Managed Care Director jobs in Ohio

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Social Worker or RN Telephonic Utilization Manager in Columb...
UnitedHealth Group 1,435 reviews - Columbus, OH
Care Manager you will be responsible for prior authorization, concurrent review (telephonic inpatient care... company or in a managed care environment Previous...
Sponsored by UnitedHealth Group - 16 days ago
Clinical Pharmacist
Express Scripts 674 reviews - Dublin, OH
clinical or medical director issues arising in... 1-2 years relevant experience Experience in managed care and/or prior authorization highly preferred...
Sponsored by Express Scripts - 7 days ago

Manager, Clinical Quality Improvement & Disease Management 1...

Medical Mutual of Ohio 27 reviews - Cleveland, OH
(CQI) activities among functional areas, monitor the progress of CQI activities against the annual CQI work plan and ensure potential quality of care issues...
2 days ago - save job - email - more...

Rehab Director

The Rehabilitation and Health Center of Gahanna - Columbus, OH
The Rehabilitation and Health Center of Gahanna, a 112 bed rehab community, has an opening for a driven, passionate, and caring Community Rehabilitation...
6 days ago - save job - email - more...

Mgr Maternal Fetal Medicine

OhioHealth 39 reviews - Columbus, OH
WE have an unwavering commitment to put our patients at the center of everything we do, providing quality care and an exceptional patient experience....
Ohio Health - 29 days ago - save job - email - more...

Vice President Regional Development

Nationwide Children's Hospital 90 reviews - Columbus, OH
The VP works closely with physician and administrative leadership, Service Line Administrators, other operations managers including the V.P.-Marketing and...
30+ days ago - save job - email - more...

Vice President, Health Services

Mount Carmel Health - Columbus, OH
Responsible for ongoing direction and management of all programs and procedures which ensure the provision of quality health care services delivered and/or...
7 days ago - save job - email - more...

Supervisor Case Management

Molina Healthcare 99 reviews - Columbus, OH
Responsible for overseeing the Case Management staff focused on assisting varous groups and individuals with their health care needs to achieve optimal clinical...
16 days ago - save job - email - more...

Director Quality - Optum Multi-Payer MME Ohio

UnitedHealth Group 1,435 reviews - Cleveland, OH
The Director Quality will join our state-wide team in Ohio. Responsibilities for this role will include the following:....
20 days ago - save job - email - more...

Appeals Director

PAS-Cincinnati - Mason, OH
– The Prebill Denial Director will be responsible for daily operations of all functions and oversight of prebill denial team members and serve as the Service...
HCA Inc - 24 days ago - save job - email - more...

Director, Value Based Contracting

Aetna 336 reviews - Beachwood, OH
Primary responsibilities include development of value based contracting startegies, support of current and development of future Accountable Care Organization...
30+ days ago - save job - email - more...

Director Operations Akron

Fresenius Medical Care 791 reviews - Akron, OH
with Fresenius Medical Care North America. Here, we make connections that empower patients, their families, and our team members....
30+ days ago - save job - email - more...
Customer Success Manager, Customer Care
Trapeze Group Limited - United States
Management team. Reporting to the Director of Customer Care, the Customer Success Manager (CSM) will be... are communiated and managed throughout the Trapeze...
Sponsored by Trapeze Group Limited - 22 days ago
Community Relations Representative
Metropolitan Jewish Health System 11 reviews - United States
Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of... of the Assistant Director, Health Plan Sales and...
Sponsored by American Hospital Association - 5 days ago
Nurse Manager
EMH Healthcare 5 reviews - Elyria, OH
care/daily operations, human and material resource management, fiscal management and quality improvement. This position is directly responsible to the Director...
Sponsored by EMH Healthcare - 30+ days ago
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