Post job

Enrollment manager entry level jobs - 11 jobs

  • Provider Contracts Manager

    Molina Healthcare 4.4company rating

    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: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-155.5k yearly 57d ago
  • Job icon imageJob icon image 2

    Looking for a job?

    Let Zippia find it for you.

  • Student Enrollment Coordinator - IDEA Cincinnati (General Applicant Pool)

    Idea Public Schools 3.9company rating

    Cincinnati, OH

    This job posting is not for any specific role that is currently open. Instead, applying to this posting allows IDEA to gather your information and assess your fit and move quickly once our team identifies an available opportunity for the 2026-2027 Academic Year with an intended start in July 2026. Please continue to monitor our Career Site and apply to any current vacancies that match your interests. Role Mission: The mission of the Student Enrollment Coordinator is to ensure the achievement of campus enrollment and student persistence goals by effectively managing the enrollment process. This includes planning and executing targeted recruitment strategies, engaging with the community, and fostering relationships with prospective and current families. The Student Enrollment Coordinator will maintain high standards of compliance and data integrity, provide exceptional customer service, and support families through the registration and re-registration processes. By promoting IDEA Public Schools and its programs, the Student Enrollment Coordinator will help build a strong, engaged school community and ensure a seamless onboarding experience for new students and families. The Student Enrollment Coordinator will also participate in all campus, regional, and national operating mechanisms. Location: This is a full-time on-site position located in (Region). Preference will be given to candidates who live in (Region), or who are willing to relocate. Travel Expectations: Ability to travel up to 80% of the time by car during the busiest parts of the year. What We Offer Compensation: Starting compensation for this role is set at an hourly rate typically ranging between $18.49 for 0 years of experience and $23.11, commensurate with experience. Other Benefits: We offer a comprehensive benefits plan, covering the majority of the employee premium for the base medical plan and subsidizing the majority of costs for a spouse/domestic partner and children. Some of the special benefits we offer at IDEA include: Paid Family Leave: Eligible staff may receive up to 8 weeks of paid leave for the birth or adoption of a child, based on their tenure with the organization and caregiver designation. Tuition Reimbursement: Staff members may apply for up to 50% of tuition paid toward a qualifying degree program, up to $5,250 maximum per year subject to manager discretion and budget availability. Employer-Paid Mental/Behavioral Health: 5 face-to-face counseling sessions within a year, unlimited 24/7 telephonic counseling, and other work-life services available at no cost. Other benefits include dental and vision plans, disability, life insurance, parenting benefits, generous vacation time, referral bonuses and professional development. IDEA may offer a relocation allowance to defray the cost of moving for this role, if applicable. What You'll Do - Accountabilities Essential Duties: Ensure campus enrollment targets are met by the 11th Day of School and maintain a solid waitlist after the lottery. Execute student recruitment strategies, attend community events, and conduct off-site presentations to various organizations. Organize and conduct cold calling campaigns, collaborate on recruitment events, and assist parents in completing applications. Establish recurring weekly campus tours, send “WELCOME” STREAM messages, and create monthly recruitment plans. Manage the re-registration process, follow up with families post-lottery, and develop a recapture campaign for withdrawn families. Oversee Welcome to IDEA orientation planning, Registration and Re-Registration process, provide high-quality onboarding for new families, and lead new student and parent interactions. Ensure rolling enrollment compliance, fill open seats by following the waitlist order, and maintain data integrity throughout the registration and re-registration process. Additional Duties and Responsibilities: This role follows a rotating, non-traditional schedule, including evenings, weekends, and select holidays, to better serve our communities and families. Required work schedule: 9:00am-6:00pm Tuesday to Saturday with occasional Sundays and holidays. Valid Texas Driver's License Required with a clear motor vehicle record Knowledge and Skills - Competencies Make Strategic Decisions: This individual is able to gather relevant information, consider various options, and make choices that are in line with their current responsibilities and the team's goals. Manage Work and Teams: This individual focuses on managing their own work effectively. They develop skills in time management, task prioritization, and self-organization, ensuring that they meet their personal objectives and contribute effectively to their teams. Grow Self and Others: This individual actively seeks feedback, embraces challenges as learning opportunities, and engages in professional development activities to enhance their own skills and performance. Build a Culture of Trust: This individual focuses on awareness of their own emotional states and biases. They practice transparency and honesty in their interactions, contributing positively to team morale and trust. Communicate Deliberately: This individual can express ideas clearly and listen actively. They practice direct communication in their daily interactions and can adjust message based on immediate feedback and audience understanding with support. Additional Skills: Student Recruitment and Strategic Outreach: Ability to develop and execute effective recruitment strategies targeting families with school-aged children. Community Engagement: Skilled in attending and creating community events, informational fairs, and off-site presentations to promote brand awareness. Public Speaking: Comfortable and effective in delivering presentations to various community organizations Marketing Campaign Development: Proficiency in creating and executing marketing campaigns to prospective families. Effective Communication: Strong verbal and written communication skills to engage with families through various platforms (calls, texts, emails, social media). Customer Service: Exceptional customer service skills to provide a positive experience for potential and current families Enrollment Process Management: Ability to manage the entire enrollment process, including fostering local interest, managing milestones, and ensuring compliance. Data Integrity: Attention to detail in maintaining accurate records and ensuring data integrity throughout the registration and re-registration processes. Compliance: Knowledge of and adherence to compliance expectations to secure personal student information. Relationship-Building: Ability to build and maintain strong relationships with internal and external stakeholders, including families, community organizations, and campus staff. Parent Engagement: Skilled in engaging with parents and families to support their children's education and ensure their persistence in the school. •Event Planning and Coordination: Expertise in planning and coordinating events such as campus tours, orientation sessions, and community engagement activities. Time Management: Ability to manage time effectively, especially when working a non-traditional schedule that includes evenings, weekends, and select holidays. Adaptability: Flexibility to adjust strategies and plans based on progress towards goals and changing circumstances. Problem-Solving: Strong problem-solving skills to address issues that arise during the enrollment process and ensure timely resolution. Data Entry and Computer Skills: Proficiency in data entry and using computer systems to manage enrollment data and communications. Knowledge of IDEA Public Schools: Familiarity with the IDEA Public Schools model and programs to effectively communicate with families. Goal-Driven and Data-Oriented: Motivated by achieving targets and using data to inform decisions and strategies. Self-Management: Ability to work independently and manage one's own workload and responsibilities. Bilingual (Preferred): Proficiency in English and Spanish to communicate effectively with a diverse family population. Required Experience: High School Diploma Licenses or Certifications: Valid Driver's License with a clear motor vehicle record At least (2) years of experience in sales, recruitment, admissions, or enrollment, preferably within an educational setting. Required work schedule: 9:00am-6:00pm Tuesday to Saturday with occasional Sundays and holidays Preferred experience: Bachelor's degree preferred but not required. K-12 education experience Bilingual: Proficiency in English and Spanish. Physical Requirements: The ability to sit, stand and walk for long periods of time. The ability to move safely over uneven terrain or in confined spaces. The ability to work in extreme weather. Bending, crawling, stooping, standing, vision, lifting, walking. Ability to carry up to 50lb We look for Team and Family who embody the following values and characteristics: Believes and is committed to our mission and being an agent of change: that all students are capable of getting to and through college Has demonstrated effective outcomes and results, and wants to be held accountable for them Has a propensity for action, willing to make mistakes by doing in order to learn and improve quickly Works with urgency and purpose to drive student outcomes Thrives in an entrepreneurial, high-growth environment; is comfortable with ambiguity and change Seeks and responds well to feedback, which is shared often and freely across all levels of the organization Works through silos and forges strong cross-departmental relationships in order to achieve outcomes We believe in education as a profession and hold ourselves to high level of conduct, professionalism and behaviors as models for our colleagues and students About IDEA Public Schools At IDEA Public Schools, we believe each and every child can go to college. Since 2000, IDEA Public Schools has grown from a small school with 150 students to a multi-state network of tuition-free, Pre-K-12 public charter schools. IDEA Public Schools boasts national rankings on The Washington Post and U.S. News & World Report's top high schools lists. IDEA serves over 80,000 college-bound students in 143 schools across Texas, Florida, Ohio, and is on-track to maintain its legacy of sending 100% of its graduates to college. When you choose to work at IDEA, you are part of our IDEA Team and Family. You will work alongside team members who set and reach ambitious goals every day, are excited to continue to grow with IDEA, and work relentlessly to make college for all a reality. At IDEA the Staff Culture and Belonging Team uses our Core Values to promote human connection and a culture of integrity, respect, and belonging for all Team and Family members. Learn more about our Commitment to Core Values here: **************************************************** To Apply Please submit your application online through Jobvite. It's in your best interest to apply as soon as possible. IDEA Public Schools does not discriminate on the basis of race, color, national origin, age, sex or disability, in admission or access to, or treatment of employment in its programs and activities. Any person having inquiries concerning the organization's compliance with the regulations implementing Title VI of Civil Rights Act of 1964 (Title VI), Section 504 of the Rehabilitation Act of 1973 (Section 504), or Title II of the Americans with Disabilities Act of 1990 (ADA), may contact IDEA Human Resources at **************.
    $18.5 hourly Auto-Apply 60d+ ago
  • HRIS Manager

    Area Temps 3.8company rating

    Cleveland, OH

    A local educational facility is seeking a HRIS Manager to join their team. Work hours are Monday through Friday from 8 a.m. to 5 p.m. Job Responsibilities: Manage day-to-day operations of the HR Data Center and serve as the primary point of contact for PSHR questions Troubleshoot HR, Payroll, Benefits, Student Employment, and Graduate Studies system issues and escalate to IST as needed Assist with required PS testing Manage PSHR organizational hierarchy, first-line security approvals, and other components impacting Payroll and Benefits Handle public records requests and internal ad hoc reporting Support Workday data verification, clean-up, and internal documentation updates
    $39k-66k yearly est. 5d ago
  • Custodial Contract Manager

    Goodwill Easter Seals Miami Valley 3.6company rating

    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.
    $35k-42k yearly est. 45d ago
  • Student Enrollment Coordinator - IDEA Price Hill (Immediate Opening)

    Idea Public Schools 3.9company rating

    Cincinnati, OH

    Description Role Mission: The mission of the Student Enrollment Coordinator is to ensure the achievement of campus enrollment and student persistence goals by effectively managing the enrollment process. This includes planning and executing targeted recruitment strategies, engaging with the community, and fostering relationships with prospective and current families. The Student Enrollment Coordinator will maintain high standards of compliance and data integrity, provide exceptional customer service, and support families through the registration and re-registration processes. By promoting IDEA Public Schools and its programs, the Student Enrollment Coordinator will help build a strong, engaged school community and ensure a seamless onboarding experience for new students and families. The Student Enrollment Coordinator will also participate in all campus, regional and national operating mechanisms. Location:This is a full-time on-site position located in (Region). Preference will be given to candidates who live in (Region), or who are willing to relocate. Travel Expectations: Ability to travel up to 80% of the time by car during the busiest parts of the year. What We Offer Compensation: Compensation for this role is set at an hourly rate ranging between $18.49 for 0 years of experience and $23.11 Other Benefits: We offer a comprehensive benefits plan, covering the majority of the employee premium for the base medical plan and subsidizing the majority of costs for a spouse/domestic partner and children. Some of the special benefits we offer at IDEA include: Paid Family Leave: Eligible staff may receive up to 8 weeks of paid leave for the birth or adoption of a child, based on their tenure with the organization and caregiver designation. Tuition Reimbursement: Staff members may apply for up to 50% of tuition paid toward a qualifying degree program, up to $5,250 maximum per year subject to manager discretion and budget availability. Employer-Paid Mental/Behavioral Health: 5 face-to-face counseling sessions within a year, unlimited 24/7 telephonic counseling, and other work-life services available at no cost. Other benefits include dental and vision plans, disability, life insurance, parenting benefits, generous vacation time, referral bonuses and professional development. IDEA may offer a relocation allowance to defray the cost of moving for this role, if applicable. What You'll Do - AccountabilitiesEssential Duties: Ensure campus enrollment targets are met by the 11th Day of School and maintain a solid waitlist after the lottery. Execute student recruitment strategies, attend community events, and conduct off-site presentations to various organizations. Organize and conduct cold calling campaigns, collaborate on recruitment events, and assist parents in completing applications. Establish recurring weekly campus tours, send “WELCOME” STREAM messages, and create monthly recruitment plans. Manage the re-registration process, follow up with families post-lottery, and develop a recapture campaign for withdrawn families. Oversee Welcome to IDEA orientation planning, Registration and Re-Registration process, provide high-quality onboarding for new families, and lead new student and parent interactions. Ensure rolling enrollment compliance, fill open seats by following the waitlist order, and maintain data integrity throughout the registration and re-registration process. Additional Duties and Responsibilities: This role follows a rotating, non-traditional schedule, including evenings, weekends, and select holidays, to better serve our communities and families. Required work schedule: 9:00am-6:00pm Tuesday to Saturday with occasional Sundays and holidays. Valid Texas Driver's License Required with a clear motor vehicle record Knowledge and Skills - Competencies Make Strategic Decisions: This individual is able to gather relevant information, consider various options, and make choices that are in line with their current responsibilities and the team's goals. Manage Work and Teams: This individual focuses on managing their own work effectively. They develop skills in time management, task prioritization, and self-organization, ensuring that they meet their personal objectives and contribute effectively to their teams. Grow Self and Others: This individual actively seeks feedback, embraces challenges as learning opportunities, and engages in professional development activities to enhance their own skills and performance. Build a Culture of Trust: This individual focuses on awareness of their own emotional states and biases. They practice transparency and honesty in their interactions, contributing positively to team morale and trust. Communicate Deliberately: This individual can express ideas clearly and listen actively. They practice direct communication in their daily interactions and can adjust message based on immediate feedback and audience understanding with support. Additional Skills: Student Recruitment and Strategic Outreach: Ability to develop and execute effective recruitment strategies targeting families with school-aged children. Community Engagement: Skilled in attending and creating community events, informational fairs, and off-site presentations to promote brand awareness. Public Speaking: Comfortable and effective in delivering presentations to various community organizations Marketing Campaign Development: Proficiency in creating and executing marketing campaigns to prospective families. Effective Communication: Strong verbal and written communication skills to engage with families through various platforms (calls, texts, emails, social media). Customer Service: Exceptional customer service skills to provide a positive experience for potential and current families Enrollment Process Management: Ability to manage the entire enrollment process, including fostering local interest, managing milestones, and ensuring compliance. Data Integrity: Attention to detail in maintaining accurate records and ensuring data integrity throughout the registration and re-registration processes. Compliance: Knowledge of and adherence to compliance expectations to secure personal student information. Relationship-Building: Ability to build and maintain strong relationships with internal and external stakeholders, including families, community organizations, and campus staff. Parent Engagement: Skilled in engaging with parents and families to support their children's education and ensure their persistence in the school. •Event Planning and Coordination: Expertise in planning and coordinating events such as campus tours, orientation sessions, and community engagement activities. Time Management: Ability to manage time effectively, especially when working a non-traditional schedule that includes evenings, weekends, and select holidays. Adaptability: Flexibility to adjust strategies and plans based on progress towards goals and changing circumstances. Problem-Solving: Strong problem-solving skills to address issues that arise during the enrollment process and ensure timely resolution. Data Entry and Computer Skills: Proficiency in data entry and using computer systems to manage enrollment data and communications. Knowledge of IDEA Public Schools: Familiarity with the IDEA Public Schools model and programs to effectively communicate with families. Goal-Driven and Data-Oriented: Motivated by achieving targets and using data to inform decisions and strategies. Self-Management: Ability to work independently and manage one's own workload and responsibilities. Bilingual (Preferred): Proficiency in English and Spanish to communicate effectively with a diverse family population. Required Experience: High School Diploma Licenses or Certifications: Valid Driver's License with a clear motor vehicle record At least (2) years of experience in sales, recruitment, admissions, or enrollment, preferably within an educational setting. Required work schedule: 9:00am-6:00pm Tuesday to Saturday with occasional Sundays and holidays Preferred experience: Bachelor's degree preferred but not required. K-12 education experience Bilingual: Proficiency in English and Spanish. Physical Requirements: The ability to sit, stand and walk for long periods of time. The ability to move safely over uneven terrain or in confined spaces. The ability to work in extreme weather. Bending, crawling, stooping, standing, vision, lifting, walking. Ability to carry up to 50lb We look for Team and Family who embody the following values and characteristics: Believes and is committed to our mission and being an agent of change: that all students are capable of getting to and through college Has demonstrated effective outcomes and results, and wants to be held accountable for them Has a propensity for action, willing to make mistakes by doing in order to learn and improve quickly Works with urgency and purpose to drive student outcomes Thrives in an entrepreneurial, high-growth environment; is comfortable with ambiguity and change Seeks and responds well to feedback, which is shared often and freely across all levels of the organization Works through silos and forges strong cross-departmental relationships in order to achieve outcomes We believe in education as a profession and hold ourselves to high level of conduct, professionalism and behaviors as models for our colleagues and students About IDEA Public Schools At IDEA Public Schools, we believe each and every child can go to college. Since 2000, IDEA Public Schools has grown from a small school with 150 students to a multi-state network of tuition-free, Pre-K-12 public charter schools. IDEA Public Schools boasts national rankings on The Washington Post and U.S. News & World Report's top high schools lists. IDEA serves over 80,000 college-bound students in 143 schools across Texas, Louisiana, Florida, Ohio, and is on-track to maintain its legacy of sending 100% of its graduates to college. When you choose to work at IDEA, you are part of our IDEA Team and Family. You will work alongside team members who set and reach ambitious goals every day, are excited to continue to grow with IDEA, and work relentlessly to make college for all a reality. At IDEA the Staff Culture and Belonging Team uses our Core Values to promote human connection and a culture of integrity, respect, and belonging for all Team and Family members. Learn more about our Commitment to Core Values here: **************************************************** To Apply Please submit your application online through Jobvite. It's in your best interest to apply as soon as possible. IDEA Public Schools does not discriminate on the basis of race, color, national origin, age, sex or disability, in admission or access to, or treatment of employment in its programs and activities. Any person having inquiries concerning the organization's compliance with the regulations implementing Title VI of Civil Rights Act of 1964 (Title VI), Section 504 of the Rehabilitation Act of 1973 (Section 504), or Title II of the Americans with Disabilities Act of 1990 (ADA), may contact IDEA Human Resources at **************.
    $18.5 hourly Auto-Apply 42d ago
  • Provider Contracts Manager

    Molina Healthcare 4.4company rating

    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: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-155.5k yearly 57d ago
  • Custodial Contract Manager

    Goodwill Easterseals Miami Valley 3.6company rating

    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.
    $35k-42k yearly est. 45d ago
  • Provider Contracts Manager

    Molina Healthcare 4.4company rating

    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: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-155.5k yearly 57d ago
  • Provider Contracts Manager

    Molina Healthcare 4.4company rating

    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: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-155.5k yearly 57d ago
  • Provider Contracts Manager

    Molina Healthcare 4.4company rating

    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: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-155.5k yearly 57d ago
  • Provider Contracts Manager

    Molina Healthcare 4.4company rating

    Ohio

    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: $80,168 - $155,508 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $80.2k-155.5k yearly 57d ago

Learn more about enrollment manager jobs