- Humana (Columbus, OH)
- …work East Coast hours. Please see position requirements for licensing details.** The LTSS Reviewing Medical Director actively uses their medical ... how to operationalize this knowledge into their daily work. The LTSS Reviewing Medical Director 's work includes computer-based review of moderately complex… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests ... for services. The Medical Director work assignments involve moderately complex...clinical standards, and (in some cases) contracts. Primary work reviewing prior-authorization reviews as well as some claims and… more
- Centene Corporation (Columbus, OH)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... implementation of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies… more
- Sumitomo Pharma (Columbus, OH)
- …. **Job Overview** The ** Director , Medical Strategy ... (Prostate Cancer)** will be a key member of the Medical Affairs team reporting to the Executive Director...**Key Core Competencies** + Strategic thinking, critical analysis and reviewing primary data to develop insights. + Ability to… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Director , Corporate Strategy, Long-Term Financial Planning oversees an organization's strategic and ... the development of long-term growth plans and profitability goals The Director , Corporate Strategy, Long-Term Financial Planning oversees an organization's strategic… more
- CVS Health (Columbus, OH)
- …the plan year. The **Medicare** **Benefits Standards & Guidance Lead Director ** ensures accountability for the implementation, management, and maintenance of the ... Plans (SNP) and Employer Groups. The **Medicare** **Benefits Standards & Guidance Lead Director ** acts as the point of contact to our corporate partners, such as… more
- Indeed (Columbus, OH)
- …(*Comscore, Total Visits, March 2024) **Day to Day** Start the day reviewing executive engagement metrics and prioritizing high-impact opportunities. Meet with the ... to support Indeedians, as well as their pets, kids, and partners including medical , dental, vision, disability and life insurance. Indeedians are able to enroll in… more
- Select Medical (Columbus, OH)
- **Overview** **OhioHealth Rehabilitation Hospital** A joint venture with Select Medical & OhioHealth Columbus, OH **Pharmacist** **per diem, coverage as needed** ... opportunities **Responsibilities** **Position Summary** Under the general supervision of the Director , the Pharmacist will be responsible for having a working… more
- Ryder System (Columbus, OH)
- …Responsibilities + Performs other duties as assigned. + Primary backup for the Director assisting as directed with claim assignments, reviewing and tracking all ... claims as well as insurance and contractual coverage issues. Assists Director in the identification of exposures, recommends solutions, promotes loss prevention… more
- CVS Health (Columbus, OH)
- …and arranges for health care service delivery under the direction of nurse or medical director in the most appropriate setting at the most appropriate expense ... a caseload. The Care Management Associate supports comprehensive coordination of medical services including Care Team intake, screening and supporting the… more
- CVS Health (Columbus, OH)
- …and arranges for health care service delivery under the direction of nurse or medical director in the most appropriate setting at the most appropriate expense ... a caseload. The Care Management Associate supports comprehensive coordination of medical services including Care Team intake, screening and supporting the… more
- Intermountain Health (Columbus, OH)
- …with all research billing regulations and policies. This role involves reviewing research billing plans, overseeing the billing process for research studies, ... of Research, research teams and billing departments. This position reports to the Director of the Human Research Protection Program. For this role we are… more
- Walmart (Grove City, OH)
- …meet business demands. + You can monitor and manage productivity by preparing, reviewing , and analyzing business reports. + You ensure compliance with Logistics and ... benefits for a happier mind, body, and wallet. Health benefits include medical , vision and dental coverage. Financial benefits include 401(k), stock purchase and… more
- City of Columbus (Columbus, OH)
- …+ Experience managing vendor contracts as part of the project, including reviewing and assessing vendor statements of work, assuring contractual requirements are ... integration and implementation of Enterprise information technology projects; Keeps the Director informed of all situations relating to or impacting successful… more
- Cardinal Health (Columbus, OH)
- …**_Responsibilities_** + Primary focus will be supporting 3PL Partners within the Medical Segment. + Manages internal Quality Assurance policies and programs to set ... & Drugs Act, Good Manufacturing Practice, and a variety of regulations related to medical devices, natural health products, drugs, and consumer goods. + Leads a team… more
- Molina Healthcare (Columbus, OH)
- …with national quality and risk adjustment VPs, Regional Directors of Quality/Risk, Director of Value Based Programs, medical economics/actuaries and local health ... contracting are sufficient to meet requirements. + Responsible for reviewing internal dashboard of Value Based Programs & Contracts...HEDIS and STARS, knowledge of coding + Knowledge of medical economics and financial reporting. Must be able to… more
- Unilever (Grove City, OH)
- …job descriptions for FC + Work with Sr. PBP and Operations Manager/ Director on reviewing current headcount needs, career mapping/planning. Identify gaps ... Bonus **BENEFITS:** + Comprehensive benefit plans with low premium options, including medical , dental and vision coverage, along with supplemental coverage options +… more
- RES (Columbus, OH)
- …the change management process. + Supports Subcontractor Change Management by reviewing subcontractor changes and assessing impact to overall budget and forecast. ... project execution plan. **Assists with Client Relationship Management:** + Assists Construction Director and Project Manager in client negotiations as they relate to… more