- Humana (Columbus, OH)
- …and regulations across Humana Specialty and Military products. The Director manages dedicated compliance teams of associates who oversee compliance ... Compliance to develop and implement compliance programs for Humana's Specialty and Military products and contracts. The Director is responsible for … more
- 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, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… 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)
- …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 ... at the Inpatient level. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national clinical… 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)
- …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
- 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
- The Boeing Company (Heath, OH)
- …program-related challenges. This role will report directly to the SI&WS Senior Director and Capability Leader for Production Engineering, Test, and Launch with ... in excess of 90% of all Heath tooling and specialty equipment needs. + Our team of specialty...to ensure alignment with business plans and goals and compliance with command media, processes, procedures, design practices. +… more
- Rhythm Pharmaceuticals (Columbus, OH)
- …for all approved indications. In Stage 1, this position will report to the National Director , ADMs, and in Stage 2, will transition to report to a US Field Sales ... Director . Responsibilities and Duties + Execute disease education to...with high levels of commitment and efficiency, including Healthcare Compliance training, expense reports and other assignments by established… 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
- Battelle Memorial Institute (Columbus, OH)
- …clients increases the speed of the development while maintaining quality and compliance . The Toxicologist functions as a subject matter expert within the ... organization and, as a study director , has oversight of the scientific elements of projects...+ Has advanced the field of knowledge in his/her specialty . Work directly impacts the present or future of… more