- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support ... quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- CVS Health (Columbus, OH)
- …robin based on "same or similar specialty " needs. * Pharmacy coverage - The medical director will perform pharmacy reviews. * The medical director ... services to its membership. Aetna is looking for a medical director to be part of a...DO; Board certification in an ABMS or AOA recognized specialty is required. Active and current state medical… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… more
- Evolent (Columbus, OH)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...of age). + Board Certified in an approved ABMS Medical Specialty with continued certification throughout employment.… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… more
- CVS Health (Columbus, OH)
- …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... Management staff ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for… more
- Evolent (Columbus, OH)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , you will be a key member of the utilization management team. ... timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to...+ Current, unrestricted clinical license in medicine or required specialty - + Obtaining and maintaining medical licenses… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The ... Corporate Medical Director works on problems of diverse scope and complexity...of assignment + Board Certified in an approved ABMS Medical Specialty + Excellent communication skills +… more
- Trinity Health (Grove City, OH)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Director of Medical Education** **Position Purpose:** The Director of Medical ... System. The DME is a primary liaison with administrative leaders, the medical staff, affiliated training institutions on matters relating to graduate medical… more
- Highmark Health (Columbus, OH)
- …Doctor of Osteopathic Medicine (DO) + Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the ... American Osteopathic Association Specialty Certifying Boards + Active medical state licensure required. Additional specific state licensure(s) may be required… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medical Director 's primary responsibility is the review of medical authorizations ... necessity of a given service, level of care, or medical item/supply. The Medical Director 's...DO degree + Board Certified in an approved ABMS Medical Specialty + Excellent communication skills with… more
- Cardinal Health (Columbus, OH)
- …& Operations Support Specialist contributes to Cardinal Health_** Reporting to the Director of Specialty Pharmacy Operations, the Specialty Pharmacy ... experience in helping hundreds of hospital, outpatient, clinic, and specialty pharmacies, we provide access to best practice strategies...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… 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
- Cardinal Health (Columbus, OH)
- …support our goal of helping more patients get access to life changing specialty therapies. Additionally, the Director will develop and maintain transparent, ... **Position Summary:** Sonexus (TM) is seeking an experienced and motivated ** Director , Access and Patient Support (APS)** to join and support our growing… more
- Cardinal Health (Columbus, OH)
- …team is passionate about helping oncology practices navigate the future. The Director , Business Development is responsible for driving complex, consultative sales of ... Alliance Development. **Responsibilities** + Grow Navista through strategic acquisition of specialty practices and expansion of existing practices through in market… more
- Trinity Health (Columbus, OH)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Director of Graduate Programs - Mount Carmel College of Nursing** **Position Purpose:** The ... Director of Graduate Programs provides leadership in the formulation,...license in the state of Ohio, a national advanced specialty certification, and an unrestricted APRN license in the… more
- Sumitomo Pharma (Columbus, OH)
- …. **Job Overview** Director , MSL Lead, Oncology ... position leads, directs, coordinates, and supports the activities of the Field Medical Science Liaisons (MSLs) within the specified region to achieve clinical,… more
- Cardinal Health (Columbus, OH)
- **Position Summary:** Sonexus (TM) Access and Patient Support is seeking a ** Director of Data & Advanced Analytics** to join and support our growing organization. ... focuses on advancing initiatives that improve patient access to life-changing specialty medications. The role is responsible for defining, developing, and delivering… more
- Elevance Health (Columbus, OH)
- …care. CarelonRx's Pharmaceutical Rebates Org is looking to hire a ** Director , Formulary Strategy Development.** This high-performing individual contributor will play ... external stakeholders to drive formulary strategy and rebate optimization. This Director will collaborate with cross-functional partners to identify and unlock new… more