- Elevance Health (Columbus, OH)
- ** Clinical Compliance Medical Director ** _Please note that per our policy t_ _his role enables associates to work virtually full-time, with the exception ... for employment, unless an accommodation is granted as required by law._ The ** Clinical Compliance Medical Director ** is responsible for providing … more
- Sumitomo Pharma (Columbus, OH)
- …a dynamic, highly motivated, and experienced individual for the position of Senior Medical Director , Clinical Research (Ophthalmology) to join our R&D ... systems and final reports in compliance with appropriate scientific/regulatory/ medical standards + Contributes to developing clinical components of… more
- Highmark Health (Columbus, OH)
- …responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using ... Medical Policy criteria sets to evaluate the ...to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations… more
- Crossroads Hospice & Palliative Care (Cincinnati, OH)
- The Clinical Director (RN) at Crossroads Hospice & Palliative Care embraces the meaningful opportunity to develop and mentor a team dedicated to ensuring that ... patient experiences the highest quality of care and compassion at life's end. Clinical Director - Registered Nurse Requirements: + Associates, Bachelors or… more
- OhioHealth (Columbus, OH)
- …- in our careers and in our communities. **Job Description Summary:** The Clinical Enterprise Director will have operational and strategic responsibilities for a ... teams to drive successful efforts to support service line, medical group, and care site goals on delivering on...and staff culture. This role reports to a Sr Director or Vice President, Clinical Enterprise. **Responsibilities… more
- Highmark Health (Columbus, OH)
- …anchor, including MAQCs and pharmacists, in collaboration with the partnership director who manages non- clinical workforce activity. + **Relationship Management ... :** **JOB SUMMARY** This role will support the leadership team for Clinical Transformation and executive physicians in leading the day-to-day operational model of… more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job ... Description** The Senior Director Clinical Strategy and Oncology Specialty Solutions...the development of strategic business roadmaps that integrate both medical and pharmacy solutions. This position will provide leadership… more
- Sodexo (Zanesville, OH)
- …others. Invest in Sodexo.** Sodexo is seeking an experienced individual for a ** Director 2, Clinical Engineering** opening to manage **Genesis Healthcare** in ... OH** . This person will oversee numerous types of medical equipment, offer hands-on experience, and provide leadership &...Do** + Oversee and manage all aspects of the clinical engineering program at Genesis Healthcare. + Lead a… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which… more
- Humana (Columbus, OH)
- …Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the ... and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received… more