- Elevance Health (Mason, OH)
- …changes in healthcare. + Leads, develops, directs, and implements clinical and non- clinical activities that impact health care quality cost and outcomes. + ... services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and...or territory of the United States when conducting utilization review or an appeals consideration and cannot… more
- Humana (Columbus, OH)
- …**Required Qualifications** + MD or DO degree + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes ... of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Begins to influence department's… more
- Elevance Health (Cincinnati, OH)
- …focused on transforming how healthcare is delivered and promoting the advancement of care for the people we serve._ The ** Clinical Operations Associate Medical ... years of clinical experience post residency. Preferably in inpatient post-acute care + Board certified in Physical Medicine and Rehab is preferred. For… more
- Intermountain Health (Columbus, OH)
- …within Intermountain's policies and procedures. Scope 1.Analyze data, develop reports, review trends, and recommend enhancements as defined by the RI leadership ... responses and activities in collaboration with others involved including the care site teams, external business partners/vendors, compliance, legal counsel, health… more
- OhioHealth (Columbus, OH)
- …a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be ... schedule including flow of information, teaching of reimbursement fundamentals and principals, review of work and setting daily priorities. * This positon supports… more