- Parexel (Columbus, OH)
- …We are seeking a dynamic and experienced Data Management Lead to join our team . If you have a passion for clinical research, strong project management ... Science, OR equivalent industry experience. + 7+ years experience in pharmaceutical/biotech clinical data management / Biometrics ( clinical trial data… more
- Battelle Memorial Institute (Columbus, OH)
- …line is seeking a highly motivated, full-time **Neuropsychologist** to join our team in support of our government customer, US Special Operations Command. This ... and consultation services, contributes to the development and implementation of clinical programs, and collaborates with multidisciplinary teams to advance patient… more
- Battelle Memorial Institute (Columbus, OH)
- …a highly motivated, full-time **Psychological/Mental Health Technician** to join our team in support of our government customer, US Special Operations Command. ... Health Technician will require performing a variety of administrative and clinical tasks, including data collection, report preparation, and coordination of… more
- Battelle Memorial Institute (Columbus, OH)
- …Safety Level 3 (BSL-3) laboratories. + Process tissues for the histopathology team following established SOPs and safety protocols; cross-train in histology (eg, ... and space. + Inventory, ordering and receipt of supplies. + Waste management , operation of autoclaves, preparation of bleach and other decontamination solutions. +… more
- CVS Health (Columbus, OH)
- …promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team **Position Summary** The ... a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective...projects. Acting as the first point of contact for clinical issues, the Team Lead provides guidance… more
- Cognizant (Columbus, OH)
- …considered** + Educational background - Registered Nurse (RN) + 2-3 years combined clinical and/or utilization management experience with managed health care ... You will be a valued member of the Cognizant team and work collaboratively with stakeholders and other teams....care revenue cycle or clinic operations + Experience in utilization management to include Clinical … more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...to work independently under general instructions and with a team + Must be passionate about contributing to an… more
- Molina Healthcare (Columbus, OH)
- Molina Healthcare is hiring for a remote Pharmacist in our Utilization Management department. This role is 100% remote. The Pharmacist, UM will provide support ... initiatives under the direction of leadership. + Monitors drug utilization and assist leadership team in understanding...in applicable state(s). * Current knowledge and expertise in clinical pharmacology and disease management . + Ability… more
- Highmark Health (Columbus, OH)
- …and financial stakeholders **Preferred** + Experience with medical policy and utilization management functions + Medical coding experience **LICENSES or ... Utilize robust, data-driven insights from complex healthcare datasets (eg, claims, clinical , utilization , pharmaceutical) to inform policy development, identify… more
- Elevance Health (Columbus, OH)
- …The ** Clinical Pharmacist** is responsible for managing the selection and utilization of pharmaceuticals and supports core clinical programs such as DUR, ... **Be Part of an Extraordinary Team ** CarelonRx is a proud member of the...By leveraging the power of new technologies, our strong, clinical -first lens and deep pharmacy expertise, we are actively… more
- Prime Therapeutics (Columbus, OH)
- … clinical programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug therapy related products and ... **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account Director is responsible for the management of all client… more
- Trinity Health (Columbus, OH)
- …Experience: Minimum of 5 years acute care medical or surgical experience required; Utilization /Case Management , managed care, or Clinical Documentation and ... related to specific documentation requirements. + Collaborates with the multi-disciplinary team , including physicians, patient care services, case management ,… more
- CenterWell (Columbus, OH)
- …community and help us put health first** The Senior Product Owner - Clinical Referral and Specialty Care is responsible for conveying product vision and roadmap ... to an Agile delivery team by defining user stories and prioritizing product backlog....and prioritizing product backlog. The Senior Product Owner - Clinical Referral and Specialty Care work assignments involve moderately… more
- Hologic (Columbus, OH)
- …analyze, track activity, and provide accurate forecasts. + Leverage internal resource team across Clinical , Sales, Service, Technology and National Accounts to ... Radiology Clinical Account Manager - Columbus, OH Columbus, OH,...this role, you will also build strong relationships with team members and customers - working to uncover and… more
- Prime Therapeutics (Columbus, OH)
- …and timely fashion. + Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancement). + Identifies opportunities for ... visa or residency sponsorship **Additional Qualifications** + 3-5 years' experience in clinical operations, quality, network, pharmacy or project management OR a… more
- Evolent (Columbus, OH)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks ... independent nursing judgement and decision-making, physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse… more
- Canon USA & Affiliates (Columbus, OH)
- …Complete Alerts and PCR's when applicable. + Provide mid-week update to Applications Management and local Canon Team . **QUALIFICATIONS** + Excellent project ... **XR Clinical Applications Specialist - req1569** **OVERVIEW** This position...and technologists at each location to assure their best utilization of CMSU products and services. + Consult with… more
- Humana (Columbus, OH)
- …to deliver exceptional, person-centered support to members through role-specific care and utilization management activities. This is an opportunity to foster ... caring community and help us put health first** At Humana, our Medicaid Clinical Enablement team is dedicated to designing, developing, and implementing… more
- Evolent (Columbus, OH)
- … Reviewer, Interventional Pain Management , you will be a key member of the utilization management team . We can offer you a meaningful way to make ... You Will Be Doing:** + Serve as the Physician Clinical Reviewer for Interventional Pain Management , reviewing...selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with… more
- Humana (Columbus, OH)
- …Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a medical ... Lead Medical Director, depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by… more
