• Claims Process Executive…

    Cognizant (Columbus, OH)
    ** Claims Process Executive ( remote )** **JOB PURPOSE:** Claim Processors will review claim submissions, verify information, adjudicate the claim as per ... the business requirements. **ESSENTIAL FUNCTIONS** : + Examining and entering basic claims for appropriateness of care and completeness of information in accordance… more
    Cognizant (10/04/25)
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  • Executive Director of R&D Global Quality…

    Otsuka America Pharmaceutical Inc. (Columbus, OH)
    **Job Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for ... reported periodically to Senior Management through the Management Review process to ensure alignment with Company policy and strategy...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (08/14/25)
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  • Account Executive

    Medical Mutual of Ohio (Rossford, OH)
    Note: This is a primarily remote position, though occasional in-person work may be required at our Rossford, Ohio location to support specific business needs. ... as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Account Executive I** Manages and acts as primary contact for the successful… more
    Medical Mutual of Ohio (10/02/25)
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  • Senior Analyst, Healthcare Analytics - SQL/Power…

    Molina Healthcare (OH)
    **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... programming, SQL Server Reporting Services (SSRS), Medinsight, RxNavigator, Crystal Reports, Executive Dashboard, and other analytic / programming tools as needed. +… more
    Molina Healthcare (10/04/25)
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  • Senior Managing Director, Risk Advisory, Trust…

    Ankura (OH)
    …structured, defensible processes for fiduciaries, courts, and stakeholders in high-volume claims environments. Role Overview The Trust and Mass Torts Senior Managing ... Director role is an executive level position that sells, leads and manages complex...the firm's activities and initiatives + Manage the invoicing process , including collections, for consulting engagements + Build relationships… more
    Ankura (09/26/25)
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  • Senior Analytic Consultant

    Norstella (Columbus, OH)
    Senior Analytic Consultant Company: MMIT Location: Remote , United States Date Posted: Aug 21, 2025 Employment Type: Full Time Job ID: R-1436 **Description** **About ... offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization… more
    Norstella (08/22/25)
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  • Chief Underwriting Officer

    Ford Motor Company (Columbus, OH)
    …if you need a reasonable accommodation for the online application process due to a disability, please call ###. \#LI-WC #LI- Remote **Requisition ID** : 49381 ... to exceed Ford's customer service expectations throughout the buying/servicing/renewal process **Portfolio Optimization & Technical Underwriting:** . Provide deep… more
    Ford Motor Company (10/04/25)
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  • VP, Regulatory Affairs R&D Biopharma

    Sumitomo Pharma (Columbus, OH)
    …monitoring of global regulatory line items in the clinical development projects budget process + Serve as the senior point of contact for internal communication + ... Ensure that development of launch materials/new claims with Marketing, Medical and Legal are guided by...and work practices governing all phases of the regulatory process + Ensure that regulatory pathways are developed to… more
    Sumitomo Pharma (09/10/25)
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  • Program Manager

    BrightSpring Health Services (Canton, OH)
    …and upholds the agency's mission and values. Working closely with the Executive Director and leadership team, the Program Manager leads staff, coordinates ... and implement budgets, monitor census forecasts, meet financial targets, and manage claims authorization. + Provide on-call support and respond to crises within the… more
    BrightSpring Health Services (09/24/25)
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  • Medicaid State Technology Lead

    Humana (Columbus, OH)
    …optimal solutions aligned with business partner expectations. + Conducts executive -level briefings and presents solution recommendations in support of state-level ... goals. + Guides Medicaid Technology Solutions teams in developing technical process documentation. + Produces weekly, monthly, and quarterly Kanban updates for… more
    Humana (09/03/25)
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