain that their products, materials, processes and services are safe, compliant and fit for purpose. From early R&D, through complex regulatory approvals and into production, our global laboratory network of scientists, engineers, and technologists support customers to achieve assurance over product quality, sustainable outcomes, and market access.
While we are proud of our global reach, working at Element feels like being part of a smaller company. We empower you to take charge of your career, and reward excellence and integrity with growth and development.
Industries across the world depend on our care, attention to detail and the absolute accuracy of our work. The role we have to play in creating a safer world is much bigger than our organization.
Diversity Statement
At Element, we always take pride in putting our people first. We are an equal opportunity employer that recognizes diversity and inclusion as fundamental to our Vision of becoming “the world's most trusted testing partner”.
All suitably qualified candidates will receive consideration for employment on the basis of objective work related criteria and without regard for the following: age, disability, ethnic origin, gender, marital status, race, religion, responsibility of dependents, sexual orientation, or gender identity or other characteristics in accordance with the applicable governing laws.
Auto-ApplyProvider Contracts Manager
Columbus, OH
supports and oversees Molina dental providers. Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers.
KNOWLEDGE/SKILLS/ABILITIES
* In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines.
* Develops and maintains provider contracts in APTTUS contract management software.
* Targets and recruits additional providers to reduce member access grievances.
* Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region.
* Maintains contractual relationships with significant/highly visible providers.
* Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts.
* Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards.
* Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney.
* Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management and legal.
* Educates internal customers on provider contracts.
* Participates on the management team and other committees addressing the strategic goals of the department and organization.
JOB QUALIFICATIONS
Required Education
Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience.
Required Experience
5-7 years
Preferred Education
Graduate degree
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $155,508 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Contracts Coordinator Administrator III
Cincinnati, OH
Global Channel Management is a technology company that specializes in various types of recruiting and staff augmentation. Our account managers and recruiters have over a decade of experience in various verticals. GCM understands the challenges companies face when it comes to the skills and experience needed to fill the void of the day to day function. Organizations need to reduce training and labor costs but at same requiring the best "talent " for the job.
Qualifications
Ability to manage complex, global calendars for multiple
2. Knowledge of P&G systems for travel (Egencia/Travel Coordination) and Expense Online tooling.
3. Knowledge of P&G move systems
4. Fluency in Skin and Personal Care R&D
Additional Information
$25/hr
12 months
Administrator
Cleveland, OH
Join us as an Administrator and see how your variety of routine and non-routine tasks make a difference and how critical it is to helping us deliver on our purpose and achieve our goals. This is a great opportunity to develop your Administration career within a Global TIC business.
At Element our shared purpose of ‘Making tomorrow safer than today' is what brings us together. We are energized by our ambition to make the world a better place and create a safer future for people. This is what sets us (and you, if you join us…) apart from the crowd.
Salary: $19-$25/hr
Responsibilities
Receive in customer purchase orders.
Create work orders based on customer purchase order requirements
Prepare job packets to be release to the work cells
Type and release certification reports
Provide Customers with feedback on work order status
Follow-up with Customers to clear discrepancies from Purchase Orders
Skills / Qualifications
Is this job for me?
This is a fast-paced environment, and we need someone who is proactive, self-motivated and a team player. The person for this role will be a specialist in their field, respected by all who they work with, keen to learn and enthusiastic in the face of challenge. You will:
Relevant experience within an office environment preferred
Highly motivated and organized individual with a flexible approach to work
Excellent attention to detail
Ability to work independently
Ability to work well under pressure and meet tight deadlines without compromising the quality of work or safety
NOTE: This position requires access to export-controlled commodities, technical data, technology, software, and services. U.S. citizenship, U.S. legal permanent resident status, protected person status under 8 U.S.C. § 1324b(a)(3), or U.S. Government export authorization is required. Any offer of employment is contingent upon the employer obtaining the necessary export authorization, including, if required, an export license from the U.S. Department of Commerce's Bureau of Industry and Security, the U.S. Department of State's Directorate of Defense Trade Controls, or other applicable government agency.
#LI-DM1
Diversity Statement
At Element, we always take pride in putting our people first. We are an equal opportunity employer that recognizes diversity and inclusion as fundamental to our Vision of becoming “the world's most trusted testing partner”.
All suitably qualified candidates will receive consideration for employment on the basis of objective work related criteria and without regard for the following: age, disability, ethnic origin, gender, marital status, race, religion, responsibility of dependents, sexual orientation, or gender identity or other characteristics in accordance with the applicable governing laws.
Auto-ApplyProvider Contracts Manager
Cleveland, OH
supports and oversees Molina dental providers.** Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers.
**KNOWLEDGE/SKILLS/ABILITIES**
+ In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines.
+ Develops and maintains provider contracts in APTTUS contract management software.
+ Targets and recruits additional providers to reduce member access grievances.
+ Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region.
+ Maintains contractual relationships with significant/highly visible providers.
+ Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts.
+ Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards.
+ Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney.
+ Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management and legal.
+ Educates internal customers on provider contracts.
+ Participates on the management team and other committees addressing the strategic goals of the department and organization.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience.
**Required Experience**
5-7 years
**Preferred Education**
Graduate degree
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Compliance Admin
Mason, OH
Global Channel Management is a technology company that specializes in various types of recruiting and staff augmentation. Our account managers and recruiters have over a decade of experience in various verticals. GCM understands the challenges companies face when it comes to the skills and experience needed to fill the void of the day to day function. Organizations need to reduce training and labor costs but at same requiring the best "talent " for the job.
Qualifications
Compliance Administrative Assistant with 2-4 years back office tax /accounting processes.
Compliance Administrative Assistant requires:
Working relationship with government tax officials
Proficiency with Microsoft Office and spreadsheet applications
SAP and Essbase experience preferred
Compliance Administrative Assistant duties are:
Proactively perform self-audits of resale certificates to ensure compliance
Maintain proper internal controls to ensure compliance with Sarbanes Oxley
Administrative order/maintain office supply inventory, sort and distribute mail
Assist in special projects as requested by management
Additional Information
$17/HR
6 months
Provider Contracts Manager
Cleveland, OH
supports and oversees Molina dental providers. Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers.
KNOWLEDGE/SKILLS/ABILITIES
* In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines.
* Develops and maintains provider contracts in APTTUS contract management software.
* Targets and recruits additional providers to reduce member access grievances.
* Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region.
* Maintains contractual relationships with significant/highly visible providers.
* Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts.
* Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards.
* Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney.
* Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management and legal.
* Educates internal customers on provider contracts.
* Participates on the management team and other committees addressing the strategic goals of the department and organization.
JOB QUALIFICATIONS
Required Education
Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience.
Required Experience
5-7 years
Preferred Education
Graduate degree
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $155,508 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Provider Contracts Manager
Cincinnati, OH
supports and oversees Molina dental providers.** Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers.
**KNOWLEDGE/SKILLS/ABILITIES**
+ In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines.
+ Develops and maintains provider contracts in APTTUS contract management software.
+ Targets and recruits additional providers to reduce member access grievances.
+ Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region.
+ Maintains contractual relationships with significant/highly visible providers.
+ Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts.
+ Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards.
+ Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney.
+ Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management and legal.
+ Educates internal customers on provider contracts.
+ Participates on the management team and other committees addressing the strategic goals of the department and organization.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience.
**Required Experience**
5-7 years
**Preferred Education**
Graduate degree
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Provider Contracts Manager
Cincinnati, OH
supports and oversees Molina dental providers. Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers.
KNOWLEDGE/SKILLS/ABILITIES
* In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines.
* Develops and maintains provider contracts in APTTUS contract management software.
* Targets and recruits additional providers to reduce member access grievances.
* Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region.
* Maintains contractual relationships with significant/highly visible providers.
* Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts.
* Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards.
* Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney.
* Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management and legal.
* Educates internal customers on provider contracts.
* Participates on the management team and other committees addressing the strategic goals of the department and organization.
JOB QUALIFICATIONS
Required Education
Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience.
Required Experience
5-7 years
Preferred Education
Graduate degree
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $155,508 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Provider Contracts Manager
Dayton, OH
supports and oversees Molina dental providers.** Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers.
**KNOWLEDGE/SKILLS/ABILITIES**
+ In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines.
+ Develops and maintains provider contracts in APTTUS contract management software.
+ Targets and recruits additional providers to reduce member access grievances.
+ Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region.
+ Maintains contractual relationships with significant/highly visible providers.
+ Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts.
+ Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards.
+ Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney.
+ Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management and legal.
+ Educates internal customers on provider contracts.
+ Participates on the management team and other committees addressing the strategic goals of the department and organization.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience.
**Required Experience**
5-7 years
**Preferred Education**
Graduate degree
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Provider Contracts Manager
Dayton, OH
supports and oversees Molina dental providers. Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers.
KNOWLEDGE/SKILLS/ABILITIES
* In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines.
* Develops and maintains provider contracts in APTTUS contract management software.
* Targets and recruits additional providers to reduce member access grievances.
* Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region.
* Maintains contractual relationships with significant/highly visible providers.
* Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts.
* Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards.
* Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney.
* Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management and legal.
* Educates internal customers on provider contracts.
* Participates on the management team and other committees addressing the strategic goals of the department and organization.
JOB QUALIFICATIONS
Required Education
Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience.
Required Experience
5-7 years
Preferred Education
Graduate degree
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $155,508 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Provider Contracts Manager
Akron, OH
supports and oversees Molina dental providers.** Negotiates National agreements with highly visible providers including integrated delivery systems, hospitals and physician groups that result in high quality, cost effective and marketable providers.
**KNOWLEDGE/SKILLS/ABILITIES**
+ In conjunction with Director/Manager Provider Contracts, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines.
+ Develops and maintains provider contracts in APTTUS contract management software.
+ Targets and recruits additional providers to reduce member access grievances.
+ Engages targeted contracted providers in renegotiation of rates and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region.
+ Maintains contractual relationships with significant/highly visible providers.
+ Advises Network Provider Contract Coordinators and Specialists on negotiation of individual provider and routine ancillary contracts.
+ Evaluates provider network and implement strategic plans with the goal of meeting Molina's network adequacy standards.
+ Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised language with assigned MHI attorney.
+ Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate Network Management and legal.
+ Educates internal customers on provider contracts.
+ Participates on the management team and other committees addressing the strategic goals of the department and organization.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience.
**Required Experience**
5-7 years
**Preferred Education**
Graduate degree
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.