- HUB International (Columbus, OH)
- **POSITION SUMMARY:** Overmyer Hall Associates is seeking to add a Claims Leader to their Property & Casualty Service team! The Claims Leader will oversee and ... manage the claims process and claims service team for the region, who are primarily...in our Columbus office, and will report to the Director of Property & Casualty Operations. **ABOUT HUB INTERNATIONAL:**… more
- CommuniCare Health Services Corporate (Akron, OH)
- …posting team, Business Office Manager, Regional Director of Finance, MDS, Case Management , and others. The CBO claims validation staff will strive to always ... growth, CommuniCare Health Services is currently recruiting for a Claims Validator / Biller to support our Central Billing...of benefit options from life and disability plans to medical , dental, and vision coverage from quality benefit carriers.… 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 ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible ... , Franchise Lead CNS Early Assets. **Position Summary:** The Medical Director , Global Medical Affairs,...for any assigned assets in development. + Support lifecycle management initiatives and planning for assigned assets as applicable.… 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 ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… 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 ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- J&J Family of Companies (Cincinnati, OH)
- …Learn more at https://www.jnj.com/medtech Johnson and Johnson Family is recruiting a ** Medical Director , Medical Affairs, Johnson & Johnson MedTech** ... also provide strong input on long-term product opportunities and portfolio strategies. The Medical Director will work closely with the Clinical Research team to… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- Director of Field Reimbursement Management (FRM) Position Overview We are seeking an experienced, transformative leader to serve as the Director of Field ... within the assigned region Key Competencies + Strategic leadership and team management + Patient-centric approach to healthcare delivery + Operational excellence and… more
- Molina Healthcare (Cincinnati, OH)
- **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. +...claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees… more
- Humana (Columbus, OH)
- …put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …personnel management experience, will support position at entry (Associate Director / Director ). + An advanced understanding of drug development principles and ... disciplines, including immunology, biostatistics, clinical pharmacology, formulation science, data management , and medical writing. + Experience with the… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …managing and coordinating various operational functions and systems, including claims processing, customer care, membership management , benefits administration, ... overseeing all activities related to the third-party administration of self-funded medical , dental, and specialty benefits. Additionally, the Director … more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …personnel management experience, will support position at entry (Associate Director / Director ). + An advanced understanding of drug development principles and ... disciplines, including immunology, biostatistics, clinical pharmacology, formulation science, data management , and medical writing. + Complete understanding of… more
- Humana (Columbus, OH)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- Elevance Health (Mason, OH)
- **Product Management Director - Provider Workflow & Quality Solutions** **Location:** Alternate locations may be considered. This position will work a hybrid ... life through home-care and community based services. The **Product Management Director ** will lead our Provider Workflow...with FHIR, HL7, or X12 standards for clinical and claims data preferred. + Experience working with provider groups,… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- **Associate Director , Channel Strategy and Patient Affordability** The Associate Director , Channel Strategy and Patient Affordability reports to the Executive ... Director , Channel Strategy and Patient Affordability. The Associate ...business review development experience + Experience working in matrix management structure with project management , coordination and… more
- Evolent (Columbus, OH)
- …health outcomes and a more connected care journey. We are hiring for a Senior Director to join our Finance Team. The candidate selected for this role will be part ... and its customers in the Performance Suite where Evolent does not pay claims + Establish ideal data transfer protocols during client onboarding and implementation,… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …Specialty Pharmacy operations for OAPI The position will report to the Executive Director , Channel Strategy and Patient Affordability We are seeking a highly skilled ... and motivated Director of Specialty Pharmacy Operations to lead and oversee...with cross-functional teams, including Brand Marketing, Sales, Patient Access, Medical Affairs, and Regulatory, to integrate pharmacy operations seamlessly… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …medicine and/or clinical pharmacology and associated disciplines (eg biostatistics, data management , medical writing). + An advanced understanding of clinical ... in support of domestic and international clinical development initiatives. The Senior Director , GCD works in a multidisciplinary matrix environment and supports the… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- **_Associate Director , Established Brands Marketing_** **Position Summary** The Associate Director , Established Brands Marketing is responsible for driving ... CNS portfolio. The individual will work closely with market access, sales, medical affairs, and finance to implement commercial strategies that sustain product… more