- Humana (Columbus, OH)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director actively uses their medical...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Columbus, OH)
- … medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative ... in teams focusing on quality management , utilization management , case management , discharge planning...on size of region or line of business. The Medical Director conducts Utilization Management … more
- Humana (Columbus, OH)
- …and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received ... reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those within the medical … more
- Highmark Health (Columbus, OH)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... delivery and complex case management for our community-based palliative care...leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP… more
- CVS Health (Columbus, OH)
- …will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a ... have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical… more
- Highmark Health (Columbus, OH)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan;...need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral… more
- Sanofi Group (Columbus, OH)
- **Job title** : Strategic Accounts Director - Vaccines, Mid Atlantic **Location:** Remote/Field **About the Job** The Strategic Accounts Director will lead a team ... awardees, and PBG's across the US. The Strategic Accounts Director will be responsible for achieving and driving sales...collaborating with HIT & Data Strategists to make the case for HIT optimizations/solutions, identifying HIT needs within the… more
- Sumitomo Pharma (Columbus, OH)
- …dynamic, highly motivated, and experienced individual for the position of **Associate Director , Strategic Sourcing - R&D and Supply Chain/TOQ.** The Associate ... Director Strategic Sourcing R&D and Supply Chain/Technical Operations &...opportunities. They must provide active category leadership and change management support that challenges traditional spending behavior, service level… more
- ChenMed (Columbus, OH)
- …expanding and we need great people to join our team. The Clinical Director will directly supervise and train primary care providers (PCPs) in his/her assigned ... needs, size of centers, patient membership, and Market Clinical Director direction. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Independently provides care for… more
- American Heart Association (Columbus, OH)
- …matters, and so does your career. We are currently hiring for a **Senior Development Director ** in our Columbus office. The Senior Director will serve in a ... local corporate sponsorships and individual donations. + Heavily engage in management of sophisticated Circle of Excellence/A-Level companies. + Guide and direct… more
- Trustmark (Columbus, OH)
- …experts in building partnerships with customers and with our employees. Regional Sales Director - Southern California We currently have a position open the in the ... Southern California Market for a Regional Sales Director (RSD). The Regional Sales Director (RSD) for Trustmark Voluntary Benefit Solutions division increases… more
- Elevance Health (Columbus, OH)
- …pharmacy care **.** Reporting to the VP, Product Strategy, The Product Innovation Director is responsible is to create an innovation pipeline of current and future ... and solutions to meet current and emerging needs of the Pharmacy Benefit Management (PBM) market. This leader will drive build, buy or partner decisions, based… more
- Bayer (Columbus, OH)
- …diverse minds to make a real difference, there's only one choice.** **Associate Director Regional Marketing - Prostate - Philadelphia - Ohio Valley** **Associate ... Director Regional Marketing - Prostate - Philadelphia - Ohio...responsible for activities across five key areas, in each case , acting as a champion to deliver brand communication… more
- Elevance Health (Columbus, OH)
- …**How you will make an impact:** + Oversee all investigations and overall case management . + Administer HR policies governing issues such as workplace ... ** Director Associate Relations** **Location:** This position will work...rules and conduct, effective complaint resolution/investigation, performance management issues, ensuring fair employment practices, corrective action/performance improvement,… more
- SitusAMC (Columbus, OH)
- …global but act local - come join our team! Job Profile Summary As the Sr Director of the Innovation team you will be at the forefront of developing cutting edge ... of industry and/or relevant experience, typically with 2+ years in a Senior Director level role or external equivalent. + Experience with the most current… more
- CVS Health (Columbus, OH)
- …quality management , service coordination, ambulatory care, community public health, case or care management , or coordinating care across multiple settings ... personal, convenient and affordable. **Position Summary** The Population Health (PH) Director is accountable for health care quality projects and initiatives through… more
- Bank of America (Westerville, OH)
- Relationship Account Director - Practice Solutions Chandler, Arizona;Westerville, Ohio **Job Description:** At Bank of America, we are guided by a common purpose to ... spread analysis, and appeals throughout credit continuum **Skills:** + Business Case Review + Portfolio Analysis + Relationship Building + Sales Performance… more
- Verint Systems, Inc. (Columbus, OH)
- …covering the four pillars. + Responsible for all aspects of leave management , 401(k), tuition reimbursement, paid time off, annual holiday schedules and worker's ... meetings with immigration counsel to review latest legal updates, trends and case highlights/movement. + Effectively manage a team of two senior benefits analysts… more
- CVS Health (Columbus, OH)
- …in accordance with the benefit plan. + Identifies triggers for referral into Aetna's Case Management , Disease Management , Mixed Services, and other Specialty ... care service delivery under the direction of nurse or medical director in the most appropriate setting...payment issues. Supports the administration of the hospital care, case management and quality management … more
- Gentiva (Columbus, OH)
- …and life more comfortable. We are searching for a Full Time RN Case Manager to provide support to Home Health patients.The **Registered Nurse** administers skilled ... direction and supervision of the Clinical Manager and the Case Manager. **As a Home Health RN Case...you will:** + Report directly to the Administrator, Executive Director or Patient Care Manager Senior and will maintain… more