- RxBenefits (Columbus, OH)
- …channel management, B/G classifications, specialty designations, rebate eligibility, utilization trend, Utilization Management (UM) implications, Manufacturer ... structure, new prospect member size, marketing agreements, broker commissions, and drug utilization . + Be the SME on dozens of medical vendor/PBM contracts including… more
- Cuyahoga County Board of Developmental Disabilities (Cleveland, OH)
- …the Prior Authorization Review Process, implementation of AAI Administrative Review , and utilization of Medicaid State Plan Services. Deliver technical ... coaching and instruction to ensure skill acquisition, retention and utilization . Specifically provide oversight to ensure timely enrollment and redetermination… more
- BJs Wholesale Club (OH)
- …members . Job Responsibilities: + Design facilities, processes, and plans utilization of facilities, equipment, materials and personnel to improve efficiency and ... programs and analyzes work samples to develop standards for labor utilization . + Implement engineered labor standards at designated Ambient Distribution Centers.… more
- Humana (Columbus, OH)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- Olsson (Columbus, OH)
- BMS Engineering Leader - Data Center Arizona - Remote ; Arkansas - Remote ; Florida - Remote ; Georgia - Remote ; Idaho - Remote ; Illinois - Remote ; ... Remote ; Iowa - Remote ; Kansas - Remote ; Kentucky - Remote ; Louisiana - ...Monitor and enhance the group's project performance and employee utilization and workload, identifying potential areas of improvement and… more
- Kemper (Columbus, OH)
- Location(s) Jacksonville, Florida, Remote -AL, Remote -CT, Remote -FL, Remote -GA, Remote -IL, Remote -IN, Remote -OH, Remote -PA, Remote -WI ... complex technical problems and issues with assigned applications and work processes. + Review and recommend test plans for impacted areas and end to end test… more
- Humana (Columbus, OH)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all… more
- GE Aerospace (Cincinnati, OH)
- **Job Description Summary** The Fleet Support - Remote Monitoring and Diagnostics (RMD) Lead Customer Diagnostics Engineer will provide engine health monitoring ... early detection and customer notification reports (CNRs), to maximize aircraft utilization . The Fleet Manager will also develop prognostic analytics to detect… more
- Oracle (Columbus, OH)
- …procedures, contractual budgets, providing expert-level insight on the development, utilization , and revision of contractual agreements. + Maintains customer ... to key leaders. Technical Delivery Management: + Leading the review of and advises customers on optimal use and...service to customers and optimize overall product and service utilization to achieve ROI goals, influencing roadmaps and customer… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …per test for both in-house and referral tests. + Develop and chair a utilization management review committee and partner with the prior authorization team. + ... operational excellence. **DIRECTOR, LAB STEWARDSHIP AND TEST OPTIMIZATION** **|** ** REMOTE WITHIN A MARKET** The Director of Lab Stewardship... Review high-cost and high-volume referral tests for clinical appropriateness… more