- Evolent (Columbus, OH)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... Radiology you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… 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...of clinical / medical programs and expand Aetna's medical management programs to address member needs across the continuum… 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...of professional staff, oversight of budgets, training, and performance management . + Serve as the primary advisor to leadership… more
- Elevance Health (Mason, OH)
- … Director ** **Carelon Medical Benefits Management ** **Radiology Benefit Management / Utilization Review ** **Virtual:** This role enables associates to ... supervisors attention, any case review decisions that require + Medical Director review or policy interpretation. **Minimum Requirements:** + Requires MD or… 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...you will make an impact:** + Supports the Medical Management staff to ensure timely and consistent responses to… more
- Cardinal Health (Columbus, OH)
- …prescribed medications, supplies and related processes. **_Job Summary_** The Market Director of Pharmacy provides overall regional leadership direction and ... management assistance of operation processes and initiatives within the...standards, State and Federal legal requirements, distribution systems, automation, utilization patterns, and computer systems. Interfaces with system and… 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...will work closely with new logo sales and account management , product, and engineering teams to craft tailored solutions… more
- CBRE (Columbus, OH)
- …and termination. + Effectively recommends same for direct reports to next level management for review and approval. + Monitors appropriate staffing levels and ... Talent Community Facilities Director Job ID 240464 Posted 24-Sep-2025 Service line...Segment Role type Full-time Areas of Interest Administrative, Building Management , Customer Service, Data & Analytics, Facilities Management… more
- Molina Healthcare (Cincinnati, OH)
- …experience as a Molina Medical Director + Demonstrated experience in Utilization /Quality Program management + Previous leadership experience + Peer review ... and expertise in the performance of prior authorization, inpatient concurrent review , discharge planning, case management and interdisciplinary care team… more
- Prime Therapeutics (Columbus, OH)
- …and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job Description** ... The Senior Director Clinical Strategy and Oncology Specialty Solutions is responsible for owning the execution of Prime's oncology specialty products and programs,… more