• Director II Digital Claims…

    Elevance Health (Mason, OH)
    ** Director II Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3** **days per week** , fostering ... considered if candidate resides within a commutable distance from an office._ The ** Director II Digital Claims Operations** oversees a combined digital and… more
    Elevance Health (09/23/25)
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  • Director I Claims

    Elevance Health (Columbus, OH)
    ** Director I Claims ** **Location** : _This role requires associates to be in-office_ **_3 days per week_** _, fostering collaboration and connectivity, while ... an accommodation is granted as required by law._ The ** Director I Claims ** is responsible for directing...of insurance policies preferred. + Strong leadership and team management skills to effectively lead and motivate a team… more
    Elevance Health (10/03/25)
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  • Workers' Compensation Claims Manager

    Flynn Restaurant Group (Independence, OH)
    …relationships, and program performance. Reporting to the Director of Risk Management , the Workers' Compensation Claims Manager will partner closely with ... should have 5+ years of experience in workers' compensation claims management , with at least 2 years...of benefits and perks while working for us: + Medical /Dental/Vision + Retirement and Savings Plan + Short- and… more
    Flynn Restaurant Group (08/31/25)
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  • Medical Director Risk…

    OhioHealth (Columbus, OH)
    …the patient grievance process at GMC and RMH. **Responsibilities And Duties:** 60% The Medical Director , Risk Management ("MDRM) will provide expertise and ... with the outside malpractice defense counsel to provide general medical advice with respect to malpractice claims ...The MDRM's general function is to be the primary medical expert/resource/advisor to the Risk Management department… more
    OhioHealth (10/03/25)
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  • Medical Director , Global…

    Otsuka America Pharmaceutical Inc. (Columbus, OH)
    …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible ... , Franchise Lead CNS Early Assets. **Position Summary:** The Medical Director , Global Medical Affairs,...for any assigned assets in development. + Support lifecycle management initiatives and planning for assigned assets as applicable.… more
    Otsuka America Pharmaceutical Inc. (07/16/25)
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  • Medical Director - Gulf South

    Humana (Columbus, OH)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (10/03/25)
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  • Assistant Medical Director

    Medical Mutual of Ohio (OH)
    …evidence-based medicine and managed care principles. + Knowledge of health plan claims adjudication and utilization review processes preferred. Medical Mutual is ... Founded in 1934, Medical Mutual is the oldest and one of...and determinations. + Provides pre-determination reviews and reviews of claims determinations, providing clinical, coding and reimbursement expertise. +… more
    Medical Mutual of Ohio (10/02/25)
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  • Associate Director , Commercial Data…

    Otsuka America Pharmaceutical Inc. (Columbus, OH)
    **Job Summary** The Associate Director (AD), Commercial Data Management (CDM) within Data Enablement (DE) for Business Analysis (BA) is accountable for ... and utility of Otsuka's data assets. **Job Description** Reporting to the Director CDM, this role will be responsible for providing strategic insight and… more
    Otsuka America Pharmaceutical Inc. (08/13/25)
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  • Medical Director - Northeast Region

    Humana (Columbus, OH)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (07/25/25)
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  • Associate Director , Medical Affairs…

    Otsuka America Pharmaceutical Inc. (Columbus, OH)
    **Position Summary:** The Associate Director of Global Medical Affairs Omnichannel will be responsible for developing and leading the omnichannel strategy for ... Global Medical Affairs across all therapeutic areas and brands. This...aligning with CoE training efforts. + **Performance & Risk Management :** + Provide regular updates on the performance and… more
    Otsuka America Pharmaceutical Inc. (10/02/25)
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