• National Medical Director

    CenterWell (Columbus, OH)
    …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 ... polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy… more
    CenterWell (10/02/25)
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  • Medical Director - OneHome

    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 ... reviewing home health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations… more
    Humana (09/27/25)
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  • Corporate Medical Director

    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...and other healthcare providers, patient interaction, etc. **Work at Home Guidance** To ensure Home or Hybrid… more
    Humana (09/05/25)
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  • Medical Director - Gulf South

    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...work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference… more
    Humana (10/03/25)
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  • Medical Director - Medicare…

    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...Emergency Medicine, and General Surgery clinical specialists **Work at Home Guidance** To ensure Home or Hybrid… more
    Humana (10/02/25)
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  • Medical Director -Payment Integrity

    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 ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
    Humana (09/26/25)
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  • Medical Director - Mid West Region

    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 ... and will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical more
    Humana (09/16/25)
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  • Medical Director - Northeast Region

    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...provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and… more
    Humana (07/25/25)
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  • Field Medical Director , Cardiology

    Evolent (Columbus, OH)
    …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (10/01/25)
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  • Field Medical Director

    Evolent (Columbus, OH)
    …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (07/30/25)
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  • Field Medical Director - Vascular…

    Evolent (Columbus, OH)
    …mission. Stay for the culture. **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (08/28/25)
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  • Field Medical Director , Pain…

    Evolent (Columbus, OH)
    …per inter-rater reliability process. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall ... accountability for utilization management while working in conjunction with the Senior Medical Director . May assist the Senior Medical Director in… more
    Evolent (09/25/25)
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  • Field Medical Director , Oncology

    Evolent (Columbus, OH)
    …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of the utilization management ... recorded in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
    Evolent (08/19/25)
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  • Field Medical Director , (Orthopedic…

    Evolent (Columbus, OH)
    …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a key member of the utilization ... recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
    Evolent (08/29/25)
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  • Director , Internal Audit - Insurance

    Humana (Columbus, OH)
    …part of our caring community and help us put health first** The Director , Internal Audit develops, plans and evaluates internal audit programs for the organization's ... ensure compliance with the organization's policies, procedures and standards. The Director , Internal Audit requires an in-depth understanding of how organization… more
    Humana (10/01/25)
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  • Hospice RN Executive Director

    Gentiva (Circleville, OH)
    Director , Director of Operations, DON, Director of Nursing, Director of Clinical Operations, Home health administrator, Home Health Director ... exciting and rewarding opportunity for a RN Hospice Executive Director to join our leadership team. This role is...Nurse (RN) with strong leadership experience in hospice care, home health, or clinical operations management. If you're a… more
    Gentiva (09/26/25)
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  • Medical Director (AZ)

    Molina Healthcare (Columbus, OH)
    …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... staff services. Maintains a working knowledge of applicable national , state, and local laws and regulatory requirements affecting...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
    Molina Healthcare (09/26/25)
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  • National Corporate Relations Accounts…

    American Heart Association (Columbus, OH)
    …make with us. The American Heart Association has an excellent opportunity for a ** National Corporate Relations Accounts Director ** in our ** National Center** ... Relations Director will be responsible for developing top tier national corporate relationships with companies and their foundations to secure funding for… more
    American Heart Association (08/27/25)
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  • Associate Director WFM Capacity Planning

    CenterWell (Columbus, OH)
    …part of our caring community and help us put health first** The Associate Director of WFM Capacity Planning is responsible for leading and optimizing the long-range ... can influence executive decision-making through data-driven insights. The Associate Director of WFM Capacity Planning is responsible for leading...time that is best for your schedule. **Work at home requirements:** To ensure Home or Hybrid… more
    CenterWell (10/01/25)
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  • Area Director of Business Development

    Gentiva (Columbus, OH)
    …workplace keywords: Area Director of Business Development, Healthcare Sales Director , Hospice Sales Leader, Home Health Business Development, Regional Sales ... high-performing teams, and building strategic partnerships? We're seeking an experienced Area Director of Business Development to lead sales strategy and manage a… more
    Gentiva (09/17/25)
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