- Molina Healthcare (Cincinnati, OH)
- …stay for requested treatments and/or procedures. * Works collaboratively with the Utilization and Case Management departments to provide ABA/BHT services to Molina ... members with ASD and other related disorders. * Approves prior authorization requests for BHT treatment by reviewing Behavioral Health Therapy (BHT) assessments and… more
- Prime Therapeutics (Columbus, OH)
- …key internal stakeholders including Clinical, Clinical Program Management, and Utilization Management to deliver financial opportunities to Prime's clients. ... Serve as interdepartmental bridge between Trade, Clinical Program Management, Clinical, Utilization Management and other stakeholders to propagate trade strategies +… more
- Premier Health (Dayton, OH)
- …II and Tier III. The manager is responsible for managing and analyzing the utilization of float pool as well as outside agency personnel when supplemental staffing ... alignment with site specific initiatives, enterprise-wide staffing allocation and consistent utilization of the API scheduling software. The manager is responsible… more
- Kyndryl (Columbus, OH)
- …ultimately supporting execution. Partners will be focused on financial impact, utilization and contribution, client impact and leadership. Contribute to Profitable ... client references Operational Excellence: + Achieve individual and team utilization targets + Lead the design of complex engagements...eligible may apply for a medical or religious accommodation prior to the start of employment. **Who You Are**… more
- Molina Healthcare (Columbus, OH)
- …those involved in formulary management (such as, reviewing drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such ... Participates in the development /administration of programs designed to enhance the utilization of targeted drugs and the identification of cost saving pharmacy… more
- Kyndryl (Columbus, OH)
- …ultimately supporting execution. Partners will be focused on financial impact, utilization and contribution, client impact and leadership. **Contribute to Profitable ... development; Secure client references **Operational Excellence:** + Achieve individual and team utilization targets + Lead the design of complex engagements and take… more
- Kyndryl (Columbus, OH)
- …ultimately supporting execution. Partners will be focused on financial impact, utilization and contribution, client impact and leadership. **Contribute to Profitable ... development; Secure client references **Operational Excellence:** *Achieve individual and team utilization targets *Lead the design of complex engagements and take… more
- OhioHealth (Columbus, OH)
- …assures quality, service, and satisfaction goals are met. Monitors efficient utilization of resources and financial performance; assures productivity standards are ... interdisciplinary team to achieve effective patient outcomes or flow, efficient utilization of resources and patient satisfaction. Directs, delegates, and/or engages… more
- Elevance Health (Mason, OH)
- …responsible for the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues. **How you will ... to prescriptions and medication resources or assistance programs. + Processes prior authorization requests from physicians' offices and ensures compliance with… more
- Battelle Memorial Institute (Columbus, OH)
- …+ PhD degree in life sciences discipline or Master's degree with 2- 5+ years prior experience or Bachelor's degree with 5- 8+ years prior experience. + Expertise ... verbal and written communication skills including correct grammar, spelling, and punctuation. Prior presentation experience. + Ability to obtain and maintain a US… more