- Humana (Columbus, OH)
- …Delivery Systems, health insurance, or clinical group practice management + Utilization management experience in a medical management review organization ... us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments… more
- Coinbase (Columbus, OH)
- …you, there's no better place to be. While many roles at Coinbase are remote -first, we are not remote -only. In-person participation is required throughout the ... spaces that emphasize the work, the brand, and the people.* Coinbase's remote -first approach emphasizes flexibility and inclusivity, allowing most employees to work… more
- Humana (Columbus, OH)
- …member service or customer service telephone experience desired + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care ... first** The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities… more
- Leidos (Columbus, OH)
- …the development of recovery plans, to stay within approved limits + Share team utilization metrics and address any utilization concerns with AEP's Center of ... weekly/monthly project control reports for client and internal management review . + Interfacing directly with the client and internal...and KPI tracking + The role will have some remote capabilities, but will require a frequent presence in… more
- Humana (Columbus, OH)
- …Integrated Delivery Systems, health insurance, or other healthcare providers. + Utilization management experience in a medical management review organization, ... Demonstrate adaptability and willingness to learn evolving workflows, tools, and utilization management practices **Work Schedule Monday - Friday w/standard weekends… more
- Bon Secours Mercy Health (Youngstown, OH)
- …management team, and interdisciplinary care team members during admission for appropriate utilization of services, length of stay and safe discharge plan. Coordinate ... of effective plan of care. This position is primarily remote /work from home. Hire will support the Youngstown &...clinically appropriate care settings post discharge. + Perform medication review and work with members of the care team… more
- Fujifilm (Columbus, OH)
- …with shareholders. Responsible in maintaining existing written documentation, periodic review , and publish **Company Overview** At FUJIFILM Healthcare Americas ... an expert level understanding of Information Technologies and its utilization in a clinical environment. Emphasis is on the...Networking Skills + Proficient with MS products, VMWare, and Remote Access, etc. + Experience in healthcare related field… more
- Coinbase (Columbus, OH)
- …you, there's no better place to be. While many roles at Coinbase are remote -first, we are not remote -only. In-person participation is required throughout the ... analysis, risk assessments, development of the audit plan, project management, quality review , report issuance and issue validation across IT and business functions.… more
- Oracle (Columbus, OH)
- …directly with clients at a prominent academic medical center in the Midwest. This remote role will act as the primary subject matter expert and point person for ... Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal candidate will leverage their… more
- Battelle Memorial Institute (Columbus, OH)
- …and destruction. We are looking for a leader to provide scoping, review and oversight for cleaning and replacement projects associated with transition needs. ... This position offers the flexibility of ** remote work** . Candidates based near Columbus, OH, can...engineering contractors, including the development of SOWs and RFPs, review of contractor submittals, and coordination of replacement activities… more