- Elevance Health (Mason, OH)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... employment, unless an accommodation is granted as required by law. The **Medical Director -Dermatology Appeals** is responsible for the review of appeals for… more
- CVS Health (Columbus, OH)
- …+ As a Medical Director you will focus primarily on overseeing utilization review and quality assurance while being responsible for predetermination reviews ... in one of these states.** + In the Medical Director role you will provide oversight for medical policy...and review of claim determinations. + This includes Prior Authorization… more
- Bon Secours Mercy Health (Toledo, OH)
- …clinicians are recognized for clinical and operational excellence. The Director of Institutional Effectiveness provides strategic leadership for institutional ... assessment and research. The Director plays a critical role in supporting the Mercy College mission as a healthcare-focused institution offering rigorous… more
- Elevance Health (Mason, OH)
- …Medical Director ** **Carelon Medical Benefits Management** **Radiology Benefit Management/ Utilization Review ** **Virtual:** This role enables associates to ... attention, any case review decisions that require + Medical Director review or policy interpretation. **Minimum Requirements:** + Requires MD or DO and… more
- Elevance Health (Mason, OH)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... **Plan Performance Medical Director ** Location: This role enables associates to work...reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and… more
- Cardinal Health (Columbus, OH)
- …medications, supplies and related processes. **_Job Summary_** The Market Director of Pharmacy provides overall regional leadership direction and management ... standards, State and Federal legal requirements, distribution systems, automation, utilization patterns, and computer systems. Interfaces with system and local… more
- Concentrix (Columbus, OH)
- Job Title: Director , Specialty Sales, iX Product Suite Job Description At Concentrix, we partner with the world's most customer-obsessed companies to conceive, ... for how technology is transforming the world. **Specialty Sales Director , iX Solutions - AI** Concentrix is looking for...+ Expert business knowledge with invoicing, SOWs, margins, and utilization **Qualifications** + Minimum of 3 years selling AI… more
- Molina Healthcare (Cincinnati, OH)
- …HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous ... and expertise in the performance of prior authorization, inpatient concurrent review , discharge planning, case management and interdisciplinary care team activities.… more
- Vail Resorts (OH)
- …is filled (whichever is first). **Jo** **b Summary:** The Senior Director of Strategic Mountain Planning is responsible for leading long-range, multi-disciplinary ... with operations, finance, environmental, and capital development teams, the Senior Director ensures that all mountain planning aligns with company goals, regulatory… more
- Arrow Electronics (Dayton, OH)
- **Position:** Sales Engineering Director - Cloud, Data/AI **Job Description:** **The start date for this position is estimated to be in January 2026.** Arrow is ... seeking a Sales Engineering Director (SED) to provide strategy, technical direction and business...product and proof of concept demonstrations, solution consultation, architecture review , and enablement of Arrow partners. The SED possesses… more
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