• Clinical Case Manager Behavioral Health OhioRISE…

    CVS Health (Columbus, OH)
    …required. **Preferred Qualifications** + Crisis intervention skills preferred. + Managed care/ utilization review experience preferred. + Case management and ... and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. **Position… more
    CVS Health (09/05/25)
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  • Clinical Staff Pharmacist Remote

    Prime Therapeutics (Columbus, OH)
    …drives every decision we make. **Job Posting Title** Clinical Staff Pharmacist Remote **Job Description** The Clinical Staff Pharmacist is responsible for the ... processing and documenting of Utilization Management requests (ie formulary exceptions, prior authorization, step...$51.92 - $88.46 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our… more
    Prime Therapeutics (10/01/25)
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  • Consultant II International Relocation - US Based…

    Anywhere Real Estate (Cleveland, OH)
    …policy/program; delivering expatriate compensation-related services, counselling on best utilization of resources (ie language and cross-cultural trainings); ... by client policy + Counsel employees to the best utilization of program benefits + Demonstrate sound knowledge of...all pertinent records and ad hoc reports for management review and decision making + Maintain and Manage relationships… more
    Anywhere Real Estate (09/30/25)
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  • Part-Time Weekend Medical Director ( Remote

    Highmark Health (Columbus, OH)
    …NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the ... **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most… more
    Highmark Health (09/11/25)
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  • Clinical Integrity Pharmacist- REMOTE

    Prime Therapeutics (Columbus, OH)
    …every decision we make. **Job Posting Title** Clinical Integrity Pharmacist- REMOTE **Job Description** Job Description Summary Responsible for program alignment ... teams. + Triages clinical requests for existing and prospective opportunities for review and prioritization + Contribution and coordination of clinical team support… more
    Prime Therapeutics (09/27/25)
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  • US Strategy Lead Director Medical Affairs (USDMA)/…

    Merck (Columbus, OH)
    …(ie patient support, education, risk management) as needed for appropriate and safe utilization of company medicines. + Partner with GSVC, CSEE, US Global Clinical ... Areas of Interest consultation, dissemination, data highlights, training, and scientific review as requested by the GMSA ED. **Required Qualifications, Skills &… more
    Merck (09/13/25)
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  • Major & Strategic Account Executive - Hospital…

    Wolters Kluwer (Columbus, OH)
    …opportunities in the named customer base, including: + Conducting regular account review meetings and reviewing account utilization management reporting to ... **_ This is a remote position covering the New England territory _**...communication **Travel Requirements** + 25-50% within territory \#LI - Remote _Applicants may be required to appear onsite at… more
    Wolters Kluwer (09/10/25)
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  • Warehouse Lead Industrial Engineer ( remote

    Ryder System (Columbus, OH)
    _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** This ... and experience in core engineering and data analysis functions (slotting, utilization , labor planning, layouts, metrics, etc.) advanced required + Warehouse design… more
    Ryder System (09/29/25)
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  • Warehouse Sr. Industrial Engineer ( remote

    Ryder System (Columbus, OH)
    _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** This ... and experience in core engineering and data analysis functions (slotting, utilization , labor planning, layouts, metrics, etc.) intermediate required + Warehouse… more
    Ryder System (09/29/25)
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  • Analyst, Quality Analytics & Performance…

    Molina Healthcare (Columbus, OH)
    …rate tracking and supplemental data impact reporting. + Develop Medical Record Review project reporting to track progress and team productivity reporting. + ... and other statistical methodologies to predict future trends in cost, utilization , and performance. + Assist with research, development and completion of… more
    Molina Healthcare (09/18/25)
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