• Sr Mgr, Aetna Medicare Medical Pharmacy…

    CVS Health (Columbus, OH)
    …for Part B and specialty drugs. Key areas of responsibility include utilization management , clinical programs, and operational excellence. Responsible for ... with heart, each and every day. As the Senior Manager , Aetna Medicare Medical Pharmacist, you will play a...the long-term vision and strategy around Part B drug management related to utilization management … more
    CVS Health (09/27/25)
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  • Mechanical Engineer III

    Crane Aerospace & Electronics (Elyria, OH)
    …and other effective means. + Maintain accurate program accounting through effective utilization of project records and data management . + Identify, lead ... and lubrication pumps in service today and are proud to offer custom thermal management system solutions for a range of next-gen applications. Start the next chapter… more
    Crane Aerospace & Electronics (09/04/25)
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  • Clinical UM Nurse 2

    CenterWell (Columbus, OH)
    …a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent ... volume and fast paced environment + Previous experience in utilization management + Education: BSN or Bachelor's...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
    CenterWell (09/26/25)
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  • Lead Information Security Engineer

    Lumen (Columbus, OH)
    …false notifications + Automation of work functions and capabilities + Assist with management of vendors for meeting Lumen needs and improving capabilities + Develop ... improvement for technologies and processes. + Create and analyze utilization statistics of systems to identify causes for system...processes applicable to the role (eg change and outage management ). **What We Look For in a Candidate** Minimum… more
    Lumen (09/30/25)
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  • OMNI Supervisor Full Time

    BJs Wholesale Club (Lewis Center, OH)
    …plans vary by location Job Summary Working closely with the Assistant Club Manager , the Omni Supervisor is responsible for providing leadership and direction within ... acumen. Exhibit strategic thinking and sound decision-making thorough knowledge and utilization of business data. + Lead through change. Model leadership… more
    BJs Wholesale Club (09/12/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Akron, OH)
    …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management , Certified Professional… more
    Molina Healthcare (09/06/25)
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  • National Technology Accounts Business Development…

    Robert Half-Robert Half Corporate (Columbus, OH)
    …staffing services, with enterprise firms with large IT professionals (1000+) utilization , within an assigned territory. This position will leverage research driven ... hiring managers (VP/SVP) and client contacts of high-potential, large IT contractor utilization companies + Promotes and supports an inclusive work environment where… more
    Robert Half-Robert Half Corporate (09/12/25)
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  • Field Superintendent - Data Centers

    Amentum (Cambridge, OH)
    …This position will be responsible for the quality of client service, utilization of staff, marketing, office reputation, contract management , billing collection, ... at the project when needed + Shares responsibility with the construction project manager for developing and keeping to the project budget, actively participating in… more
    Amentum (09/27/25)
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  • Transplant Nurse II (US)

    Elevance Health (Mason, OH)
    …solving with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. + Within the medical ... a health related field or certification as a care manager preferred. + Knowledge of medical management ...care manager preferred. + Knowledge of medical management process and ability to interpret and apply member… more
    Elevance Health (10/02/25)
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  • Sr. Risk Analyst

    SHI (Columbus, OH)
    …The SRA organizes findings, draws conclusions, and discusses them with their manager before escalating to business management . Strong business acumen, critical ... analytical skills are essential. Reporting to the Senior Risk Manager , the SRA plays a key role in implementing...a key role in implementing and enhancing the Risk Management Program and tools, establishing effective controls, and leading… more
    SHI (09/03/25)
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