NewMedical Scribe - Remote/Float Oak Street HealthMedical Scribe - Remote/FloatOHRemote$17–$28.46Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
NewLicensed Property & Casualty Insurance Agent - Remote USA TTECLicensed Property & Casualty Insurance Agent - Remote USASugar Grove, OHRemoteWebcam participation is expected during all instructor‑led TTEC and client‑required training, either throughout the session or at designated times, and is encouraged during coaching sessions to support meaningful connection and collaboration. Your training experience includes engaging, instructor‑led online sessions that use both webcam video and audio, so you can connect visually with trainers, leaders, and fellow teammates.
UM Administration Coordinator - Healthcare Humana IncUM Administration Coordinator - HealthcareOHRemote$40,000–$52,300 / yearWork-at-Home (WAH) Internet Statement: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Healthcare Planning and Design Manager, Infection Control (Northeast) Getinge ABHealthcare Planning and Design Manager, Infection Control (Northeast)OHRemote$195,000–$204,300 / yearThe Surgical Workflows Healthcare Planning and Design Manager (HPDM) reports to the Manager, Healthcare Planning and Design, with alignment to a specific geographical region and focuses on the development and the successful outcome of project-based opportunities for hospitals, ASCs or other key accounts (non-Health System targeted IDNs, supporting construction companies, architects, equipment planners, and other hospital project leaders) to gain opportunities for Infection Control. A minimum of 5 years of medical device capital equipment products sales experience which includes direct selling experience to architects, equipment planners, physicians, and hospitals); or minimum 4 years applicable clinical experience with sales aptitude.
Licensed Marital and Family Therapist-Remote BetterHelpLicensed Marital and Family Therapist-RemoteOhioRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world’s largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CST IntellaTriageRemote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CSTColumbus, OHRemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
NewHealth Coach (Remote-EST/CST) CVS Health CorpHealth Coach (Remote-EST/CST)OHRemote$46,988–$102,000 / yearThe Health Coach telephonically outreaches our Medicare population to improve medication adherence and/or HEDIS diabetes and blood pressure control, providing education and addressing any barriers to adherence by utilizing the member's benefits. Applies judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact healthcare access, services and resolution of member issues.
Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CST IntellaTriage, Inc.Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CSTColumbus, OHRemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
Medical Technologist Clinical Specialist - Remote (US Based) Becton Dickinson and CoMedical Technologist Clinical Specialist - Remote (US Based)Columbus, OHRemote$76,700–$122,700 / yearFor most roles, we require a minimum of 4 days of in-office presence per week to maintain our culture of excellence and ensure smooth operations, while also recognizing the importance of flexibility and work-life balance. It takes the imagination and passion of all of us-from design and engineering to the manufacturing and marketing of our billions of MedTech products per year-to look at the impossible and find transformative solutions that turn dreams into possibilities.
A - 2/2 - 9656 - Sr Rhapsody Developer - Remote FHRA - 2/2 - 9656 - Sr Rhapsody Developer - RemoteColumbus, OHRemoteDescription: The candidate must be able to independently research and design processes, create specifications, develop, lead testing, perform code reviews, actively engage with the team and stakeholders, attend meetings, provide guidance, and respond promptly. • Assist the team, DPH staff, and vendors to onboard providers and partners to utilize Rhapsody supported services like HL7 electronic lab reporting (ELR), electronic test.
\n \n Remote Late Night Neuro Radiologist - Columbus Radiology\n \n Radiology Partners Inc\n \n Remote Late Night Neuro Radiologist - Columbus Radiology\n \nOHRemoteFellows and residents welcome to apply Board eligible or certified by American Board of Radiology or the American Osteopathic Board of Radiology CAQ Preferred Licensed or able to be licensed in the state of Ohio Opportunities to grow in both clinical and non-clinical roles within the practice Comfortable with all modalities within subspeciality. Founded in 1946, Columbus Radiology Corporation is the fifth largest and one of the fastest growing practices in the country, now with 180+ board-certified and subspecialty trained radiologists who are committed to excellence - in patient care, physician relations, continuous quality improvement and professional development.
\n \n Remote Nuclear Medicine Radiologist - Columbus Radiology\n \n Radiology Partners Inc\n \n Remote Nuclear Medicine Radiologist - Columbus Radiology\n \nOHRemoteAdditionally, we will not send checks for deposit into your bank account at any stage of recruitment.u202fAll communication during the interview and hiring process should come from an email address ending in "@radpartners.com."u202fIf you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please notify our Recruiting Teamu202fat recruiting@radpartners.com. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
\n \n Remote Late Night General Radiologist - Columbus Radiology\n \n Radiology Partners Inc\n \n Remote Late Night General Radiologist - Columbus Radiology\n \nColumbus, OHRemoteAll associate/partnership eligible roles with CRC include full benefits, home workstation, and offer substantial moonlighting and incentive pay opportunities with some radiologists earning over $1 million in annual total compensation and partner compensation averaging $800K annually. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
\n \n Remote Daytime General Radiologist - Columbus Radiology\n \n Radiology Partners Inc\n \n Remote Daytime General Radiologist - Columbus Radiology\n \nOHRemoteDESIRED PROFESSIONAL SKILLS AND EXPERIENCEFellows and residents welcome to applyBoard eligible or certified by American Board of Radiology or the American Osteopathic Board of Radiology Comfortable reading general radiology for outpatient, inpatient and emergency medicineOpportunities to grow in both clinical and non-clinical roles within the practice. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
\n \n Remote Daytime Neuro Radiologist - Columbus Radiology\n \n Radiology Partners Inc\n \n Remote Daytime Neuro Radiologist - Columbus Radiology\n \nOHRemoteLicensed or have the ability to be licensed in the state of Ohio Board certified or Board eligible in Diagnostic Radiology by the American Board of Radiology Comfortable reading general radiology for outpatient, inpatient and emergency medicine Fellows and residents welcome to apply Board eligible or certified by American Board of Radiology or the American Osteopathic Board of Radiology. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
\n \n Remote Independent Contractor Weeklong Flex Radiologist - Columbus Radiology\n \n Radiology Partners Inc\n \n Remote Independent Contractor Weeklong Flex Radiologist - Columbus Radiology\n \nColumbus, OHRemoteAdditionally, we will not send checks for deposit into your bank account at any stage of recruitment.u202fAll communication during the interview and hiring process should come from an email address ending in "@radpartners.com."u202fIf you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please notify our Recruiting Teamu202fat recruiting@radpartners.com. All associate/partnership eligible roles with CRC include full benefits, home workstation, and offer substantial moonlighting and incentive pay opportunities with some radiologists earning over $1 million in annual total compensation and partner compensation averaging $800K annually.
Telemedicine Physician - Women's Hormone Expert - Remote (MD/DO only) Hone Health Medical RolesTelemedicine Physician - Women's Hormone Expert - Remote (MD/DO only)Columbus, OhioRemoteFrom initially only treating men who want to manage their testosterone levels, we have grown our services to support weight loss, thyroid treatments, and now women’s health. Our services also include men’s hormone, weight loss and thyroid treatment and we would prefer to bring on physicians who have experience prescribing for patients in some or all of those categories as well.
NewVP Partnership Success (Remote - Nationwide) Ensemble Health PartnersVP Partnership Success (Remote - Nationwide)OHRemote7 years of demonstrated success leading large, complex healthcare partnerships and organizations with comparable scale, scope, and financial accountability, including multi-site operations, significant net revenue oversight, or multiple client relationships. As Vice President, Partnership Success, you will serve as the strategic executive partner for some of the nation's leading healthcare organizations, driving measurable improvements in revenue cycle performance while influencing organizational strategy at the highest levels.
NewRemote Benefits Enrollment Representative- Ohio The Weatherspoon Agency (TWA)Remote Benefits Enrollment Representative- OhioColumbus, OHRemotePrevious experience in customer service, sales, benefits, insurance, healthcare, education, or account management may be helpful but is not required. Selected candidates who are not currently licensed must complete the applicable state licensing requirements before conducting insurance business.
Physician - Teleradiologist/ Radiologist - Remote - OH License Needed MedAtlantic Healthcare SolutionsPhysician - Teleradiologist/ Radiologist - Remote - OH License NeededOhioRemoteCollaborate with a team of readers, a Breast imager, an IR doctor, 1 physician assistant, and a full complement of imaging and support staff. Are you a board-certified radiologist looking for a unique TELERADIOLOGY opportunity to practice medicine from the comfort of your own home?.
Field Service Engineer (FIELD REMOTE - Canton/Akron OH) PerkinElmerField Service Engineer (FIELD REMOTE - Canton/Akron OH)OhioRemoteThe person needs to occasionally move between labs, corridors, adjoining rooms, and buildings onsite Frequently operate on instruments, objects, tools or controls, which will require regularly bending, squatting, stretching and reaching in order to perform in a service function. With over an 80+ year legacy of advancing science and a mission of innovating for a healthier world, our dedicated team collaborates closely with commercial, government, academic and healthcare customers to deliver our broad portfolio of analytical solutions, and OneSource services.
Remote Psychiatrist Collaborative Physician (MD) BetterHelpRemote Psychiatrist Collaborative Physician (MD)OhioRemoteUpLift acts as the bridge between patient, provider, and insurer — empowering patients to find the best care for their needs at a price they can afford. UpLift is a multi-sided marketplace, applying technology to empower patients to find Therapists and Psychiatric providers covered by their insurance plan.
CareConnect Advanced Practice Provider- NP - Remote - Ohio Wellbe Senior MedicalCareConnect Advanced Practice Provider- NP - Remote - OhioOhioRemote$104,763–$150,075 / yearYou will provide clinical triage, clinical management, and clinical oversight for unscheduled needs – through telephonic and video visits or by overseeing facilitated in-home visits in collaboration with other healthcare professionals on the team . Partner with other clinicians including community medical directors, longitudinal advanced practice providers, and community social workers to manag e the health and wellbeing of patients living in their homes.
NewCrisis Counselor - Fully Remote in Columbus, OH Protocall Services IncCrisis Counselor - Fully Remote in Columbus, OHColumbus, OHRemoteWe serve a wide range of nearly 700 different organizations nationwide, including Community Mental Health Centers, Certified Community Behavioral Health Clinics, Managed Behavioral Healthcare Organizations, University counseling centers, and Employee Assistance Programs following our brief immediate support model. Along with hard-wired broadband or fiber internet with speeds of at least 10 Mbps that is not susceptible to frequent outages; satellite and cellular-based services (including Starlink, Viasat, Verizon 5G Cellular, T-Mobile 5G Cellular, etc.) are not permitted.
Licensed Crisis Counselor - Fully Remote in Columbus, OH Protocall Services IncLicensed Crisis Counselor - Fully Remote in Columbus, OHColumbus, OHRemoteWe serve a wide range of nearly 700 different organizations nationwide, including Community Mental Health Centers, Certified Community Behavioral Health Clinics, Managed Behavioral Healthcare Organizations, University counseling centers, and Employee Assistance Programs following our brief immediate support model. Along with hard-wired broadband or fiber internet with speeds of at least 10 Mbps that is not susceptible to frequent outages; satellite and cellular-based services (including Starlink, Viasat, Verizon 5G Cellular, T-Mobile 5G Cellular, etc.) are not permitted.
Fully Remote - Licensed Social Worker (LSW) in Columbus, OH Protocall Services IncFully Remote - Licensed Social Worker (LSW) in Columbus, OHColumbus, OHRemoteWe serve a wide range of nearly 700 different organizations nationwide, including Community Mental Health Centers, Certified Community Behavioral Health Clinics, Managed Behavioral Healthcare Organizations, University counseling centers, and Employee Assistance Programs following our brief immediate support model. Along with hard-wired broadband or fiber internet with speeds of at least 10 Mbps that is not susceptible to frequent outages; satellite and cellular-based services (including Starlink, Viasat, Verizon 5G Cellular, T-Mobile 5G Cellular, etc.) are not permitted.
NewRemote Business Development Manager, GrabJobsRemote Business Development Manager,Columbus, OHRemoteYour key responsibilities:New Business DevelopmentSearch for potential clients, identify, evaluate, and pursue new business opportunities, including partnerships, licensing agreements, joint ventures, M&A, and investment opportunitiesIncrease Medisca's share of existing accountsGather market research and competitor analysis to identify emerging trends and customer needs within the 503b industryKey Account Management & Relationship BuildingAttain monthly sales objectives and monitor profit marginsAnalyze territory trends and identify opportunitiesRegularly track and increase pharmacist businessFollow up with customers on sales and product availability – Inbound and outbound phone/emailRegularly update account records in our CRM tool including all interactions taking place with customers (activities, visits, notes, etc.)Build and maintain strong relationships with clients, stakeholders, and potential partnersProactively following up with clients ensuring their needs are met and exceeding expectationsCross-functional CollaborationWork closely with, Demand & Planning, Procurement, R&D, marketing, regulatory, and legal teams to ensure alignment in business development activities and ensure compliance with industry regulations and client demandsProvide regular updates on market trends, competitor activities, and customer feedback to inform strategic decisionsWork closely with Public Affairs to monitor industry regulations, legislative changes, and economic factors that may impact the 503b business landscapeAlliance management (when required)Qualifications:University degree. Sales or Science background an asset4 years + experience in a sales roleExperience as a pharmacy technician, knowledge of compounding or representative in pharmaceutical industryProven abilities in discovering opportunities, developing strategies and closing salesEffective organizational, time management and interpersonal skillsMemorable, dynamic & animatedExcellent communication and listening skillsKnowledge of Microsoft office (Word, Excel and Outlook) requiredWhat's in it for you…We invest time and resources into making sure Medisca is as good as the people we hire.
NewHybrid Remote/Onsite Dietitian Compass Group USAHybrid Remote/Onsite DietitianColumbus, OHRemote$35–$40 / hourThe company has earned significant recognition, including being named one of Modern Healthcare's "Top 100 Best Places to Work in Healthcare" for five consecutive years, and appearing on Training Magazine's Top 125 Organizations list for six straight years. Compass Group employs over 3,000 RDNs across the United States, making us one of the nation's largest employers of Dietitians in a variety of settings: Hospitals and healthcare systems.
(Remote) Technical Support Engineer Globys(Remote) Technical Support EngineerOhioRemote$65,000–$75,000 / yearServe as primary technical contact for Globys' international carrier customers - triaging, reproducing, and resolving issues at Tier 1/2 without requiring engineering escalation unless a confirmed software defect or infrastructure failure is identified. This role is the primary technical point of contact for our international carrier customers (AT&T, Telstra, TELUS, OneNZ, and others) and demands someone who is as comfortable writing a SQL query to reproduce a data anomaly as they are walking a client through a configuration fix.
Hybrid Remote/Onsite Dietitian Compass Group North AmericaHybrid Remote/Onsite DietitianColumbus, OHRemote$35–$40 / hourThe company has earned significant recognition, including being named one of Modern Healthcare's "Top 100 Best Places to Work in Healthcare" for five consecutive years, and appearing on Training Magazine's Top 125 Organizations list for six straight years. Compass Group employs over 3,000 RDNs across the United States, making us one of the nation's largest employers of Dietitians in a variety of settings: Hospitals and healthcare systems.
(Remote) Account Manager Questline, Inc.(Remote) Account ManagerColumbus, OHRemoteFull timeThe Account Manager is a client-facing marketing role responsible for managing day-to-day relationships and overseeing the execution of integrated marketing programs for assigned accounts. As a wholly owned subsidiary of Constellation Software Inc. (“CSI”, symbol CSU on the TSX), Harris has become the cornerstone for CSI’s investment in utility, local government, school districts, public safety, and healthcare software verticals.
Senior Inside Sales Consultant (Remote/Eastern Time) A Place for Mom IncSenior Inside Sales Consultant (Remote/Eastern Time)Columbus, OHRemoteTogether, we simplify the senior care search with free, personalized support - connecting caregivers and their loved ones to vetted providers from our network of 15,000+ senior living communities and home care agencies. This is a high-activity, performance-driven inside sales role focused on re-engaging families, managing a pipeline of opportunities, and converting interest into move-ins.
NewBusiness Analyst / Scrum Master - 100% Remote ConsultNetBusiness Analyst / Scrum Master - 100% RemoteColumbus, OHRemoteFor over 25 years, we have connected thousands of consultants with meaningful roles through a personal, communication-driven approach, partnering with a diverse client base to build high-performing teams and create lasting impact. We are seeking a hybrid Scrum Master / Business Analyst to support agile delivery teams while bridging the gap between business stakeholders and technical teams.
NewSenior Software Product Engineer (Remote Opportunity) VetsEZSenior Software Product Engineer (Remote Opportunity)Columbus, OHRemoteThe ideal candidate is a highly experienced engineer with expertise in scalable cloud-native architectures, AI-enabled applications, and modern software engineering practices. Design and develop event-driven, data-intensive backend services using Node.js, TypeScript, AWS, and cloud-native technologies to support AI workloads at scale.
VDC Designer / Coordinator (Remote) The Superior GroupVDC Designer / Coordinator (Remote)Columbus, OHRemote$42–$55 / hourThis fully remote position will work on a number of innovative and exciting projects in a variety of market sectors including data centers, higher education, healthcare, enterprise, and industrial projects. Required: You have experience with power distribution systems ranging from 120V/480V up to 15kV, including switchgear, panels, generators, UPS systems, raceways, and transformers.
Appeals Pharmacist (Remote) Pharmacy CareersAppeals Pharmacist (Remote)Columbus, OhioRemoteLicensure: Active and unrestricted pharmacist license in the U.S. Experience: Prior managed care or utilization management experience preferred — retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. This role is ideal for pharmacists who want to leverage their clinical knowledge and critical thinking skills to advocate for patients and ensure fair, evidence-based decisions.
Remote Prior Authorization Pharmacist Pharmacy CareersRemote Prior Authorization PharmacistColumbus, OhioRemoteLicensure: Active and unrestricted pharmacist license in the U.S. Experience: Prior authorization, utilization management, or managed care preferred — retail or hospital pharmacists with strong clinical judgment are encouraged to apply. A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe and effective therapies.
Case Management Pharmacist (Remote) Pharmacy CareersCase Management Pharmacist (Remote)Columbus, OhioRemoteLicensure: Active and unrestricted pharmacist license in the U.S. Experience: Case management, MTM, or managed care experience preferred — retail and hospital pharmacists with strong patient counseling backgrounds are encouraged to apply. Our case management pharmacists play a vital role in improving outcomes, reducing readmissions, and supporting patients across the continuum of care.
Engineer, Observability (Remote) A&F Management Co.Engineer, Observability (Remote)Columbus, OhioRemoteThe company operates a family of brands, including Abercrombie & Fitch, YPB, abercrombie kids, Hollister and Gilly Hicks, each sharing a commitment to offer products of enduring quality and exceptional comfort that support global customers on their journey to being and becoming who they are. Serve as technical liaison to engineering teams triaging customer experience anomalies, aligning on ownership and priority, and packaging findings (impact, reproduction cues, suspected root cause) into actionable engineering work.
Intro Remote Customer Relations Representative Globe Life AIL - Lisa RusselIntro Remote Customer Relations RepresentativeColumbus, OHRemoteFull timeFor more than 70 years, AO has proudly provided life, accident, and supplemental health benefits to members of labor unions, credit unions, and associations—helping protect the families who keep our communities strong. In this fully remote role, you’ll meet with clients through Zoom consultations, guiding them through coverage options and helping them protect what matters most—all from the comfort of your home.
Remote Bilingual Monitoring Representative ADT IncRemote Bilingual Monitoring RepresentativeColumbus, OHRemoteNow hiring in the following states: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, Nebraska, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming. We will rely on you to listen to our customers and use your deductive reasoning skills, technical expertise, creativity and passion for helping to meet their needs - and remind them that behind our great products is a focus on the customer experience with accountable and collaborative team members ready to help them.
Mental Health Therapist for Seniors (Remote - Licensed in Ohio) Sailor HealthMental Health Therapist for Seniors (Remote - Licensed in Ohio)OhioRemoteAs a remote company, Sailor offers unparalleled flexibility and work-life balance for therapists looking to work from the comfort of their home, while making a meaningful impact on the lives of seniors. At Sailor Health, we understand that the well-being of our therapists is essential to providing exceptional care, which is why we offer ongoing support, opportunities for professional development, and a culture that values and prioritizes your individual needs as much as the patients’ you serve.
Clinical Psychologist for Seniors (Remote - Licensed in Ohio) Sailor HealthClinical Psychologist for Seniors (Remote - Licensed in Ohio)OhioRemoteWe’re growing a team of exceptional Clinical Psychologists who want to make a meaningful impact on the lives of older adults – while enjoying flexible scheduling, admin-free work, and a supportive clinical culture. Ongoing growth : Access regular clinical consultation, peer case reviews, and professional development resources tailored to geriatric care; you’ll continually grow as a clinician and leader.
Remote-Real Estate Investment Representative/Acquisitions Agent RebuiltRemote-Real Estate Investment Representative/Acquisitions AgentColumbus, OHRemoteRebuilt ( www.rebuilt.com ) is building a truly unique, vertically integrated real estate investment business fueled by unparalleled local market expertise and enabled by advanced technology solutions. Rebuilt is a Private Equity-backed real estate firm that creates win-win opportunities for property sellers seeking a convenient sale process and real estate investors looking for exclusive, high-return properties.
NewRemote Behavioral Medical Director, Eastern Region Centene Corporation GroupRemote Behavioral Medical Director, Eastern RegionOHRemote$236,500–$449,300 / yearCollaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.
Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio) Molina Healthcare IncSr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)Columbus, OHRemoteConducts data collection, monitors intervention activity including key performance measurement activities, reports intervention outcomes, and supports continuous improvement of intervention processes and outcomes. Implements evidence-based and data-informed key member intervention strategies including initiating and managing member and/or community interventions (e.g., removing barriers to care) and other federal and state quality initiatives.
Lead, Medicare Administration (Bids & Member Materials) (Remote) Molina Healthcare IncLead, Medicare Administration (Bids & Member Materials) (Remote)OHRemoteWorks collaboratively with business and operational units to ensure Medicare and MMP operations are supported by effective, accurate and efficient business processes, benefits are accurately defined, communicated and configured, member communications are compliant, and data exchanges and reports are accurate, timely and meet federal requirements. Job Summary Provides lead level support for Medicare and Medicare-Medicaid Plan (MMP) Duals products including the development, implementation, and maintenance of annual project timelines/work plans for both product lines - ensuring timely and successful project completion.
Senior ServiceNow Business Process Consultant (Remote/US based) SigitalSenior ServiceNow Business Process Consultant (Remote/US based)Columbus, OHRemoteIdentify solutions from a people, process and technology perspective during workshops with key client sponsors and stakeholders, generating the required outputs, outputs, including user stories, to the level required for configuration, development and testing stages of the engagement. Provide guidance and deliver successful implementation of the to-be processes in partnership with other members of the project team, including industry partners working as part of the same project team.
NewDirector, Specialty Accreditation - Remote UnitedHealth Group IncDirector, Specialty Accreditation - RemoteDublin, OHRemote$112,700–$193,200 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. You will be responsible for overseeing the quality control of the organization"s specialty pharmacy operations to include accreditation management/maintenance, staff education, auditing, reporting management, compliance, policy review/management, etc., and ultimately impacting the quality of service that we provide to our customers and their patients.