- Medical Mutual of Ohio (OH)
- **Note: this is a fully remote opportunity.** **Eastern Time Zones preferred.** Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance ... certified HEDIS software. . Ability to analyze clinical, claims, pharmacy , encounter, and quality measurement data. . Advanced knowledge...keyboard, mouse and headset. + Whether you are working remote or in the office, employees have access to… more
- Cardinal Health (Columbus, OH)
- …streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, ... schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. ** REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated,… more
- Cardinal Health (Columbus, OH)
- …streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, ... shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. ** REMOTE DETAILS:** + You will work remotely, full-time. It will require a… more
- Molina Healthcare (Columbus, OH)
- **_ Remote and must live in Central Ohio _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... would occur to discuss and resolve issues related to utilization management, pharmacy , quality of care, and correct coding. * Independently delivers training and… more
- Takeda Pharmaceuticals (OH)
- …to work within a complex sales model + Biotech, biologics, and specialty pharmacy experience helpful + Experience with buy & bill product selling/account management ... protected by law._ **Locations** Ohio - Virtual **Worker Type** Employee **Worker Sub-Type** Regular **Time Type** Full time **Job Exempt** No \#LI- Remote more
- Adecco US, Inc. (Columbus, OH)
- …benefit structures, and prior authorization processes. + Experience with specialty pharmacy , Buy & Bill, or program-specific therapies (oncology, dermatology, etc.). ... you? + Pay: $60.10/hour + Shift: Monday - Friday, 8:00 am - 5:00 pm ( Remote with 80% travel) + Weekly paycheck + Dedicated Onboarding Specialist & Recruiter + Access… more
- CenterWell (Mount Vernon, OH)
- …Type** : On-site **Branch Location** : Mount Vernon, OH **This is not a remote or work-from-home position. This position requires you to sit on-site at our Mount ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more
- Humana (Columbus, OH)
- …sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment, pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or CMC) + Experience ... be moving forward to next round of interviews. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more
- Highmark Health (Columbus, OH)
- …requirements and CMS Stars rating measures including HEDIS, CAHPS, Pharmacy , HOS, PQA, PQRS. + Supportdevelopment of the overall conceptualization, ... 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office- or Remote -based Teaches / trains others Occasionally Travel from the office to… more
- Humana (Columbus, OH)
- …discharge orders and arrange a safe facility discharge. + Work with UM Nurses, Pharmacy , Medical Directors and other Departments. + During downtime make calls to UM ... be able to research your request quicker. \#LI-BB1 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be… more