• Medical Claim Review Nurse (RN)

    Molina Healthcare (Akron, OH)
    …SKILLS & ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years ... that has a current active unrestricted license This a remote role and can sit anywhere within the United...Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Utilizing clinical knowledge… more
    Molina Healthcare (09/06/25)
    - Related Jobs

  • Medical Claims Processor - Remote

    Cognizant (Columbus, OH)
    …guidelines and regulations + Experience in the analysis and processing of claims, utilization review /quality assurance procedures + Must be able to work with ... technologies to transform a variety of business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical**… more
    Cognizant (10/02/25)
    - Related Jobs

  • Sr Director Clinical Strategy and Oncology…

    Prime Therapeutics (Columbus, OH)
    …Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job Description** The Senior Director Clinical Strategy and Oncology ... implementation of innovative drug solutions, including optimizing optimize drug utilization , patient outcomes, and cost-effectiveness through value-based care models,… more
    Prime Therapeutics (10/02/25)
    - Related Jobs

  • Clinical Account Director - Remote

    Prime Therapeutics (Columbus, OH)
    …every decision we make. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account Director is responsible for the management ... specific clinical programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug therapy related products and… more
    Prime Therapeutics (10/01/25)
    - Related Jobs

  • Clinical Account Manager - Remote

    Prime Therapeutics (Columbus, OH)
    …decision we make. **Job Posting Title** Clinical Account Manager - Remote **Job Description** Innovative business clinician accountable for building and maintaining ... fashion. + Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancement). + Identifies opportunities for additional… more
    Prime Therapeutics (09/25/25)
    - Related Jobs

  • Clinical Solutions VP - Remote

    Prime Therapeutics (Columbus, OH)
    …every decision we make. **Job Posting Title** Clinical Solutions VP - Remote **Job Description** The Clinical Solutions Vice President is responsible for developing ... and implementation of innovative drug solutions, including optimizing drug utilization , patient outcomes, and cost-effectiveness through value-based care models,… more
    Prime Therapeutics (09/10/25)
    - Related Jobs

  • Sr Dir Pharmacy Trade Relations - Remote

    Prime Therapeutics (Columbus, OH)
    …we make. **Job Posting Title** Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director, Pharmaceutical Trade Relations is responsible for ... including items such as manufacturer and GPO negotiation, rate and utilization management policy creation and interpretation, formulary modeling and pull through… more
    Prime Therapeutics (08/08/25)
    - Related Jobs

  • Accounting Coordinator III - 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** : The Card ... reporting, and policy compliance + Prepares management reports on program utilization , spending trends, and compliance metrics for both countries + Implements… more
    Ryder System (10/01/25)
    - Related Jobs

  • Supervisor Employee Services Contact Center…

    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** The ... to get things done regardless of obstacles + Optimized utilization of resources to provide a delightful and consistent...apply using the internal application process. _Job Seekers can review the Job Applicant Privacy Policy by clicking here… more
    Ryder System (09/24/25)
    - Related Jobs

  • Sr. Continuous Improvement Engineer Transportation…

    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 + Knowledge of… more
    Ryder System (09/12/25)
    - Related Jobs