- Humana (Columbus, OH)
- …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, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Humana (Columbus, OH)
- …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 ... requires an in-depth evaluation of variable factors. **Description** The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Columbus, OH)
- …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more
- Humana (Columbus, OH)
- …our caring community and help us 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...necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD… more
- Humana (Columbus, OH)
- …are seeking an accomplished healthcare physician leader for the newly-created role of Director , Physician Leadership. In this role, you will be a key enterprise ... health outcomes for some of our most vulnerable members. The Director , Physician leadership will lead Medical Directors performing utilization management for… more
- Humana (Columbus, OH)
- …our caring community and help 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...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents… more
- Sumitomo Pharma (Columbus, OH)
- …We are seeking a strategic and collaborative leader to join us as **Associate Director , Marketing - Oncology** . This role offers a unique opportunity to shape and ... brand planning, marketing strategy, or field support strongly preferred. * Oncology or specialty pharma experience is a plus. * Proven track record of leading… more
- Norstella (Columbus, OH)
- Sr. Director , RWD Analytics and Innovation (Healthcare & Life Sciences) Company: Norstella Location: Remote, United States Date Posted: Jul 18, 2025 Employment Type: ... faster + The Dedham Group - think strategically for specialty therapeutics By combining the efforts of each organization...:** We are seeking a dynamic and visionary Senior Director of RWD (Real-World Data) Analytics and Innovation to… more
- OhioHealth (Columbus, OH)
- …and long-term goals. Leads fund development efforts collaborating with medical director and administrative leadership. * Manages regulatory compliance and ... well as matrixed stakeholders. This role will develop/implement and maintain compliance with policies, procedures, standards and protocols for quality transplant… more
- OhioHealth (Columbus, OH)
- …review of work and setting daily priorities. * This positon supports the Director of Revenue and Reimbursement and Manager of Reimbursement with many special ... Sole Community Hospitals and Rural Health Clinics. Knowledge of reimbursement in specialty areas such psych, inpatient rehabilitation units, Home Health and Hospice.… more
- OhioHealth (Columbus, OH)
- …our communities. **Job Description Summary:** Assists the Clinical Nutrition Services Director in managing the operations of the Clinical Nutrition Services ... associate evaluations within Clinical Nutrition Services. In collaboration with the Director , develops and communicates strategic goals and objectives. Supports the … more
- OhioHealth (Columbus, OH)
- …practice, supervision, delegation, and teaching as delegated by Manager and/or Director . 5. Facilitates staff attendance at meetings and educational programs; ... of Nursing **Additional Job Description:** May require advance training in specialty areas. Specialized knowledge in nursing process and clinical skills.… more