- Highmark Health (Columbus, OH)
- …designs, competitive position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist ... and servicing quality dental networks in assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract… 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
- CVS Health (Columbus, OH)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... each and every day. **Position Summary** **This is a remote work from home role anywhere in the US...is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that… more
- GE Aerospace (West Chester, OH)
- **Job Description Summary** The Fleet Support - Remote Monitoring and Diagnostics (RMD) Senior Fleet Manager will provide engine health monitoring services to our ... through early detection and customer notification reports (CNRs), to maximize aircraft utilization . The Senior Fleet Manager will also lead and develop prognostic… more
- Intermountain Health (Columbus, OH)
- …patients and/or patient's family, caregivers, and/or legal representatives socio-economic review and screening to support coordination of care. Plans interventions ... to Friday with varying hours from 6:30 to 5 Pm. This is a fully remote position with NO on call requirements.** Participates in huddles with primary care practices… more
- Copeland (Sidney, OH)
- …on organizational design initiatives and change management and communication plans + Utilization of successional planning, talent review and L&D process + ... at our Sidney, OH facility will be between 15-20%. **Consideration given to remote employees in eastern and central time zones.** **As the** **Director, Global HR… more
- 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** ... and management + Monitor network performance and capacity (availability, utilization , throughput, latency) to identify and address potential bottlenecks or… more
- CenterWell (Columbus, OH)
- …+ Monitor plan performance and proactively bring issues to the forefront for review + Support new business implementations with a goal of ensuring all pharmacy ... and present to client + Escalate issues for immediate review and action whenever necessary + Request, review...internal partners and the Medicaid market to manage pharmacy utilization and spend + Manage escalated member, client and… more
- Humana (Columbus, OH)
- …first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on ... on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health insurance organizations,… more
- American Electric Power (Columbus, OH)
- …technology. Provide direction to team members and lead efforts in the review , evaluation, and recommendation of emerging security technologies relevant to critical ... industrial environments. Frequently involved in the implementation, support, and utilization of technical solutions tailored to safeguard operational technology.… more