• Software Engineering Group Mgr

    PNC (Strongsville, OH)
    …opportunity to contribute to the company's success. As a Software Engineering Group Manager within PNC's Lending Technology organization. You will be based either in ... a regular basis. Some responsibilities may be performed remotely, at the manager 's discretion. PNC will not provide sponsorship for employment visas or participate… more
    PNC (07/01/25)
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  • Denials and Appeals Nurse

    Dayton Children's Hospital (Dayton, OH)
    …3-5 years as progressive utilization review nurse and knowledge of payers and managed care contracts preferred + Previous program management and development ... Home - OhioDepartment:Utilization Review TeamSchedule:Full timeHours:40Job Details:Reporting to the Manager of Utilization Management and in partnership with the… more
    Dayton Children's Hospital (09/05/25)
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  • Senior Health Economics Analyst

    Elevance Health (Mason, OH)
    …or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... Health Economics Analyst** provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs,… more
    Elevance Health (09/04/25)
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  • Behavioral Health Case Mgr II (US)

    Elevance Health (Cincinnati, OH)
    …broad range of complex psychiatric/substance abuse and/or medical disorders. + Managed care experience required. **Preferred Capabilities, Skills and ... be willing to do some community-based work** The **Behavioral Health Case Manager II** position is responsible for performing case management telephonically and/or… more
    Elevance Health (08/26/25)
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  • Infusion Referral Nurse Sr- REMOTE/Oncology exp…

    Prime Therapeutics (Columbus, OH)
    …with chemo-therapy drugs + 5 years of post-degree clinical experience. + Experience in managed care , specialty drugs, care management and utilization review. ... facility.Discusses financial and clinical considerations with members who are considering care at a higher cost treatment site, researches available financial… more
    Prime Therapeutics (09/04/25)
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  • Sr Specialist, Provider Contracts (Remote)

    Molina Healthcare (Akron, OH)
    …experience in health care field including, but not limited to, provider's office, managed care , or other health care field. **Required Experience** 5+ ... to full execution utilizing approved standardized contract templates/amendments. + Assists Manager and/or Director in the negotiation of medical group/IPA and… more
    Molina Healthcare (08/23/25)
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  • Physician-based Oncology Senior Complex Coder

    Banner Health (OH)
    …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... improving to make Banner Health the best place to work and receive care . Are you an experienced **Hematology Oncology Physician Coder** looking for the opportunity… more
    Banner Health (09/05/25)
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  • Coordinator, Dental Program (Must reside near…

    Molina Healthcare (Cleveland, OH)
    …experience is required + Previous dental, case management, pediatric, and/or Medicaid managed care experience is preferred **Required Competencies / Knowledge / ... by the member, member's medical provider, dental provider, Case Manager , Call Center, or healthcare care professional...provider, Case Manager , Call Center, or healthcare care professional and are based on a current, comprehensive… more
    Molina Healthcare (08/28/25)
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  • Bleeding Management Hospital Specialty Sales…

    Grifols Shared Services North America, Inc (Cleveland, OH)
    …area of practice. + Utilization of corporate resources including the Key Account Manager , Managed Markets, Marketing, MSL, etc. + Key Opinion Leader mapping ... with key physicians and customer stakeholders to influence uptake for a new standard-of- care and product adoption in the treatment of their patients. The HSSR… more
    Grifols Shared Services North America, Inc (07/04/25)
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  • Women's Health Region Sales Lead

    Astellas Pharma (Cleveland, OH)
    …region. Maximize business growth through close collaboration with Area Director, Marketing, Managed Markets Manager , and Training and Development. Manage Sales ... Context** + Reports to an Sr/Director Area Sales Primary Care & Specialty + Entry level people manager role within field sales + Leads on average 9… more
    Astellas Pharma (07/11/25)
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