- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
- Humana (Columbus, OH)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Columbus, OH)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Medical Mutual of Ohio (Brooklyn, OH)
- …overseeing all activities related to the third-party administration of self-funded medical , dental, and specialty benefits. Additionally, the Director ... and regulatory, corporate , and divisional objectives. Provides oversight of corporate audit and reporting teams supporting all Medical Mutual lines… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s status as a ... Founded in 1934, Medical Mutual is the oldest and one of...of Directors and Management. . Performs an annual overall corporate risk assessment and develops specific audit plans tailored… more
- Vatica Health (OH)
- The Director of Provider Engagement is accountable for developing and executing a best-in-class national provider engagement strategy. This individual is responsible ... execute a successful provider engagement strategy, which leads to the achievement of Vatica's corporate goals as well as those of its health plan partners + Provide… more
- Trinity Health (Columbus, OH)
- …policies, and procedures as assigned. + Assists Director and/or Sr. Director with the Medical Delivery Systems budget. + Manages successful implementation ... to work remotely. **Why MediGold?** MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare … more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** Humana's Corporate Communications organization is seeking an Executive Event Planner to join the Event ... Transformation Professional, Executive Event Planning, you will partner closely with the Director , Event Planning, to manage all details of executive events. This… more
- Molina Healthcare (Columbus, OH)
- …Tighter knit proximity ongoing after contract. * In conjunction with Director /Manager, Provider Contracts, negotiates Complex Provider contracts including but not ... and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract… more
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