- Outlier AI (Upper Arlington, OH)
- …Outlier is committed to improving the intelligence & safety of AI models. Owned and operated by Scale AI , we've recently been featured in Forbes for partnering ... experts with top AI labs to provide the high quality data for LLMs. We believe AI can only perform as well as the data it's trained on. That's why we work with contributors from all over the world , who help improve AI models by providing expert human feedback… more
- United Parcel Service (Obetz, OH)
- …(including the UPS Uniform and Personal Appearance Guidelines), locations, shifts, and operations within the locations which may consider my application. An applicant ... or employee may request an exception or change to, or an accommodation of, any condition of employment (including the UPS Uniform and Personal Appearance Guidelines) because of a sincerely held religious belief or practice. The base pay for this position is… more
- REMOVERY LLC (Grandview Heights, OH)
- …include administering safe laser treatments, educating clients on the removal process, and overseeing various laser and operational activities. We are seeking a ... About Removery: Join us at Removery - the global leader in laser tattoo removal. We aim to normalize tattoo removal and empower people to feel comfortable in their skin. We provide the highest quality of service and care at every stage of our clients' removal… more
- CVS Health (Columbus, OH)
- …A Software Engineer develops systems to manage data flow throughout Signify Health's infrastructure. This involves foundational elements of data engineering and ... processing messages and data at growing volumes. **What will you do?** + Communicate with team members to understand requirements and technical specifications. + Develop a foundational understanding of the business logic and functionality of current systems. +… more
- CVS Health (Columbus, OH)
- …We are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This is a ... At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans… more
- CVS Health (Columbus, OH)
- …The Aetna Pharmacy Health Plan Compliance team is seeking an experienced professional with Health Care compliance experience to join our team. Our mission is to ... assess the applicability of State and Federal regulations to our commercial Aetna pharmacy programs and benefit plans, to identify and track business and compliance risks and issues and to develop and implement action plans to become compliant. Our team… more
- CVS Health (Columbus, OH)
- …The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the negotiation ... role, and understanding (U&C) calculated rates and benchmarking of medical costs. The individual will be developing their role as a negotiator, working with training staff, and team members as more complex cases and strategies are developed. **What you will… more
- CVS Health (Columbus, OH)
- …- 5+ years' experience as a Registered Nurse with hospital experience; preferably in the specialty. - A Registered Nurse that holds an unrestricted license in their ... state of residence, with multi-state/compact privileges or can be licensed in all non-compact states. - 1+ years' of case management experience. - Certified Case Manager (CCM) or obtains CCM within 3 years of becoming a supervisor. **Preferred Qualifications**… more
- CVS Health (Columbus, OH)
- …**You will be responsible for the overall management and execution of the CVS Clinical Informatics Training program.** **This involves the standardization of training ... programs for the electronic health record, development of training materials, and management of the training application system.** **Working across lines of business, the Director will align and work with senior leaders to provide consistent guidance and… more
- CVS Health (Columbus, OH)
- …We are seeking a strategic and user-focused **Senior Manager of Digital Member Experience** to lead the evolution of our digital health and wellbeing platform. This ... role is critical in ensuring the product not only engages users but also drives meaningful and sustained improvements in their health and quality of life. The platform delivers individualized experiences grounded in evidence-based strategies across all domains… more
- CVS Health (Columbus, OH)
- …Summary** Support CVS Health's financial integrity with sound pricing and risk management practices. The Medicare Actuarial Pricing team is responsible for ... anticipating and recognizing matters that materially affect financial integrity and making sound, unbiased reports on these issues. Team members collaborate closely throughout the year with market business partners in addition to the broader actuarial team.… more
- CVS Health (Columbus, OH)
- …The **Transform Diabetes Care Pod RN** plays a vital role in improving member health outcomes by engaging telephonically with individuals living with diabetes. This ... nurse will guide members through actionable steps to close gaps in care, assess medical needs, and support overall wellness. A key focus of the role is addressing social determinants of health that contribute to care gaps, while providing education, connecting… more
- CVS Health (Columbus, OH)
- …This role is responsible for onboarding the complex/variable pharmacy needs of our diverse client base. You will be responsible for consulting the client on what ... products, solutions and strategy are most appropriate and viable for the plan design. This individual will be responsible for producing a world-class experience that helps retain and grow the MPS block of business. Strong communication and coordination with… more
- CVS Health (Columbus, OH)
- …**This is a remote work from home role anywhere in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a ... At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans… more
- CVS Health (Columbus, OH)
- …Join a team that's making a difference in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in ... Medical Review, you'll play a vital role in ensuring members receive timely, medically necessary care through thoughtful clinical review and collaboration with providers. This fully remote position offers the opportunity to apply your clinical expertise in a… more
- CVS Health (Columbus, OH)
- …As the Finance Manager for MinuteClinic, you will report directly to the Senior Finance Manager and play a key role in managing financial operations and strategic ... planning for the business. This position is responsible for overseeing the annual budgeting and forecasting processes for MinuteClinic SG&A, as well as managing month-end close activities and expense-side P&L forecasting. **Key Responsibilities:** + Lead the… more
- CVS Health (Columbus, OH)
- …_Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours._ + Utilizes clinical experience and skills in a ... collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members. + Gathers clinical information and applies the appropriate clinical criteria/guideline, policy,… more
- CVS Health (Columbus, OH)
- …OhioRISE manages the behavioral health benefit for eligible children and young adults receiving Medicaid services in Ohio. The CMA will regularly interface with ... various groups around the state who are providing care coordination services or supporting the services that are utilized by our membership. This can include but are not limited to, care coordinators, managers, community members, referral sources, children… more
- CVS Health (Columbus, OH)
- …We're seeking a Data Engineer to design and implement data pipelines that power analytical capabilities. This hands-on role requires an understanding of data ... At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans… more
- CVS Health (Columbus, OH)
- …The Clinical Operations Advisor is a client facing role that collaborates with Health Plan Clinical Advisor to understand the client's clinical strategy and roadmap ... At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans… more
