- Elevance Health (Columbus, OH)
- ** Medical Director - Medical Policy ** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... is granted as required by law. Alternate locations may be considered. The ** Medical Director - Medical Policy ** is responsible for the administration of… more
- Humana (Columbus, OH)
- **Become 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 work assignments involve moderately complex to complex issues...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Elevance Health (Columbus, OH)
- **National Accounts Medical Director ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...law. Alternate locations may be considered. The **National Accounts Medical Director ** is responsible for serving as… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Columbus, OH)
- **Become 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 work assignments involve moderately complex to complex issues...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- CenterWell (Columbus, OH)
- …a part of our caring community and help us put health first** The National Medical Director for Home-Based Care Programs is a key clinical leadership position ... high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership...day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Columbus, OH)
- …a part of 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...at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Elevance Health (Columbus, OH)
- ** Medical Director -Long Term Support and Services** _Preferred Location: Ohio._ _Please note that per our policy t_ _his role enables associates to work ... onboarding and skill development._ _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...long term services and supports, and psychosocial needs._ The ** Medical Director -Long Term Support and Services**… more
- Humana (Columbus, OH)
- …a part of 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...at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Elevance Health (Columbus, OH)
- ** Medical Director - Commercial** Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...able to work East Coast time zone hours.** The ** Medical Director ** will be responsible for utilization… more
- Elevance Health (Columbus, OH)
- **Utilization Management Medical Director - NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of required ... in North Carolina but not required. Alternate locations may be considered. The ** Medical Director ** will be responsible for utilization review case management… more
- Elevance Health (Columbus, OH)
- **Clinical Compliance Medical Director ** _Please note that per our policy t_ _his role enables associates to work virtually full-time, with the exception of ... onboarding and skill development._ _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...is granted as required by law._ The **Clinical Compliance Medical Director ** is responsible for providing clinical… more
- Elevance Health (Columbus, OH)
- **Manager, Medical Director - Transformation Initiatives** Location: This role requires associates to be in-office 3 days per week, fostering collaboration and ... dynamic and adaptable workplace. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...by law. Alternate locations may be considered. The **Manager, Medical Director ** will serve as a clinical… more
- Elevance Health (Columbus, OH)
- ** Medical Cost AI Intelligence Director (IT Strategy & Planning Director )** Location: This role requires associates to be in-office **3 days per week** , ... dynamic and adaptable workplace. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...resides within a commutable distance from an office._ The ** Medical Cost AI Intelligence Director ** is responsible… more
- Molina Healthcare (Columbus, OH)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... + 3+ years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… more
- Molina Healthcare (Columbus, OH)
- …3+ years HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + ... Previous leadership experience + Peer review, medical policy /procedure development, and provider contracting experience + Current clinical knowledge + Experience… more
- Elevance Health (Columbus, OH)
- ** Director II Medical Cost Intelligence AI & Engineering (Dir II Engineering)** Location: This role requires associates to be in-office **3** **days per week** , ... dynamic and adaptable workplace. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...resides within a commutable distance from an office._ The ** Director II Medical Cost Intelligence AI &… more
- Sedgwick (Columbus, OH)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. VP Medical Director **PRIMARY PURPOSE** **:** To evaluate medical reports ... professionals in support of the dedicated program through training and implementation of medical best practices; and to provide client facing support when needed for… more