- REMOVERY LLC (Grandview Heights, OH)
- …include administering safe laser treatments, educating clients on the removal process, and overseeing various laser and operational activities. We are seeking a ... About Removery: Join us at Removery - the global leader in laser tattoo removal. We aim to normalize tattoo removal and empower people to feel comfortable in their skin. We provide the highest quality of service and care at every stage of our clients' removal… more
- CVS Health (Columbus, OH)
- …Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for ... Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. + Proven ability to… more
- CVS Health (Columbus, OH)
- …Transformative role for accounting professionals looking for growth and progression opportunities in a large public Company. This role provides exposure to a vast ... At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans… more
- CVS Health (Columbus, OH)
- …The Pharmacy Program Manager is an individual contributor (non-people manager) role. This is a remote role requiring a HIPAA-compliant workspace and is open to ... qualified candidates within the United States. Usual working hours are 8:00am-5:00 pm or 9:00am-6:00 pm in the time zone of residence, per business needs. There are no weekends or corporate holidays expected with this role. Minimal travel (less than 10%) is… more
- CVS Health (Columbus, OH)
- …_Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours._ + Utilizes clinical experience and skills in a ... collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members. + Gathers clinical information and applies the appropriate clinical criteria/guideline, policy,… more
- CVS Health (Columbus, OH)
- …Working knowledge of problem solving and decision making skills. Working knowledge of medical terminology. Working knowledge of digital literacy skills. Ability to ... deal tactfully with customers and community. Ability to handle sensitive information ethically and responsibly. Ability to consider the relative costs and benefits of potential actions to choose the most appropriate option. Ability to function in clinical… more
- CVS Health (Columbus, OH)
- …Include: + Defining specifications and documentation for rating methodology changes + Testing and sign-off for ERNIE system enhancements + Creating exhibits to ... demonstrate rating method results for regulatory/underwriting inquiries + Investigating historical pricing practices across national commercial large group business + Assessing claim impact of benefit relativity changes Technical Responsibilities Include: +… more
- CVS Health (Columbus, OH)
- …Reviews, analyzes, negotiates, and executes complex Medicaid contracts with health systems, physician groups, and behavioral health providers in accordance with ... company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and financial goals and cost initiatives. Collaborates cross-functionally to develop provider compensation and pricing strategies and… more
- CVS Health (Columbus, OH)
- …+ 7+ Years of Asset Management Experience - Subject Matter Expert of Hardware Asset Management Practices. + 5+ years of experience working with internal and/or ... At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans… more
- CVS Health (Columbus, OH)
- …The **Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes clinical skills to coordinate, document, and communicate all aspects of the ... utilization/benefit management program. **Job Duties include (but are not limited to):** + Applies critical thinking and knowledge in clinically appropriate treatment, evidence-based care, and medical necessity criteria for appropriate utilization of services.… more
- CVS Health (Columbus, OH)
- …Defines operational activities and executes on strategic direction related to Cyber Resiliency for CVS Health's Digital, Data, Analytics & Technology (DDAT) ... Cybersecurity GRC team, guiding colleagues in facilitating cyber resiliency activities across the enterprise. Manages, develops and implements procedures, controls, and reporting to ensure compliance with NIST Cyber resiliency frameworks. Consults on efforts… more
- CVS Health (Columbus, OH)
- …**This is a remote work from home role anywhere in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a ... At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans… more
- CVS Health (Columbus, OH)
- …We're seeking a Data Engineer to design and implement data pipelines that power analytical capabilities. This hands-on role requires an understanding of data ... At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans… more
- CVS Health (Columbus, OH)
- …**This is a remote position, the working schedule is** **9:30am-6pm CST/ EST. Please note no schedule or break changes will be allowed.** The Health Survey Specialist ... plays a critical role within the DSNP team. The Health Survey Specialist outreaches DSNP members via phone to introduce the DSNP services and complete the Health Risk Assessment (HRA). The HRA is the first step in creating the member's Individualized Care Plan… more
- CVS Health (Columbus, OH)
- …Aetna, a CVS Health company, is the nation's premier health innovation company helping people on their path to better health. We are building a new health care model ... that is easier to use, less expensive, and puts the consumer at the center of their care. Aetna's Medicare Stars Team is growing and expanding! This is exciting opportunity to join a high performing, collaborative team as a Data Scientist. This individual will… more
- CVS Health (Columbus, OH)
- …Our preference for qualified candidates is in either Missouri, Illinois, Indiana, Ohio or Kansas for this remote/hybrid opportunity . Develops and implements account ... At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans… more
- CVS Health (Columbus, OH)
- …This role is responsible for onboarding the complex/variable pharmacy needs of our diverse client base. You will be responsible for consulting the client on what ... products, solutions and strategy are most appropriate and viable for the plan design. This individual will be responsible for producing a world-class experience that helps retain and grow the MPS block of business. Strong communication and coordination with… more
- Chipotle Mexican Grill (Grandview Heights, OH)
- …include, but are not limited to: + Ensuring food quality by cooking and prepping food to order, and following kitchen procedures + Monitoring food waste and inventory ... levels, and resolving food quality issues + Supporting a strong team dynamic between back of house Crew and front of house Crew + Developing Crew members to be future Kitchen Leaders + Communicating with Crew members and customers effectively in order to… more
- Chipotle Mexican Grill (Grandview Heights, OH)
- …of this position require Service Leaders to be on their feet working while clocked in, unless on break. If they are not busy, they are expected to evaluate what other ... tasks need to be completed and assist others with those tasks. **WHAT YOU'LL DO** + In addition to following Chipotle's policies and procedures, principal responsibilities include, but are not limited to: + Making sure great tasting, high quality food is… more
- CVS Health (Columbus, OH)
- …The Senior Analyst, Account Management will serve as a fully dedicated advocate to senior employees and their families employed by a leading financial services ... company. **Key Responsibilities** + Serve as the main point of contact for senior leaders working closely with the Benefits team to ensure a seamless and high-quality Aetna experience. + Serve as a primary point of contact for member service inquiries. +… more