- Humana (Columbus, OH)
- …of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents Humana at Administrative ... on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health insurance organizations,… more
- CBRE (Columbus, OH)
- …19-Feb-2025 Service line GWS Segment Role type Full-time Areas of Interest Sales & Leasing Location(s) Remote - US - Remote - US - United States of America _This ... corrective action and termination. + Monitors appropriate staffing levels and reports on utilization and deployment of human resources. + Leads and supports staff in… more
- Battelle Memorial Institute (Columbus, OH)
- …within our Health Research and Analytics Business Line. The position location can be remote with preference for **Crystal City, VA or Columbus, OH** on a hybrid ... capture processes to win new business including: the gate review process; developing a capture strategy; planning capture milestones,...model allows you to work 60% in-office and 40% remote , with Monday and Tuesday as common in-office days,… more
- CVS Health (Columbus, OH)
- …their clinical quality and effective use of health care resources. This is a remote based (work from home) role. Preferred candidates will have Internal Medicine or ... to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied medical services. This includes First Level Appeals /… more
- Intermountain Health (Columbus, OH)
- …monitors compliance with standard operational procedures across multiple RSC functions. Review and assess processes related to RSC (ie billing, follow-up, credits, ... web portal administration, ensuring proper access controls, timely setup, and efficient utilization . Serve as the escalation point for issues related to EDI… more
- WTW (Cleveland, OH)
- …with existing clients + Drives the RFP response process, including review , identification, and coordination of resources and expertise required, and ultimate ... strategy by working in conjunction with Broking to ensure utilization of appropriate analytical tools + Drives design and...work in a "hybrid" style, with a mix of remote , in-person and in-office interactions dependent on the needs… more
- Insight Global (Cincinnati, OH)
- …seeking a Platform Engineer III (Black Diamond Business Analyst) that will sit fully remote for a year long contract with possible extensions. You will help the bank ... o Understand the business technology roadmap and make recommendations on continued utilization or elimination of current third party software solutions. o Implement… more
- Highmark Health (Columbus, OH)
- **Company :** Highmark Health **Job Description :** Entirely Remote Work From Anywhere Role! We are seeking an experienced Software Engineering Manager to lead our ... have budgetary responsibility and authority. + Understand budget and resource utilization across the product teams. Escalate any issues regarding product delivery… more
- Cardinal Health (Columbus, OH)
- …or GCP. + Skilled in implementing cost saving measures ensuring proper utilization of available resources. + Experience in Azure Kubernetes services to deploy ... and skills and an evaluation of internal pay equity. \#LI- Remote \#LI-AP4 _Candidates who are back-to-work, people with disabilities,...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- CVS Health (Columbus, OH)
- …and every day. The Care Management Associate (CMA) role is a full-time remote telework position. Qualified candidates must reside in Ohio. This position manages ... and supporting the implementation of Wellness Plans to promote effective utilization of healthcare services. This position promotes/supports quality effectiveness of… more