Develop health plan Network policies, procedures and goals as needed to align with the market requirements and CareSource strategy/model * Ensure budget and financial goals are set in conjunction ...
Develop health plan Network policies, procedures and goals as needed to align with the market requirements and CareSource strategy/model * Ensure budget and financial goals are set in conjunction ...
Cardiologist- Adult Congenital Heart Disease
Cleveland, OH · On-site
$271K - $339K/yr
Medical
Dental
Vision
Retirement
Cardiologist- Adult Congenital Heart Disease An opportunity to join Cleveland Clinic whom is ... Find out herehow great it is to live in Cleveland! Information for Candidates Candidates will only ...
Cardiologist- Adult Congenital Heart Disease
Cleveland, OH · On-site
$271K - $339K/yr
Medical
Dental
Vision
Retirement
Cardiologist- Adult Congenital Heart Disease An opportunity to join Cleveland Clinic whom is ... Find out herehow great it is to live in Cleveland! Information for Candidates Candidates will only ...
... model and seeking a Primary Care Nurse Practitioner to deliver personalized care to adult and geriatric patients in home and facility-based settings across the Greater Cleveland area. This is not ...
... model and seeking a Primary Care Nurse Practitioner to deliver personalized care to adult and geriatric patients in home and facility-based settings across the Greater Cleveland area. This is not ...
Sales Support, Clinical Specialist - VeriSight 3D ICE (Intracardiac Echo) (Toledo)
Toledo, OH · On-site
Retirement
PTO
... adult or pediatric echocardiography lab with relevant work experience within the IC/EP clinical ... You must live in or within commuting distance to Toledo. How we work together We believe that we ...
Sales Support, Clinical Specialist - VeriSight 3D ICE (Intracardiac Echo) (Toledo)
Toledo, OH · On-site
Retirement
PTO
... adult or pediatric echocardiography lab with relevant work experience within the IC/EP clinical ... You must live in or within commuting distance to Toledo. How we work together We believe that we ...
... adult or pediatric echocardiography lab with relevant work experience within the IC/EP clinical ... You must live in or within commuting distance to Toledo. How we work together We believe that we ...
... adult or pediatric echocardiography lab with relevant work experience within the IC/EP clinical ... You must live in or within commuting distance to Toledo. How we work together We believe that we ...
Are you 55 years or older and live in or around Cincinnati, Ohio? We are looking for Volunteers who ... AmeriCorps Retired and Senior Volunteer Program promotes volunteer opportunities for older adults ...
Are you 55 years or older and live in or around Cincinnati, Ohio? We are looking for Volunteers who ... AmeriCorps Retired and Senior Volunteer Program promotes volunteer opportunities for older adults ...
Ohio Shared Living Provider (Developmental Disabilities)
Newark, OH · On-site
$35K - $60K/yr
PTO
Shared Living Providers (Developmental Disabilities) Independent Contractors Must Live in Ohio - Work from Home ViaQuest is looking for Shared Living Caregivers to provide supportive homes for adults ...
Ohio Shared Living Provider (Developmental Disabilities)
Newark, OH · On-site
$35K - $60K/yr
PTO
Shared Living Providers (Developmental Disabilities) Independent Contractors Must Live in Ohio - Work from Home ViaQuest is looking for Shared Living Caregivers to provide supportive homes for adults ...
Ohio Shared Living Provider (Developmental Disabilities)
Mansfield, OH · On-site
$35K - $60K/yr
PTO
Shared Living Providers (Developmental Disabilities) Independent Contractors Must Live in Ohio ViaQuest is looking for Shared Living Caregivers to provide supportive homes for adults with ...
Ohio Shared Living Provider (Developmental Disabilities)
Mansfield, OH · On-site
$35K - $60K/yr
PTO
Shared Living Providers (Developmental Disabilities) Independent Contractors Must Live in Ohio ViaQuest is looking for Shared Living Caregivers to provide supportive homes for adults with ...
Ohio Shared Living Provider (Developmental Disabilities)
Newark, OH · On-site
$35K - $60K/yr
PTO
Shared Living Providers (Developmental Disabilities) Independent Contractors Must Live in Ohio - Work from Home ViaQuest is looking for Shared Living Caregivers to provide supportive homes for adults ...
Ohio Shared Living Provider (Developmental Disabilities)
Newark, OH · On-site
$35K - $60K/yr
PTO
Shared Living Providers (Developmental Disabilities) Independent Contractors Must Live in Ohio - Work from Home ViaQuest is looking for Shared Living Caregivers to provide supportive homes for adults ...
Ohio Shared Living Provider (Developmental Disabilities)
Cincinnati, OH · On-site
$35K - $60K/yr
PTO
Shared Living Providers (Developmental Disabilities) Independent Contractors Must Live in Ohio - Work from Home ViaQuest is looking for Shared Living Caregivers to provide supportive homes for adults ...
Ohio Shared Living Provider (Developmental Disabilities)
Cincinnati, OH · On-site
$35K - $60K/yr
PTO
Shared Living Providers (Developmental Disabilities) Independent Contractors Must Live in Ohio - Work from Home ViaQuest is looking for Shared Living Caregivers to provide supportive homes for adults ...
Ohio Shared Living Provider (Developmental Disabilities)
Mansfield, OH · On-site
$35K - $60K/yr
PTO
Shared Living Providers (Developmental Disabilities) Independent Contractors Must Live in Ohio ViaQuest is looking for Shared Living Caregivers to provide supportive homes for adults with ...
Ohio Shared Living Provider (Developmental Disabilities)
Mansfield, OH · On-site
$35K - $60K/yr
PTO
Shared Living Providers (Developmental Disabilities) Independent Contractors Must Live in Ohio ViaQuest is looking for Shared Living Caregivers to provide supportive homes for adults with ...
Ohio Shared Living Provider (Developmental Disabilities)
Mount Vernon, OH · On-site
$35K - $60K/yr
PTO
Shared Living Providers (Developmental Disabilities) Independent Contractors Must Live in Ohio - Work from Home ViaQuest is looking for Shared Living Caregivers to provide supportive homes for adults ...
Ohio Shared Living Provider (Developmental Disabilities)
Mount Vernon, OH · On-site
$35K - $60K/yr
PTO
Shared Living Providers (Developmental Disabilities) Independent Contractors Must Live in Ohio - Work from Home ViaQuest is looking for Shared Living Caregivers to provide supportive homes for adults ...
Ohio Shared Living Provider (Developmental Disabilities)
Mount Vernon, OH · On-site
$35K - $60K/yr
PTO
Shared Living Providers (Developmental Disabilities) Independent Contractors Must Live in Ohio - Work from Home ViaQuest is looking for Shared Living Caregivers to provide supportive homes for adults ...
Ohio Shared Living Provider (Developmental Disabilities)
Mount Vernon, OH · On-site
$35K - $60K/yr
PTO
Shared Living Providers (Developmental Disabilities) Independent Contractors Must Live in Ohio - Work from Home ViaQuest is looking for Shared Living Caregivers to provide supportive homes for adults ...
Ohio Shared Living Provider (Developmental Disabilities)
Cincinnati, OH · On-site
$35K - $60K/yr
PTO
Shared Living Providers (Developmental Disabilities) Independent Contractors Must Live in Ohio - Work from Home ViaQuest is looking for Shared Living Caregivers to provide supportive homes for adults ...
Ohio Shared Living Provider (Developmental Disabilities)
Cincinnati, OH · On-site
$35K - $60K/yr
PTO
Shared Living Providers (Developmental Disabilities) Independent Contractors Must Live in Ohio - Work from Home ViaQuest is looking for Shared Living Caregivers to provide supportive homes for adults ...
We are seeking an autonomous and compassionate clinician with a background in geriatric, adult, or ... based model that minimizes administrative overhead. You will be part of a supportive ...
We are seeking an autonomous and compassionate clinician with a background in geriatric, adult, or ... based model that minimizes administrative overhead. You will be part of a supportive ...
Part Time Nurse Practitioner- Stow, OH
Marion, OH · On-site
Medical
Dental
Vision
Retirement
PTO
Our innovative business model focuses on delivering advanced practice nursing care directly within ... The ideal candidate is an autonomous clinician with a strong background in geriatric, adult, or ...
Part Time Nurse Practitioner- Stow, OH
Marion, OH · On-site
Medical
Dental
Vision
Retirement
PTO
Our innovative business model focuses on delivering advanced practice nursing care directly within ... The ideal candidate is an autonomous clinician with a strong background in geriatric, adult, or ...
We are seeking an autonomous clinician with a strong background in geriatric, adult, or family ... based model. By eliminating administrative overhead, you can focus entirely on patient care. You ...
We are seeking an autonomous clinician with a strong background in geriatric, adult, or family ... based model. By eliminating administrative overhead, you can focus entirely on patient care. You ...
Home Health Aides
Cincinnati, OH · On-site
$14 - $18/hr
Medical
PTO
... adults continue to live in their homes across SouthWest Ohio and Northern Kentucky. We are an alternative or complement to assisted living facilities and nursing homes. Our caring and experienced ...
Home Health Aides
Cincinnati, OH · On-site
$14 - $18/hr
Medical
PTO
... adults continue to live in their homes across SouthWest Ohio and Northern Kentucky. We are an alternative or complement to assisted living facilities and nursing homes. Our caring and experienced ...
Direct Support Professional - Facilities
Cincinnati, OH · On-site
$16/hr
Medical
Dental
Vision
Retirement
PTO
We empower children and adults with disabilities, military veterans, and people facing disadvantages in our region to live full and meaningful lives. Our programs are designed to meet individuals ...
Direct Support Professional - Facilities
Cincinnati, OH · On-site
$16/hr
Medical
Dental
Vision
Retirement
PTO
We empower children and adults with disabilities, military veterans, and people facing disadvantages in our region to live full and meaningful lives. Our programs are designed to meet individuals ...
Geriatrics Physician
Cleveland Heights, OH · On-site
$198K - $232K/yr
Medical
PTO
Experience working with older adult populations is strongly preferred We offer a highly competitive ... It's consistently ranked as one of the best places to live in the United States. We have ...
Geriatrics Physician
Cleveland Heights, OH · On-site
$198K - $232K/yr
Medical
PTO
Experience working with older adult populations is strongly preferred We offer a highly competitive ... It's consistently ranked as one of the best places to live in the United States. We have ...
Live In Adult Diaper Model information
What is a live in adult diaper model?
What are the key skills and qualifications needed to thrive as a live in adult diaper model?
What are some typical challenges faced by live in adult diaper models during extended assignments?
What are the most commonly searched types of Adult Diaper Model jobs in Ohio?
The most popular types of Adult Diaper Model jobs in Ohio are:
What are popular job titles related to Live In Adult Diaper Model jobs in Ohio?
For Live In Adult Diaper Model jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Live In Adult Diaper Model jobs in Ohio look for?
The top searched job categories for Live In Adult Diaper Model jobs in Ohio are:
What cities in Ohio are hiring for Live In Adult Diaper Model jobs?
Cities in Ohio with the most Live In Adult Diaper Model job openings:
Full-time
Re-posted 3 days ago
CareSource rating
7.7
Based on 28 frontline employees who took The Breakroom Quiz
205th of 310 rated insurance
Job description
The Associate Vice President, Provider Contracting, Network and Relations informs decision-making around payer and provider best practices related to innovating, supporting and empowering providers in the pursuit of delivering person-centered and high-quality care to members. Oversees CareSource's strategic design, implementation, and evaluation of provider contracting, network and relations to proactively support provider engagement and operational performance.
Essential Functions:
- Lead Ohio Department of Medicaid (ODM) contractual requirements, such Network Development Management Plan (NDMP), Network adequacy, Provider Engagement and Education.
- Oversight of Provider's operational strategy for Ohio. Ensure evaluation and outcomes and alignment across senior leaders to ensure Provider contracting, network and relations are measurable and part of an overall cohesive data informed strategy that ensures overall quality, financial and compliance with State and Federal requirements.
- Oversee collaboration with market and enterprise workgroups to ensure alignment and overall implementation of Ohio strategy, including committees such as Provider Advisory Committee, NDMP Committee, Enterprise Provider Reimbursement Committee, MCA Committee, and others as needed to support the Ohio Provider Network.
- Represent Ohio Market Leadership as panelist and subject matter expert
- Collaborate with the Ohio Executive team to ensure provider contracting and engagement performance related to CareSource enterprise and Market strategies, contractual, policy, and state/federal programs.
- Build, maintain and improve all structure and processes necessary to assure impeccable regulatory record, achievement of goals and consistency from market-to-market and product-to-product.
- Collaborate, innovate and support provider approaches to address contract compliance, industry supported contract requirements and financial alignment.
- Coordinate and collaborate with providers, local and state government, community-based organizations, Ohio Department of Medicaid (ODM), and other ODM-contracted managed care entities to support a strong provider network.
- Ensure that efforts addressed at improving provider engagement, satisfaction and contractual performance are designed collaboratively with other ODM and ODM contracted managed care entities to have a collective impact for the population and that lessons learned are incorporated into future decision-making.
- Collaborate with Enterprise and Market leadership on the development of overall program strategy and business objectives with respect to Providers.
- Foster external and internal intra/inter departmental relationships with hospitals, physicians, community agencies, trade associations and key vendors
- Collaborate with Provider Relations and Community Stakeholders to facilitate access, address barriers to care and improve coordination that support health care outcomes.
- Develop health plan Network policies, procedures and goals as needed to align with the market requirements and CareSource strategy/model
- Ensure budget and financial goals are set in conjunction with the Ohio Market executive team.
- Monitor health plan Network budgets; describe variance detail monthly with effective action plans.
- In collaboration with Consumer Experience Team, monitor and analyze member satisfaction surveys to identify and develop appropriate action plans with reporting activities as needed.
- Produce team results that demonstrate engagement rates, low Grievances & Appeals, Continuous Improvement, Human Capital metrics that demonstrate leadership behavior is supporting improved outcomes, positive culture and consumer experience.
- Develop and maintain an in-depth knowledge of the company's business, regulatory environments and high-level of Health plan knowledge.
- Consults across Markets to engage in collaborative improvement activities including program planning, analytic review, and communication.
- Perform any other job duties as requested.
Education and Experience:
- Bachelor of Science/Arts Degree or equivalent years of relevant work experience is required.
- Master's degree in business or health care preferred
- A minimum of ten (10) years of experience in health care external stakeholder and community program support, project and program management; complex business processes, strategic and business planning or related is required.
- A minimum of three (3) years of prior management experience is required
Competencies, Knowledge and Skills:
- Proficient in Microsoft Excel, Word, PowerPoint and Excel
- Critical listening and systematic thinking skills
- Planning, problem identification and resolution skills
- Business process/management skills
- Strong financial background
- Ability to maintain confidentiality and act in the company's best interest
- Strong oral, written, and interpersonal communication skills
- Excellent leadership, management and supervisory skills and experience
- Energetic, enthusiastic, and politically astute
- Ability to act with diplomacy and sensitivity to cultural diversity
- Responsive to a changing environment
- Strategic deployment and management skills
- Conflict resolution skills
- Knowledge of regulatory reporting and compliance requirements
- Proficiency with provider engagement, performance improvement and operations
- Ability to work with multi-disciplinary departments across the organization
- Demonstrated ability to develop, prioritize and accomplish goals
- Strong interpersonal skills and high level of professionalism
- Ability to work independently and within a team environment
Licensure and Certification:
- Employment in this position is conditional pending successful clearance of a driver's license record check. If the driver's license record results are unacceptable, the offer will be withdrawn or, if you have started employment in this position, your employment in this position will be terminated
- To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 - March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.
- CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process.
Working Conditions:
- General office environment; maybe required to sit/stand for long periods of time
- Travel may be required to travel 25% to 50% of the time to perform work duties; a valid driver's license, car and automobile insurance are necessary for work-related travel
Compensation range $150,000-$300,000. CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
- Fostering a Collaborative Workplace Culture
- Cultivate Partnerships
- Develop Self and Others
- Drive Execution
- Energize and Inspire the Organization
- Influence Others
- Pursue Personal Excellence
- Understand the Business
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
#LI-SW2
What CareSource employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About CareSource
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Dayton, OH, US
Year founded
1989