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Humana
Director, Risk Management
Humana Columbus, OH, USA
Become a part of our caring community and help us put health first The Director, Home Health Risk Management identifies and analyzes potential sources of risk, proactively ensuring controls and processes are in place to reduce risk. The Director, Home Health Risk Management requires an in-depth understanding of how organization capabilities interrelate across the Home Health segment. The Director of Risk Management for Home Health will be responsible for development and implementation of controls and cost-effective approaches to minimize risks to the organization as well as estimating the potential consequences of risks. Assesses and communicates information regarding business risks with functions across the organization. Their focus will be on CenterWell risk assessments, issue management, auditing and monitoring. Areas of oversight will include CenterWell Home Health, OneHome, as well as new growth initiatives. This role requires an in-depth understanding of Home Health...

Dec 27, 2025
Humana
Encounter Data Management Professional
Humana Columbus, OH, USA
Become a part of our caring community and help us put health first Encounter Data Management Professional is responsible for ensuring accurate submission and reconciliation of encounter data to Medicaid and Medicare through effective business processes. Ensures claims submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long-term improvements of claims submission processes. Takes ownership by applying professional standards, regulations, and strategies within their work area. Independently sets priorities and makes decisions on work approach while following established direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. Humana's Encounter Data Management (EDM) team is seeking an Encounter Data Management Professional that has experience with business processing and data...

Dec 24, 2025
Humana
Care Management Support Assistant
Humana Columbus, OH, USA
Become a part of our caring community and help us put health first Care Manager Support Assistants assist in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism Care Demonstration (ACD). This role supports the Autism Service Navigator (ASN) by verifying eligibility for the ACD and monitoring and supporting the family for 180 to assist with any barriers to accessing services; education and initial registration into ECHO registration portal for active duty family members; assistance with regional transfers and ensuring the receiving Managed Care Support Contractor receives the appropriate paperwork; processes faxes for ECHO eligibility or other paperwork pertaining to ACD requirements such as eligibility, referrals, etc.; and identification of ABA providers and researching necessary resources to support the beneficiary. KEY ACCOUNTABILITIES Assist beneficiaries with...

Dec 21, 2025
Humana
Workforce Management Professional 1
Humana Columbus, OH, USA
Become a part of our caring community and help us put health first The Workforce Management Professional 1 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Workforce Management Professional 1 work assignments are often straightforward and of moderate complexity. The Workforce Management Professional 1 assesses organizational staffing and identifies requirements and solutions to meet workforce objectives. Provides analysis of talent and staffing needs based on strategic planning at the enterprise level. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed and often guided by precedent and/or documented...

Dec 16, 2025
Humana
Associate / Product Owner - Marketing Resource Management (MRM)
Humana Columbus, OH, USA
Become a part of our caring community and help us put health first Humana is evolving its marketing operations to enable smarter planning, faster execution, and greater transparency-and we're looking for a product manager to lead that effort. As Senior Associate/Product Manager - Marketing Resource Management (MRM) Capabilities, you'll own the roadmap for tools and workflows that support campaign intake, planning, approvals, and performance tracking. This role is central to enabling scalable, compliant, and insight-driven marketing operations. You'll help guide the transition to a modern resource management platform and evaluate opportunities to integrate with enterprise workflow systems to support intelligent orchestration. This role supports the day-to-day configuration and optimization of marketing resource management tools and workflows. You'll work closely with cross-functional teams-including Marketing, Creative, Legal, and IT-to ensure campaign planning and...

Dec 14, 2025
Humana
Lead Product Owner - Product Management
Humana Columbus, OH, USA
Become a part of our caring community and help us put health first With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. The Lead Product Owner is responsible for conveying product vision and roadmap to an Agile delivery team by defining user stories and prioritizing product backlog. The Lead Product Owner works on problems of diverse scope and complexity ranging from moderate to substantial. This role will be aligned to Humana sales technology platforms, helping further advance capabilities that provide a seamless...

Dec 13, 2025
Humana
Senior Workforce Management Professional
Humana Columbus, OH, USA
Become a part of our caring community and help us put health first The Senior Workforce Management Professional applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Senior Workforce Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Forecasting Analyst plays a pivotal role in shaping strategic workforce planning through advanced forecasting methodologies, comprehensive data analysis, and insightful consultation. This position is responsible for overseeing and refining staffing forecasts, optimizing resource allocation for contact center and back-office operations, and driving continuous improvement in workforce management...

Dec 12, 2025
Uo
Adjunct Instructor - Department of OBAIS, Operations Management, Lindner College of Business
University of Cincinnati Cincinnati, OH, USA
Current UC employees must apply internally via SuccessFactors You are invited to submit an application to be considered for a position with more than one opening. The number of positions varies depending on the needs of the department. Rank and compensation will be based on experience and academic credentials. Founded in 1819, the University of Cincinnati ranks among the nation’s best urban public research universities. Home to 53,235 students, more than 11,000 faculty and staff and 350,000+ living alumni, UC combines a Top 35 public research university with a physical setting The New York Times calls “the most ambitious campus design program in the country.” With the launch of Next Lives Here, the Cincinnati Innovation District, a $100 million JobsOhio investment, three straight years of record enrollment, worldwide leadership in cooperative education, a dynamic academic health center and entry into the Big 12 Conference, UC’s momentum has never been stronger....

Dec 10, 2025
Humana
Staff Utilization Management Clinical Pharmacist
Humana Columbus, OH, USA
Become a part of our caring community and help us put health first The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior authorization. This role involves evaluating complex clinical scenarios and applying evidence-based criteria to ensure appropriate medication use. The pharmacist addresses moderately complex to complex issues that require critical thinking and in-depth analysis of variable factors. Earn a $5,000 hiring bonus! Bonus is paid after 180 days of employment; you must be employed until that date to be eligible to receive the payment." Location: Remote - United States Schedule: 8-hour shifts, Monday through Friday, between 10:30 AM and 11:00 PM EST OR 10-hour shifts, Tuesday through Friday, between 10:30 AM and 11:00 PM EST Required to work every 5th Saturday Required to work 1 company holiday...

Dec 07, 2025
PNC
Marketing Manager Sr- Wealth Management
PNC Cleveland, OH, USA
Position Overview At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are all united in delivering the best experience for our customers. We work together each day to foster an inclusive workplace culture where all of our employees feel respected, valued and have an opportunity to contribute to the company's success. As a Marketing Manager Sr within PNC's Marketing organization, you will be based in a Marketing Hub for PNC. In this role, you will: Lead the strategy and team that executes and implements integrated, multi-channel, strategic marketing plans for one or more products/initiatives/channels. Formulates plans that acquire, grow, and retain customers in support of the product life cycle and line of business goals and objectives. Develop value proposition for key segments and sub-segments, incorporating key messages for relevant products Work with market research to identify audience insights and...

Dec 07, 2025
Humana
Lead Product & Strategy Manager - Provider Practice Management
Humana Columbus, OH, USA
Become a part of our caring community and help us put health first We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and providers, with full accountability from strategy to execution. The Lead Product & Strategy Manager - Provider Practice Management role is a critical member of the multidisciplinary clinical initiatives team within Clinical Strategy and Analytics. This role is not a traditional software product manager role. Instead, it requires demonstrated expertise in healthcare delivery, provider performance improvement, operational redesign, and translating insights into actionable workflows for clinical practices. The Lead Product & Strategy Manager will work across clinical initiatives focused on reducing 30-day Plan All-Cause Readmissions (PCR). They will partner closely with high-performing and low-performing provider groups to identify clinical best practices, understand operational gaps, and design and...

Dec 07, 2025
Co
Director of Programs and Evaluation (Executive Advisor III) (U) (Vacancy)
City of Columbus Columbus, OH, USA
Director of Programs and Evaluation (Executive Advisor III) (U) (Vacancy) Print (https://www.governmentjobs.com/careers/columbusoh/jobs/newprint/5177978) Apply ? Director of Programs and Evaluation (Executive Advisor III) (U) (Vacancy) Salary $42.64 - $63.94 Hourly Location Varies by position Job Type Full-time Funding Limitation Job Number 25-0108-V2 Department 40 Mayor Division Office of CelebrateOne Opening Date 12/22/2025 Closing Date 1/5/2026 11:59 PM Eastern Description Benefits Definition Position Summary The Director of Programs & Evaluation provides strategic leadership and oversight for all programmatic and evaluation-related activities across the organization and collective impact network. The role ensures that programs are effectively planned, implemented, monitored, and evaluated to achieve meaningful improvements in birth outcomes in Franklin County. The Director will supervise program managers and staff across...

Dec 26, 2025
LG
License Renewal Manager - Davis Besse
Luminant Generation Company LLC Oak Harbor, OH, USA
If you have what it takes to become part of the Vistra family and would like to start a promising career with a global leader, take a look at the exciting employment opportunities that are currently available and apply online. Job Summary The Manager will oversee Davis-Besse License Renewal Projects. For License Renewal, they will manage the project, scope and contractors responsible for completing the project scope to renew licenses for Davis-Besse. Responsibilities include following current industry and regulatory requirements, coordinating with stakeholders, and providing the oversite of documentation for submission to regulatory bodies. This will include management of a large scope of required field inspections and applications for License Renewal Implementation and Subsequent License Renewal activities. Job Description Key Accountabilities License Renewal Lead and manage site resources and contractors involved in the license renewal process and...

Dec 21, 2025
Humana
Senior Product Manager
Humana Columbus, OH, USA
Become a part of our caring community and help us put health first The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. The Senior Product Manager work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Senior Product Manager is a senior individual contributor who orchestrates complex, cross-platform technology initiatives that advance enterprise strategy and operational reliability. As a Senior Product Manager, you will plan and manage the enhancement and/or integration of the business products with a special focus on clinical care management and technology solutions. This role is pivotal in translating business vision into scalable technology solutions, ensuring seamless integration across platforms such as clinical care management platforms, telephony, data systems, and enterprise architecture. The Senior Product Manager will...

Dec 21, 2025
Lensa
Full time
 
RN Care Manager - Remote, nationwide
Lensa Columbus, OH, USA
Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Humana. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Become a part of our caring community and help us put health first The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. The first 4 weeks of training will be from...

Dec 18, 2025
Ot
Full time
 
Manager, Maintenance Field Operations
Otis Columbus, OH, USA
Date Posted: 2025-08-28 Country: United States of America Location: OT098: CSV - COLUMBUS, OH 777 Dearborn Park Ln Suite L, COLUMBUS, OH, 43228 USA Would you like to join a truly international, talent driven company that values Safety, Ethics, Quality, Innovation and Employee Opportunity? Otis Elevator is seeking a passionate and driven individual to join and lead our maintenance operations and help us continue to provide exceptional service to our customers. The main goal of the role is to provide day-to-day management and training of field staff, including employee selection and development, field training, and safety. This individual will also lead operational efforts, managing costs while ensuring superior customer satisfaction. On a typical day you will: Ensure field employee safety and quality of service in your territory Plan, organize, and manage service field activities to ensure that these activities meet customer needs and company standards...

Dec 13, 2025
AD
Part time
 
CASE MANAGER 3
Arizona Department of Economic Security Dublin, OH, USA
DEPARTMENT OF ECONOMIC SECURITY Your Partner For A Stronger Arizona. DES works with families, community organizations, advocates and state and federal partners to realize our collective vision: A thriving Arizona. DES serves more than 3 million Arizonans. Our Mission is to strengthen individuals, families, and communities for a better quality of life. CASE MANAGER 3 Job Location: Address: Division of Developmental Disabilities (DDD) 290 E. La Canada Blvd - Avondale, AZ 85323 Posting Details Salary: $52,000 - $56,000 Grade: 18 Closing Date: December 12, 2025 Job Summary Would you like to be part of an amazing team that helps Arizonans thrive? At the Department of Economic Security (DES) we strengthen individuals, families, and communities for a better quality of life. DES is looking for individuals who are committed to service, community, and teamwork. To learn more about DES please visit des.az.gov; or click on the link here to view ‘Our DES’ video. Come join...

Dec 06, 2025
Ot
Manager, New Equipment Field Operations
Otis Sharonville, OH, USA
Date Posted: 2025-11-10 Country: United States of America Location: OT044: CFV - CINCINNATI, OH 2463 Crowne Point Drive, Sharonville, OH, 45241 USA Job Title Manager, New Equipment, Field Service Role Overview Would you like to join a truly international, talent driven company that values Safety, Ethics, Quality, Innovation and Employee Opportunity? Otis is growing and we are recruiting a talented new equipment Field Leader to take responsibility for the leadership and management of volume installation / construction / modernization projects within the Cincinnati, OH territory. On a typical day you will: Define project objectives and manage installation projects Manage administrative and material tasks Ensure that the project runs on time and on budget, monitoring teams and /or subcontractors Work closely with the project team to mitigate any safety, ethics and quality risks Work closely with local authorities on...

Dec 06, 2025
Bon Secours Mercy Health
Full time
 
Chaplain Team Supervisor – St. Vincent Medical Center
Bon Secours Mercy Health Toledo, OH, USA
At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Chaplain Team Supervisor – St. Vincent Medical Center Job Summary: The Chaplain Team Supervisor is responsible for the provision of spiritual care services and supervision of the chaplaincy team at a particular clinical group, a site, and a hospital at BSMH. The Supervisor...

Dec 28, 2025
Bon Secours Mercy Health
Chaplain Team Supervisor - St. Vincent Medical Center
Bon Secours Mercy Health Toledo, OH, USA
At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Chaplain Team Supervisor - St. Vincent Medical Center Job Summary: The Chaplain Team Supervisor is responsible for the provision of spiritual care services and supervision of the chaplaincy team at a particular clinical group, a site, and a hospital at BSMH. The Supervisor...

Dec 27, 2025
Lensa
Full time
 
Commercial Account Manager (High Plains Region)
Lensa Columbus, OH, USA
Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Vontier. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. INTRODUCTION And WHAT YOU WILL DO (Job Responsibilities) At Gasboy – Powered by Vontier, we are customer obsessed. That means we are driven to deliver solutions that matter for the people who need them most. This role plays an integral part of making that happen through managing and execution our sales strategy with distribution partners. We continue to experience growth and are looking for a talented and competitive Commercial Account Manager who thrives a fast-paced sales...

Dec 27, 2025
Humana
Manager, Fraud and Waste, Special Investigation Unit-Triage
Humana Columbus, OH, USA
Become a part of our caring community and help us put health first The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. Where You Come In The Manager, Fraud and Waste coordinates investigation with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration, and conducts briefings and...

Dec 27, 2025
Co
Community Organizer (Executive Advisor I) (U) (Vacancy)
City of Columbus Columbus, OH, USA
Community Organizer (Executive Advisor I) (U) (Vacancy) Print (https://www.governmentjobs.com/careers/columbusoh/jobs/newprint/5177995) Apply ? Community Organizer (Executive Advisor I) (U) (Vacancy) Salary $27.77 - $41.64 Hourly Location Varies by position Job Type Full-time Funding Limitation Job Number 25-0105-V2 Department 40 Mayor Division Office of CelebrateOne Opening Date 12/22/2025 Closing Date 1/5/2026 11:59 PM Eastern Description Benefits Definition Position Summary The Community Organizer leads outreach, relationship-building, and community-driven strategies that support the organization's mission to reduce infant mortality in Franklin County. This role is responsible for cultivating trust with residents and ensuring community voice is embedded in program design and implementation. The Community Organizer is responsible for mobilizing and empowering community members to identify their needs as they relate to...

Dec 26, 2025
MU
Part time
 
Summer Camp STEAM Program Team Leader Student Master 2 Undergrad
Miami University Oxford, OH, USA
Job Title Summer Camp STEAM Program Team Leader Student Master 2 Undergrad Department Regional Online JM Worker Type Student (Fixed Term) Pay Information For hourly student pay rates, please visit the Student Job Classification page on the Office of Human Resources website. For salaried student positions, contact the department for pay information. Duration of Appointment Summer 2026 Maximum Scheduled Weekly Hours 1 Job Description Summary The Summer STEAM Program Team Leader will collaborate with Miami Online Leadership to advance the STEAM Studio summer camp experience through management of camp staff, facilitation of camp experiences, and feedback analytics on both the Middletown and Hamilton Campuses. Job Description Essential Duties Work performed at this level is done independently of supervision. Provide supervision to student employees at the Student Master 1 Undergrad level. Required Knowledge, Skills, and Abilities Requires...

Dec 25, 2025
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