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10 Jobs

  • Reviewer - Therapy Services

    COLUMBUS, Ohio
    ... additional data, consults with clinical reviewers and medical directors, when necessary. Acts as a ... , and initiatives. Maintains quality and productivity standards and ensures reviews are conducted ...

  • Associate Medical Director - Neurosurgery

    Columbus, Ohio
    ... Clinical Operations Associate Medical Director Neurosurgery **Carelon ... clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations ...

  • Nurse Medical Management I-2

    Columbus, Ohio
    ... responsible for collaborating with healthcare providers and members to promote quality member outcomes ... quality, cost-effective care through assessing the medical necessity of inpatient admissions, outpatient ...

  • Nurse Medical Management I-1

    Columbus, Ohio
    ... responsible for collaborating with healthcare providers and members to promote quality member outcomes ... quality, cost-effective care through assessing the medical necessity of inpatient admissions, outpatient ...

  • Nurse Medical Management I

    Columbus, Ohio
    ... responsible for collaborating with healthcare providers and members to promote quality member outcomes ... quality, cost-effective care through assessing the medical necessity of inpatient admissions, outpatient ...

  • Nurse Medical Management I-3

    Columbus, Ohio
    ... responsible for collaborating with healthcare providers and members to promote quality member outcomes ... quality, cost-effective care through assessing the medical necessity of inpatient admissions, outpatient ...

  • Medical Director

    Columbus, Ohio
    ... Medical Director Associates. May be responsible for an entire clinical program. **This role is a hybrid ... . The Medical Director typically has program management responsibilities including clinical policy ...

  • National Solution Medical Director - Post Acute Services

    COLUMBUS, Ohio
    ... responsible for serving as a National Solution Medical Director for our Post Acute Solutions Clinical Product ... development of Medical Management and Quality Management strategies. Develops and enhances relevant clinical ...

  • National Solution Medical Director - Surgery

    COLUMBUS, Ohio
    ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... Director. This high-performing individual contributor will be responsible for serving as a **National ...

  • National Solution Medical Director, Vascular Surgery

    COLUMBUS, Ohio
    ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... Director. This high-performing individual contributor will be responsible for serving as a **National ...