• Lead Director, Medicare Actuarial Analytics…

    CVS Health (Columbus, OH)
    …+ Inform and enhance the end-to-end bid cycle process, including pricing, forecasting, and regulatory compliance . + Serve as a subject matter expert on CMS ... pricing strategies. This role requires a strong understanding of regulatory frameworks, actuarial modeling, and healthcare economics....regulations, risk adjustment, and revenue optimization. + Collaborate with internal… more
    CVS Health (07/01/25)
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  • Mammographer - Diley Ridge casual

    Trinity Health (Canal Winchester, OH)
    …imaging modality monitors & reports quality indicators focusing on optimal patient outcomes, regulatory compliance & risk management, customer service, and ... for Risk Management and Organizational Integrity programs and applicable regulatory requirements, (3) Follows guidelines for radiation safety as outlined in… more
    Trinity Health (07/31/25)
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  • Counsel

    Humana (Columbus, OH)
    …work collaboratively across the Legal team and with other teams within Humana, including Regulatory Compliance and Risk Management. The Counsel will be ... and help us put health first** Humana is seeking regulatory Counsel to support its Medicaid plan operations in...At least 3-5 years of experience working in the healthcare industry + Strong understanding of Federal and State… more
    Humana (07/03/25)
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  • Senior Director Research Operations - Heart…

    Cleveland Clinic (Cleveland, OH)
    …or related field​ Extensive knowledge of industry-sponsored clinical trials and regulatory compliance . + Strong command of clinical trial operations, ... and growth, implementation, research and shared services productivity, financial performance, compliance and risk mitigation, and continuous improvement for… more
    Cleveland Clinic (07/10/25)
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  • Solutions Architect

    Evolent (Columbus, OH)
    …workflows, value-based care models, and healthcare economics + Knowledge of healthcare regulatory requirements (HIPAA, HITECH, 21st Century Cures Act, CMS ... mission. Stay for the culture. **What You'll Be Doing:** **Senior Architect Healthcare Integration - EMR/FHIR Specialist** **What You'll Be Doing** **Drive … more
    Evolent (06/26/25)
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  • Correspondence Policy Specialist

    Evolent (Columbus, OH)
    …Will Be Doing:** + Develops and customizes correspondence according to regulatory requirements and contractual requirements including coordinating Compliance ... healthcare industry experience is required. + 3+ years of experience with compliance and quality requirements related to healthcare and UM processes is… more
    Evolent (06/17/25)
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  • Internal Auditor - Remote

    Prime Therapeutics (Columbus, OH)
    …years of relevant experience which includes but is not limited to Internal Controls, Audit, Risk Assessments or Compliance + Must be eligible to work in the ... Description** The staff Internal Auditor supports the organization's internal control, risk management, and governance efforts by executing audit and advisory… more
    Prime Therapeutics (08/01/25)
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  • Relationship Manager Senior Sports Finance…

    City National Bank (Columbus, OH)
    …issues. * Collaborate effectively with cross-functional teams, including credit, operations, compliance , and risk , to ensure successful execution of transactions ... responsive, quality service. Manages overall relationship profitability and portfolio risk and is responsible for profitable growth of the...and alignment with regulatory standards. * Foster a collaborative, high-performance culture by… more
    City National Bank (07/16/25)
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  • President ProMedica Physicians

    ProMedica Health System (Toledo, OH)
    …working with the CMO to ensure that PPG and related physicians are in full compliance with all applicable regulatory agency rules and regulations to include but ... in accordance with value-based care initiatives, ACOs and other risk -based contracts and alternative payment models. ACCOUNTABILITIES Incorporates & demonstrates… more
    ProMedica Health System (07/17/25)
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  • Regional Field Director, RNS Program Management

    United Therapeutics (Columbus, OH)
    …needed). + Conduct field rides within field regions with direct reports to evaluate regulatory compliance and abilities to deliver 'best in class' training and ... products, pumps and disease states, ensuring that physicians, nurses and other healthcare professionals are well versed on PAH disease state, disease progression, … more
    United Therapeutics (06/05/25)
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