- 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 ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- CenterWell (Columbus, OH)
- …us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary ... The Medical Director relies on medical background and reviews health claims . The...is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description… more
- Humana (Columbus, OH)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and… more
- Elevance Health (Mason, OH)
- ** Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering ... resides within a commutable distance from an office._ The ** Director II, Digital Claims Operations **...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- Ryder System (Columbus, OH)
- …and senior management on all claims issues. + Primary backup for the Senior Director assisting with all aspects of the operations + Leads and directs ... clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and… more
- Humana (Columbus, OH)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …with Otsuka's vision, direction, and growth strategy. The Executive Director , Medical Affairs Strategy, Excellence & Operations will lead five critical ... As a senior leader within Medical Affairs, the Executive Director will...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …vision throughout the asset lifecycle. This role reports directly into the Executive Director , Medical Excellence and Operations . **Job Description** **Key ... to each therapeutic area **Budget Management** + Oversee budgets for global medical operations initiatives + Ensure cost-effective utilization of resources while… more
- Flynn Restaurant Group (Independence, OH)
- …third-party administrator (TPA) relationships, and program performance. Reporting to the Director of Risk Management, the Workers' Compensation Claims Manager ... Group) is seeking an experienced and strategic Workers' Compensation Claims Manager to lead the administration of its national...of benefits and perks while working for us: + Medical /Dental/Vision + Retirement and Savings Plan + Short- and… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …therapeutic area portfolio + Collaborate with cross-functional teams to align global medical operations with overall business objectives and therapeutic area ... performance indicators (KPIs) to measure the effectiveness of global medical operations + Consider technology and AI...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- **Job Description** The Senior Director , Strategy & Analysis; Contract Operations works cross-functionally to develop and execute pricing strategies for pipeline ... and in-market products and manages contract operations to optimize revenue, market share, and support patient...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
- AmeriHealth Caritas (Dublin, OH)
- **Role Overview:** ;The Director of Plan Operations & Administration is responsible for ensuring full compliance with state program contractual and regulatory ... + Oversee provider contract data submission for accurate system configuration and claims payment. + Manage internal operations and coordinate corporate functions… more
- OhioHealth (Columbus, OH)
- …patient grievance process at GMC and RMH. **Responsibilities And Duties:** 60% The Medical Director , Risk Management ("MDRM) will provide expertise and advice to ... with the outside malpractice defense counsel to provide general medical advice with respect to malpractice claims ...among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …you to download a third-party application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims from a fake email ... Management CRM tool and process in collaboration with Sales Operations staff + Conduct all activities in compliance with...Travel is up to 25% Otsuka is an equal opportunity employer. All qualified applicants are encouraged to apply… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- The Director , Congress and Medical Education Strategy & Execution is responsible for developing and leading the global medical strategy and tactical ... late-breaking sessions + Sponsored symposia and educational sessions + Medical booth design and operations + Press...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- **Job Summary** The Senior Director , Medical Communications, Nephrology & Immunology directs and provides strategic leadership for the global scientific ... communication objectives and cross-functional alignment in close collaboration with Medical Excellence & Operations (ME&O) roles **Cross-Functional Leadership**… more
- CVS Health (Columbus, OH)
- …and behavioral health programs and services to its membership. Aetna is looking for a medical director to be part of a centralized team that supports the ... members and providers related to precertification, concurrent review, and appeal request. The medical director is a work-at-home position located anywhere in the… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- The Senior Director , Medical Communications, CNS directs and provides strategic leadership for the global and US scientific communication strategy for the ... Ensure coordinated scientific messaging and cross-functional alignment in close collaboration with Medical Excellence & Operations (ME&O) roles ** Medical … more
- Centene Corporation (Columbus, OH)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... implementation of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies… more
- Molina Healthcare (Cleveland, OH)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more