- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether services… more
- CVS Health (Columbus, OH)
- …involved in, or at risk for involvement in, multiple child-serving systems. The Medical Director provides oversight for medical policy implementation, and ... will assist OhioRISE in achieving clinical contract deliverables and Aetna/CVS Health enterprise endeavors.Required Qualifications* Active Ohio medical license… more
- Humana (Columbus, OH)
- …our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and ... components, and work is performed without direction. The Behavioral Health Medical Director actively uses...quality management, utilization management, case management, discharge planning and/or home health or post acute services such… 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 ... quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… 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. ... data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical...quality management, utilization management, case management, discharge planning and/or home health or post acute services such… more
- Elevance Health (Columbus, OH)
- …Carelon Medical Benefits Management is looking to hire a **National Solution Medical Director for a set of Post Acute Care Solutions.** This high-performing ... will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions...Management decision support experience in the Post-Acute Domain, DME, Home Health , and Wound Care. + Experience… more
- Elevance Health (Columbus, OH)
- …to work remotely from home . _A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty ... **Clinical Operations Medical Director ** **Utilization Management of ...medical necessity of requests using guidelines and client-specific health plan medical policy. + Conduct peer-to-peer… more
- CVS Health (Columbus, OH)
- …resistant illnesses through peer review and educational interventions.* Work with medical director teams focusing on inpatient care management, clinical ... and the delivery of cost-efficient care. Will also Interact with the members, health systems, nursing facilities, as well as home and community-based networks.… 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 ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Sanofi Group (Columbus, OH)
- **Job title** : Associate Director , Health System Marketing + **Location** : Bridgewater, NJ or Cambridge, MA **About the Job** Ready to push the limits of ... impact on millions around the world. As an Associate Director , Health Systems Marketing within our Account...vaccine contracts. The customers we call on primarily include Health Systems, IHNs, Medical Groups, PBGs, GPOs,… more
- Cardinal Health (Columbus, OH)
- …Cardinal Health Insights and Engagement, a division of Cardinal Health Specialty Solutions, delivers comprehensive consulting, medical marketing and ... Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Evolent Health (Columbus, OH)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...more connected care journey. We are hiring for a Director to join our Client Finance Team. The candidate… more
- Evolent Health (Columbus, OH)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial utilizes and develops analytical tools to solve… more
- CenterWell (Columbus, OH)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** The National Director , Clinical Pharmacy...Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: +… more
- Trinity Health (Columbus, OH)
- …, and extensive outreach and community wellness programs, Mount Carmel Health System (https://www.mountcarmelhealth.com/) serves more than a million patients in ... community for more than 130 years. As a proud member of Trinity Health (https://www.trinity- health .org/) , one of the nation's largest Catholic healthcare… more
- CenterWell (Columbus, OH)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** **National** ** Director of Transitional Care...appropriateness of care across settings (ie, inpatient, ambulatory, and home ). **Use your skills to make an impact** **Required… more
- Help at Home (Columbus, OH)
- **Start your career today with Prime Home Care, a Help at Home company.** Now hiring ** Registered Nurses ** in your community - make a lasting impact for ... need! Candidates will enjoy a fun, motivated, team environment. Prime Home Care is a widely-recognized leader in providing exceptional, evidence-based,… more
- BrightSpring Health Services (Columbus, OH)
- …Business BrightSpring Health Services is a leading provider of complementary home and community-based pharmacy and health services for complex populations in ... Our Company BrightSpring Health Services Overview Provide oversight, leadership and support...a liaison between operations and nursing staff and community medical providers, professional consultants to collaborate on care solutions.*… more
- Nutanix (Columbus, OH)
- NUTANIX - Senior Director , Global Cloud Economics Hungry, Humble, Honest, with Heart. About Us Nutanix is a global leader in hybrid multi-cloud solutions, making ... hybrid and multi-cloud environments. The Opportunity The Nutanix Senior Director - Worldwide Cloud Economist team is a senior...an industry best benefit package including 100% paid company health insurance as well as other very robust benefits,… more
- Sanofi Group (Columbus, OH)
- Job Title: National Business Director - Thymoglobulin- West Location- Remote/US **About the Job** We are an innovative global healthcare company with a focus on ... + Working with payers in conjunction with the primary regional account director , implements strategies and tactics to support the growth of the kidney… more