• Stakeholder Management Services Department…

    Burns & McDonnell (Columbus, OH)
    **Description** The Stakeholder Management Services Department Manager is responsible for the managerial direction and leadership of a department within a global ... and promoting the Burns & McDonnell culture, values and mission. The Stakeholder Management Services Department Manager will lead the department in a dynamic… more
    Burns & McDonnell (08/08/25)
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  • Manager , Healthcare Services

    Molina Healthcare (OH)
    …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and...years in one or more of the following areas: utilization management , case management , care… more
    Molina Healthcare (09/27/25)
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  • Continuous Quality Improvement Manager

    National Youth Advocate Program (Columbus, OH)
    ** Utilization Manager /Continuous Quality Improvement Manager - Columbus** **Compensation:** $82,000 - $85,000 **Position Summary** The Utilization ... 401K Matching flexible hours, mileage reimbursement, phone allowance **Responsibilities** The Utilization Manager /Continuous Quality Improvement Manager will… more
    National Youth Advocate Program (09/18/25)
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  • Manager Behavioral Health Services

    Elevance Health (Columbus, OH)
    … Manager Behavioral Health Services** Responsible for overseeing Behavioral Health Utilization Management (BH UM), this position supports the Medicaid line ... facility-based and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience; or any combination of education and… more
    Elevance Health (09/30/25)
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  • Account Manager (Cleveland OH & Pittsburgh…

    J&J Family of Companies (Cleveland, OH)
    …United States **Job Description:** We are searching for the best talent for Account Manager to be in Cleveland, OH & Pittsburgh North PA. **About Surgery** Fueled by ... their journey to wellness. Learn more at https://www.jnj.com/medtech As a Field Sales Account Manager , this individual will serve as the point person for end to end… more
    J&J Family of Companies (09/19/25)
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  • Case Manager Extender

    OhioHealth (Columbus, OH)
    …and coordination of services through proactive collaboration and communications with utilization management and care coordination team. 5. Monitor commercial ... to claims, addition of diagnosis allowances and authorization numbers 6. Refer utilization management /clinical decisions beyond level of authority to care… more
    OhioHealth (09/22/25)
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  • Field Training Manager

    Nestle (Solon, OH)
    …training initiatives through data-driven reporting and storytelling. + Support the POKA utilization strategy at all sites, including change management and ... **POSITION SUMMARY** As a direct report to the Sr. Manager , Training, the Field Training Manager is...+ Develop and Maintain POKA work instructions, drive tool utilization for capability building and leverage skills endorsements to… more
    Nestle (09/18/25)
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  • LTSS Service Coordinator (Case Manager )

    Elevance Health (Worthington, OH)
    …associates, and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation ... **LTSS Service Coordinator (Case Manager )** **Hiring statewide across Ohio** **Location** : This...care plan. Engage the individual's support network and oversee management of their physical health, behavioral health, and long-term… more
    Elevance Health (09/11/25)
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  • Manager , Medical Economics (Medicaid)…

    Molina Healthcare (Cleveland, OH)
    …retrieving specified information from data sources. + Knowledge of healthcare operations ( utilization management , disease management , HEDIS quality measures, ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to...team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes… more
    Molina Healthcare (08/27/25)
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  • PBM Pricing Strategy Analyst Manager…

    Elevance Health (Mason, OH)
    **PBM Pricing Strategy Analyst Manager - CarelonRx (Specialty Pharmacy)** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering ... deliver member-centered, lasting pharmacy care. The **PBM Pricing Strategy Analyst Manager ** will be responsible for Pharmacy Services pricing and Administrative… more
    Elevance Health (09/13/25)
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