- Guardian Life (Columbus, OH)
- **Position Summary** The RN Clinical Consultant serves as a clinical resource for the investigation and assessment of medical information regarding ... medical reviews and analysis of long-term disability claims. The RN Clinical Consultant identifies restrictions, limitations and duration impacting functional… more
- Highmark Health (Columbus, OH)
- …that are required to accelerate the achievement of goals related to clinical operations excellence and optimal, sustained patient care (as manifested by patient ... ensure all deliverables are met and provide on-going recommendations for clinical transformation and operational excellence that improves the provider opportunities… more
- Lincoln Financial Group (Columbus, OH)
- …a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for ... claims. In this role you will act as a clinical resource for Group Protection benefit specialists and claim.../ limitations and level of impairment * Identify pertinent clinical facts and answers questions in collaboration with benefits… more
- Trinity Health (Columbus, OH)
- **Employment Type:** Full time **Shift:** **Description:** **Physicians Relations Consultant ** **Position Purpose:** The Physician Relations Consultant serves as ... and the hospital. By building collaborative relationships, the Physician Relations Consultant works to achieve growth for the Regional Health Ministry (RHM),… more
- Gentiva (Marion, OH)
- …of clinical excellence with our hospice services **Hospice Care Consultant Requirements:** + Hospice heart: compassionate, kind and empathetic to your clients ... providing end of life solutions that are committed to clinical excellence, compassion and dignity when life matters most....dignity when life matters most. **As a Hospice Care Consultant , you will be eligible for:** + Competitive Pay… more
- Trinity Health (Columbus, OH)
- …what's truly important - our patients and the communities we serve. The Lactation Consultant , within the scope of the Ohio Nurse Practice Act, will provide care, ... to each person's physical, emotional, social and spiritual needs. The Lactation Consultant within the standards, policies, procedures and guidelines of Mount Carmel… more
- Norstella (Columbus, OH)
- Life Sciences Consultant Company: Dedham Group Location: Remote, United States Date Posted: Sep 6, 2024 Employment Type: Full Time Job ID: R-435 **Description** ... an influencer in our industry. At the interface of clinical , economic, and operational evolving needs, the Dedham Group...connect the dots from pipeline to patient. **About the Consultant role:** As a Consultant , you will… more
- Prime Therapeutics (Columbus, OH)
- …decision we make. **Job Posting Title** PBM Sr Business Intelligence Data Visual Consultant - Remote **Job Description** The Senior Data Visualization Consultant ... in the Health Outcomes, Pharmacy Audit, Pricing, Planning & Analysis, Clinical Operations, Operations Planning & Delivery, or PBM Operations departments Potential… more
- Pearl Interactive Network (Columbus, OH)
- …Interactive Network is seeking to hire Remote Triage Consultants.** The **Triage Consultant I (TC I)** is responsible for providing assistance, services, resources, ... according to contractual service standards. + Act as a clinical Point of Contact (POC) for the supervisors when...demonstrate knowledge of military culture. + Act as a clinical Point of Contact (POC) for the supervisors when… more
- Molina Healthcare (Columbus, OH)
- …analysis of markets and network initiatives. The Medical Economics Consultant manages conflicting priorities and multiple projects concurrently. Responsible for ... the results to senior leadership. Responsible for consulting with network and clinical management on opportunities to improve our company's discount position and… more
- Highmark Health (Columbus, OH)
- …include internal areas of the enterprise such as the strategic, financial, and clinical leadership of the enterprise, in addition to the multiple areas of health ... as a subject matter expert working in concert with provider relations and clinical transformation consultants to explain new programs and results to key provider… more
- Cardinal Health (Columbus, OH)
- …and Customer Success contributes to Cardinal Health_** Specialty Networks creates clinical & economic value for independent specialty providers & partners in ... co-manage with Customer Success Manager the Professional Services Portfolio ( Clinical Analyst outsourcing services, practice optimization, EMR workflow optimization,… more
- Vaco (Columbus, OH)
- …serving over 100 clients across the US **Job Summary** The Senior Epic Consultant is a key member of PivotPoint's Tier 2 Managed Service Division, responsible ... for configuring, managing and supporting clinical applications within the Epic electronic health record (EHR) software for healthcare clients. This role works… more
- HealthEdge Software Inc (Columbus, OH)
- **Overview** **Overview:** The Business Consultant leads and mentors the Service Delivery team in all Tier 1 (Basic) and Tier 2 (Intermediate) consulting ... designed to fuel a digital transformation, reduce costs, and improve both clinical outcomes and the member experience. **Who you are:** + **Creative entrepreneur.… more
- CVS Health (Columbus, OH)
- …to contracted Skilled Nursing (SNF) and Assisted Living (ALF) facilities. The Clinical Nurse Specialist/Infusion Educator for LTC (Long Term Care) will work ... the surrounding area and other states as needed. The Clinical Nurse Specialist/Infusion Educator LTC is responsible for the...tools and programs + Evaluate regulatory compliance and determine clinical education needs for our clients as it relates… more
- CVS Health (Columbus, OH)
- …RN and certified coder Responsible for the review and evaluation of clinical information and documentation related to SIU flagged providers. Reviews documentation ... and interprets data obtained from clinical records or systems and uses clinical decision-making to apply appropriate clinical criteria and policies in line… more
- CVS Health (Columbus, OH)
- …remote Work from home in CST zone. No travel is required. Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, ... options to facilitate appropriate healthcare services/benefits for members. Gathers clinical information and applies the appropriate clinical criteria/guideline,… more
- Evolent (Columbus, OH)
- …in Power BI, Excel, SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data + Using analytical tools to integrate ... various data sources to solve challenging analytical problems that align with key strategic objectives **Qualifications - Required and Preferred:** + 2 or more years of experience in a consulting or strategic analytics role + BS or BA in Business, Statistics,… more
- Veterans Affairs, Veterans Health Administration (Columbus, OH)
- …and home environments. The work environment may be in an office, clinical setting, classroom, private home, VA grounds, nursing home, community sites, and ... competence and performance necessary to provide independently the full range of clinical optometric diagnosis and treatment for all the most prevalent types of… more
- ChenMed (Columbus, OH)
- …rapidly expanding and we need great people to join our team. The Clinical Pharmacist specializing in Population Health is a skilled and proactive professional who ... needed. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Acts as a national pharmacy consultant for our physicians regarding patient case inquiries, drug interactions,… more