• Clinical Documentation and Claims Integrity…

    Elevance Health (Mason, OH)
    **Clinical Documentation and Claims Integrity Director ** **Location:** Alternate locations may be considered. This position will work a hybrid model ( remote ... home-care and community based services. The **Clinical Document Improvement Director ** is responsible for leading encounter processing, diagnostic documentation and… more
    Elevance Health (08/14/25)
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  • Art Director ( Remote - Ohio)

    Morley (Columbus, OH)
    …required)_** Ready to take your creative career to the next level? As a remote Art Director on Morley's award-winning in-house creative team, you'll lead with ... deliverables + **Experience:** + Five years as an Art Director in an agency or in-house creative environment +...Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will)… more
    Morley (08/16/25)
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  • Sr. Claims Specialist - Complex…

    Zurich NA (Columbus, OH)
    … Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-MD1 #LI- DIRECTOR #LI- REMOTE EOE Disability / Veterans ... Sr. Claims Specialist - Complex Construction 126105 Zurich North...North America is seeking a skilled and experienced Senior Claims Specialist to join our Complex Liability Claims… more
    Zurich NA (08/08/25)
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  • Director , Operational Oversight…

    Molina Healthcare (Cleveland, OH)
    …by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and controls that ... you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer partners… more
    Molina Healthcare (08/19/25)
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  • Executive Director of R&D Global Quality…

    Otsuka America Pharmaceutical Inc. (Columbus, OH)
    **Job Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
    Otsuka America Pharmaceutical Inc. (08/14/25)
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  • Director , Enrollment (Duals)…

    Molina Healthcare (OH)
    …rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database. ... **Knowledge/Skills/Abilities** + Holds general oversight of enrollment and premium staff at each plan site within defined region. This may include employee reviews, coaching sessions and disciplinary actions. + Monitors and enforces compliance with… more
    Molina Healthcare (08/08/25)
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  • Director , Applications (AI/Azure…

    Molina Healthcare (Columbus, OH)
    …with AI Data Integration._** + **_Experience with Member, Enrollment, and Claims applications -_** **which underpin essential business functions such as HEDIS ... reporting, Risk Adjustment (RA), and Health Plan Reporting.** + **_Azure Databricks._** + **_Python._** + **_Spark._** + **_QNXT._** **Preferred License, Certification, Association** Microsoft Technology, Mobility, ITIL To all current Molina employees: If you… more
    Molina Healthcare (06/29/25)
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  • Director , Insurance and Risk Management

    Amentum (Columbus, OH)
    **Amentum seeks a Director , Insurance and Risk Management.** **Amentum** is a global leader in advanced engineering and innovative technology solutions, trusted by ... Risk Management Team has an immediate opening for a ** Director of Insurance and Risk Management** position to join...growth oriented. US Citizenship is required, this is a remote -telework role, if you live near our Herndon, VA… more
    Amentum (08/16/25)
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  • Medical Director - Florida

    Humana (Columbus, OH)
    …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... 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 (07/29/25)
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  • Sr. Director , RWD Analytics and Innovation…

    Norstella (Columbus, OH)
    Sr. Director , RWD Analytics and Innovation (Healthcare & Life Sciences) Company: Norstella Location: Remote , United States Date Posted: Jul 30, 2025 Employment ... India. **Job Description :** We are seeking a dynamic and visionary Senior Director of RWD (Real-World Data) Analytics and Innovation to lead real-world data special… more
    Norstella (07/09/25)
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