• Senior Data Automation Professional

    CenterWell (Columbus, OH)
    …enterprise scheduling system to manage job execution Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be ... 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
    CenterWell (12/05/25)
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  • Senior Analyst II, Domain (Clinical & Commercial…

    Norstella (Columbus, OH)
    Senior Analyst II, Domain (Clinical & Commercial Development) Company: Norstella Location: Remote , United States Date Posted: Dec 9, 2025 Employment Type: Full Time ... in compliance **Qualifications:** + Graduate/Post-Graduate/Doctorate degree in Life Sciences, Pharmacy , Medical Sciences, or equivalent field/experience + Minimum 8… more
    Norstella (12/03/25)
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  • Medical Trend Analytics Manager 1

    Baylor Scott & White Health (Columbus, OH)
    **JOB SUMMARY** 100% remote position** The Medical Trend Analytics Manager 1 is responsible for leading the design, execution, and communication of analytical output ... and Medicaid). Candidate will oversee extracting and analyzing medical and pharmacy claims data, translating output into business recommendations. This individual… more
    Baylor Scott & White Health (11/26/25)
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  • Utilization Management Nurse

    CenterWell (Columbus, OH)
    …Resource Groups (NRGs) + Career development opportunities Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may ... 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
    CenterWell (11/22/25)
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  • PCO Medical Director- UM - Full Time

    CenterWell (Columbus, OH)
    …on project teams or organizational committees. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may ... 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
    CenterWell (11/06/25)
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  • Associate Director, Market Access Engagement…

    Sumitomo Pharma (Columbus, OH)
    …access/commercial experience. Rare disease experience is preferred + Excellent virtual/ remote customer engagement skills along with verbal and written communication ... dynamics including payer-reimbursement challenges + Buy and Bill and specialty pharmacy vendor management experience highly preferred; experience in supporting Cell… more
    Sumitomo Pharma (10/31/25)
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  • Sr. Medical Analyst, RWD

    Norstella (Columbus, OH)
    Sr. Medical Analyst, RWD Company: MMIT Location: Remote , United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... and business questions. + And other duties as assigned **Qualifications:** + Pharmacy (PharmD) or Medicine (MD/DO) degree. + Experience working with and querying… more
    Norstella (10/28/25)
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  • Medical Director - Medicaid N. Central

    Humana (Columbus, OH)
    …of coding practices and clinical documentation, grievance and appeals processes (including pharmacy ), and reviews for DME, genetic testing, etc. within their scope. ... organizational committees. All other duties as assigned. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may… more
    Humana (10/25/25)
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  • Program Management Lead, Offshore Coding…

    CenterWell (Columbus, OH)
    …to protect member PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be ... 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
    CenterWell (10/23/25)
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  • Part-time Behavioral Health Medical Director…

    Centene Corporation (Columbus, OH)
    …effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. + ... reimbursement, paid time off plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay will be adjusted based on… more
    Centene Corporation (10/23/25)
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