• Behavioral Health Clinical

    Guardian Life (Columbus, OH)
    As the ** Behavioral Health Clinical Consultant ** resource in disability claims, you will be responsible for reviewing and analyzing a wide range of ... in determining claim liability and ensuring appropriate claim outcomes. The Behavioral Health Clinical Consultant collaborates with treating providers… more
    Guardian Life (09/20/25)
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  • Sr. Clinical Consultant Social…

    OhioHealth (Columbus, OH)
    **We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use ... in high stress situations. **Responsibilities And Duties:** 30% Advanced Clinical Assessment Conducts patient/family/significant other interviews, chart reviews, and… more
    OhioHealth (09/18/25)
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  • Clinical Consultant Social Worker…

    OhioHealth (Columbus, OH)
    **We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use ... or eliminating, to the extent possible, the social, psychological, financial, behavioral , and regulatory barriers to successful medical outcomes. Deal with families… more
    OhioHealth (08/16/25)
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  • Pharmacy Benefit Consultant

    Highmark Health (Columbus, OH)
    …**Job Description :** **JOB SUMMARY** Dynamic and results-oriented Pharmacy Benefit Consultant , serving as the client-facing expert, driving growth and retention of ... Consultation: Provide in-depth pharmacy benefit expertise, offering strategic guidance, clinical recommendations, and solutions tailored to individual client needs.… more
    Highmark Health (08/26/25)
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  • Utilization Management Medical Director- NC…

    Elevance Health (Columbus, OH)
    …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May...Leads, develops, directs, and implements clinical and non- clinical activities that impact health care quality… more
    Elevance Health (09/26/25)
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  • Medical Director - Commercial

    Elevance Health (Columbus, OH)
    …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May...Leads, develops, directs, and implements clinical and non- clinical activities that impact health care quality… more
    Elevance Health (09/24/25)
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  • Medical Director - Medical Policy

    Elevance Health (Columbus, OH)
    …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... responsible for the administration of medical services for company health plans and helps ensure clinical integrity...effectiveness and quality. + Serves as a resource and consultant to other areas of the company. + May… more
    Elevance Health (10/04/25)
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  • Client Management Team Lead - HNAS

    Highmark Health (Columbus, OH)
    …a book of business and the business relationship as a strategic consultant for existing accounts directly or through intermediaries. The incumbent is responsible ... accounts to ensure retention and growth of profitable business. **HNAS ( Health Now Administrative Services)** offers flexible, cost-effective solutions for employee … more
    Highmark Health (08/29/25)
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