• Clinical Transformation Director

    Highmark Health (Columbus, OH)
    …partnership director who manages non-clinical workforce activity. + **Relationship Management & Communication:** Ensure the team has established key contacts in ... and key internal/external stakeholders. **ESSENTIAL RESPONSIBILITIES** + **Strategic Roadmap Implementation :** Execute on the implementation of the strategic… more
    Highmark Health (08/21/25)
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  • Director and Lead Applied AI Engineering

    The Hartford (Columbus, OH)
    …team as we help shape the future. The Hartford seeks energetic and passionate Director and Lead Applied AI Engineer to lead AI Operations (AIOps, MLOps, FMOps, ... a variety of functions including Actuarial, Product, Underwriting and Sales. As a Director and Lead Machine Learning Engineer within the AIOps organization, you will… more
    The Hartford (10/02/25)
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  • Medical Director , Behavioral Health…

    Molina Healthcare (Cincinnati, OH)
    …Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health ... management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization management and case management programs for mental… more
    Molina Healthcare (09/13/25)
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  • Director , Commercial Procedure…

    Edwards Lifesciences (Columbus, OH)
    …lives. Join us and be part of our inspiring journey. The ** Director , Commercial Procedure Development** will lead various TMTT commercial strategy development, ... with implanting team physicians through the review of commercial case outcomes data. Meet with physicians onsite and at...of the department. + Develop and lead in the implementation of broad and more complex procedural strategies which… more
    Edwards Lifesciences (10/01/25)
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  • Program Director (Direct Care Provider…

    Molina Healthcare (OH)
    …barriers in implementation and compliance to AVP, VP and senior management + Consultative role, develops business case methodologies for workforce programs, ... **JOB DESCRIPTION** **JOB SUMMARY** : The Program Director leads strategic initiatives to enhance the direct...analysis and program staff. This role must have strong management and leadership skills; should be well experienced and… more
    Molina Healthcare (09/08/25)
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  • Program Director , Quality Incentives

    Molina Healthcare (Akron, OH)
    … case methodologies for incremental programs. Develops and coordinates implementation of business strategy. * Collaborates and facilitates activities with other ... with health plan risk & quality leaders to support implementation of best practices for optimal performance. The Program... of best practices for optimal performance. The Program Director , RQS HP Engagement ensures that all RQS action… more
    Molina Healthcare (09/10/25)
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  • Director Data Science, Research…

    Highmark Health (Columbus, OH)
    …healthcare challenges at the forefront of innovation. Highmark Health is seeking a Director Data Science R&D to pioneer the introduction of new analytical approaches ... healthcare through innovative data science. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to: involved… more
    Highmark Health (09/17/25)
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  • Sr. VP Medical Director

    Sedgwick (Columbus, OH)
    …Fortune Best Workplaces in Financial Services & Insurance Sr. VP Medical Director **PRIMARY PURPOSE** **:** To evaluate medical reports escalated due to deficient ... and claim professionals in support of the dedicated program through training and implementation of medical best practices; and to provide client facing support when… more
    Sedgwick (09/16/25)
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  • Senior Medical Director (Medicare)

    Molina Healthcare (Cincinnati, OH)
    …in the performance of prior authorization, inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures ... HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous… more
    Molina Healthcare (09/12/25)
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  • Sr. Director Labor Relations (100% Remote…

    US Foods (Twinsburg, OH)
    …Join Our Community of Food People! The Labor Relations, Sr Director is responsible for shaping and leading the company's labor relations ... partners with senior leadership to design strategies that foster positive labor- management relations, mitigate risk, and align with long-term business objectives.… more
    US Foods (09/26/25)
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