- AmeriHealth Caritas (Dublin, OH)
- ** Utilization Management Plan Oversight Manager (Ohio Resident)** Location: Dublin, OH Primary Job Function: Medical Management ID**: 37872 **Job ... Officer for the Ohio Market, this position is representing Utilization Management (UM) in state interactions/audits, validation... program. + Act as a primary liaison with plan providers including but not limited to physicians, hospital… more
- NiSource (Columbus, OH)
- …schedules, risk identification, and scope. + Coordinates business planning and Asset Management processes to ensure that utilization of the company's assets ... Remote **Job Summary** The Director of Gas Distribution Project Management is responsible for the safe execution of Gas...and technical skills are required. The Director will staff, plan , direct, control, and be responsible for the execution… more
- CVS Health (Columbus, OH)
- …Plan . * Serving as the chair or co-chair of the Utilization Management committee and of the OhioRISE Plan 's internal quality improvement committee. * Play ... minimum of 32 hours per week to the OhioRISE Plan 's operations to ensure clinical oversight and...management , and quality improvement components of the OhioRISE Plan . * Developing, implementing, and interpreting medical policies and… more
- Humana (Columbus, OH)
- …and processes. + Experience in the clinical health care space, such as utilization management , pharmacy, care management , behavioral health. + Proficiency ... suited for this role. The Associate Director, Medicaid Implementation (Business Project Management ) will provide oversight to the development of solutions to… more
- Battelle Memorial Institute (Columbus, OH)
- …Oversees development of major program plans covering the strategic business plan , technical content, program management best practices, program acquisition ... function of dollar volume or contract length. Provides successful leadership and management to programs with high client and/or Battelle impact and investment.… more
- Black & Veatch (Columbus, OH)
- … management of third-party administrators, consultants and various benefit plan providers + Design communication and educational plans to educate participants ... + Support CPO and Chair of Administrative Committee for Employee Benefits with oversight of quarterly retirement plan investment review, plan expenses… more
- CVS Health (Columbus, OH)
- …OhioRISE program. Health Services strategies, policies, and programs are comprised of utilization management , quality management , network management ... and clinical coverage and policies. The Manager is responsible for oversight and management of clinical team processes including the organization and development… more
- Verint Systems, Inc. (Columbus, OH)
- …of Job Function:** Responsible for the strategic direction, alignment, design and oversight of all benefit plans for US, Canada, Mexico and Brazil employees. ... ongoing analysis of the health benefits strategy - including plan design, pricing strategy, administration, compliance, communications, implementation and… more
- Prime Therapeutics (Columbus, OH)
- …Excellent verbal and written communication skills. + Knowledge of legislative/ oversight bodies (eg, URAC- Utilization Review Accreditation Commission, CMS-Centers ... client presentations + Leads evaluation and identification opportunities for improved management of Medical benefit drugs through clinical research and analytics… more
- Burns & McDonnell (Columbus, OH)
- …contracts, subcontractors, suppliers, proposals, estimates, documentation turnover, client relations/ management , field staff and other duties required to execute ... EPC, Construction Management , Construction, and Program Management projects. Experience...project team members and subcontractors. + Responsible for the oversight of day-to-day construction activities and the successful execution… more
- NiSource (Columbus, OH)
- …and distribution facilities and high profile projects requiring specialized project management support and oversight . Manages projects in accordance with ... the project management team and project stakeholders. + Employs quality management processes to effectively initiate, plan , execute, monitor and control and… more
- Battelle Memorial Institute (Columbus, OH)
- …Toxicologist functions as a study director within the organization and has oversight of the scientific elements of projects to ensure successful implementation ... projects/research. This position may also be responsible for the supervision, oversight , scheduling, training, and mentoring of individuals within Battelle's Life… more
- Post Holdings Inc. (West Jefferson, OH)
- …forecasting and full P&L responsibility for the location. This role has oversight of accounts payable, inventory costing, and SOX compliance. The Controller is ... Payable. Lead development of monthly forecasts, and the Annual Operating Plan . Maintain customer relationship related to financial aspects including pricing and… more
- Battelle Memorial Institute (West Jefferson, OH)
- …Summary** The Manager, Facilities Alterations, Operations & Maintenance provides oversight of the Facilities Alterations, Operations and Maintenance Department which ... provides services such as building automation controls and energy management , electrical construction and distribution, utilities, mechanical systems repairs and… more
- ChenMed (Columbus, OH)
- …cardiovascular care as well as, care coordination, echocardiogram reading, population management of market's members, and oversight of PCP's cardiovascular ... coronary heart disease, taking medical history, conducting physical exams, developing a plan of care, providing health education, specialty referrals and case … more
- Prime Therapeutics (Columbus, OH)
- …overall client relationship. Participates in the development of clinical management products and services. Activities address impact on customers, operations, ... programs integrate with other clinical initiatives, and expertise with data management . **Job Description** + Leads the development of clinical program enhancements… more
- BJs Wholesale Club (Lewis Center, OH)
- …needs* o Three medical plans**, Health Savings Account (HSA), two dental plans, vision plan , flexible spending * 401(k) plan with company match (must be ... in the execution and delivery of exceptional service and value. Provide TM oversight and direction to exceed performance expectations and results in each area… more
- Battelle Memorial Institute (Columbus, OH)
- …critical challenges in security, human health, manufacturing, energy, and environmental management . Battelle's work is grounded in the belief that science, ... to meet study or campaign objectives and meet deliverables with some oversight . + Conduct and manage protein expression, purification, and characterization using a… more
- Battelle Memorial Institute (Columbus, OH)
- …independently to meet study or campaign objectives and meet deliverables with some oversight . + Work closely with analytical chemists and biologists to design and ... approaches involving biological systems. + Experience working within laboratory quality management systems (eg, ISO 9001, ISO17025, GLP). + Experience with… more