• Care Review Clinician, PA (RN) Transplants

    Molina Healthcare (OH)
    …holidays.** Preferred Experience Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge ... and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare… more
    Molina Healthcare (07/17/25)
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  • Telephonic UM Administration Coordinator

    Humana (Columbus, OH)
    …with medical terminology and/or ICD-10 codes. + Member service + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care ... organization. **Additional Information** **Work Schedule:** + Monday-Friday 8am-5pm EST and work 1 weekend a quarter. Schedule subject to change based on business needs. As part of our hiring process, we will be using an exciting interviewing technology… more
    Humana (07/30/25)
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  • Supervisor, Care Review (RN)

    Molina Healthcare (Cleveland, OH)
    …an integrated Care Access and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/ utilization review, and/or other ... clinical and non-clinical team activities to facilitate integrated, proactive utilization management, ensuring compliance with regulatory and accrediting standards.… more
    Molina Healthcare (07/27/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Columbus, OH)
    …the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a ... meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your… more
    Evolent (07/30/25)
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  • Demand Response Associate - Demand Analyst Sr.

    American Electric Power (Columbus, OH)
    …and education to Commercial Operations Market Operations teams to ensure optimal utilization of DR assets + Promote a cooperative working environment with an ... and education to Commercial Operations Market Operations teams to ensure optimal utilization of DR assets + Promote a cooperative working environment with an… more
    American Electric Power (07/31/25)
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  • Production Controller (Construction)

    Air National Guard Units (OH)
    …to maximize productivity. Coordinates with Material/Deployment Manager on assignment and utilization of all vehicles and equipment assigned to CES for the ... CES inventory. Conducts reviews of work processes, workflow, and space utilization , and determines improvements that are appropriate. Coordinates with the… more
    Air National Guard Units (07/11/25)
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  • Medical Support Assistant (Advanced)

    Veterans Affairs, Veterans Health Administration (Parma, OH)
    …appointments Coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization Statistical Summary), ... applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. Parental Leave: After 12 months… more
    Veterans Affairs, Veterans Health Administration (07/29/25)
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  • Sr Analyst, Scope Management

    Evolent (Columbus, OH)
    …informatics professionals who work with national health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with ... Management plays a crucial role in supporting the comprehensive management of prior authorization and financial scope within Evolent Specialty Services. Reporting to… more
    Evolent (07/18/25)
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  • Specialist, Electrical Engineering 1

    L3Harris (Cincinnati, OH)
    …measurement errors and ensuring system-level engineering accuracy. + CAE Tools Utilization : Skilled in using Computer-Aided Engineering (CAE) tools such as Altium ... flip flops, timers, and filters. + Modeling and Simulation: Utilization of modeling and simulation utilities like SPICE and...Engineering or related field and minimum 4 years of prior relevant experience. Graduate Degree and a minimum of… more
    L3Harris (07/31/25)
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  • Pharmacy Technician

    Molina Healthcare (Columbus, OH)
    …family include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and ... + Performs initial receipt and review of non-formulary or prior authorization requests against plan approved criteria. Requests additional information… more
    Molina Healthcare (07/25/25)
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