- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- **_Associate Director , Access and Affordability_** **Position Summary** The Associate Director , Access and Affordability is responsible for ensuring that ... Trends:** Monitor trends in reimbursement, patient affordability challenges, and healthcare policy to inform access strategies and ensure proactive adaptation.… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- Otsuka Pharmaceutical Company is a global healthcare company with the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka ... nutraceutical products for the maintenance of everyday health As a Director , Quantitative Pharmacology, **Clinical Pharmacology,** you will oversee all **clinical… more
- Evolent (Columbus, OH)
- …rates, turnaround times, PMPM, trend drivers), with a working knowledge of healthcare claims and reimbursement methodologies. + Experience presenting actionable ... + ** Strategic Data Analytics & Insights:** Lead advanced analyses of healthcare authorization, claims , membership data, and clinical outcomes to uncover cost… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …The ideal candidate will engage closely with key stakeholders to understand business strategic objectives and determine how data and AI/ML can be leveraged to ... those goals. **Job Expectations/Responsibilities:** + Explore and analyze common pharmaceuticals data (eg, claims ) as well as novel data sets based on lab and EHR… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- **Position Overview** We are seeking an experienced healthcare professional to lead our Nephrology Patient Support program. This role will oversee nurse case ... indicators and create analytics to demonstrate program effectiveness + Lead strategic planning and operational execution for the nephrology patient support program… more
- Humana (Columbus, OH)
- …experience for our associates, members and providers. As the Resolution Team Operations Director ( Director , Grievance and Appeals), you will be accountable for ... reports including Associate Directors, Managers, and Senior Professionals + Provides strategic direction and leadership to the various operational teams + Meets… more
- Highmark Health (Columbus, OH)
- …well as outsourced technology and BPO services. The Director is a strategic thinker with experience in selling Healthcare technology solutions, having strong ... healthcare technology products especially in Clinical, Digital, Provider, Claims , Enrollment, Billing, Benefits, Products and Services. Knowlege of Provider… more
- Elevance Health (Mason, OH)
- **Product Management Director - Provider Workflow & Quality Solutions** **Location:** Alternate locations may be considered. This position will work a hybrid model ... of life through home-care and community based services. The **Product Management Director ** will lead our Provider Workflow and Quality Solutions portfolio. In this… more
- Bon Secours Mercy Health (Toledo, OH)
- …and operational excellence. **Primary Function/General Purpose of Position** The Director of Governance and Compliance provides direct management of compliance ... compliance requirements, manage regulatory reporting, and oversee matters such as claims , lawsuits, new programs, ventures, and contractual agreements with vendors… more
- Molina Healthcare (Cincinnati, OH)
- …with respect to financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in ... of alternative arrangements. Maintains critical Complex provider information on claims and provider databases. Synchronizes data among multiple claims… more