16 medical reviewer jobs found in Columbus

Become a part of our caring community The Utilization Management Behavioral Health Professional uses behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Utilization Management Behavioral Health Professional uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas....

Job Title: Human Capital Management Analyst - Recruiter Requisition #: 704210-051926 Department: Human Resources Primary Location: Ohio-Franklin County-Columbus Work Location: 855 W. Mound Street, 43223 Union-covered Position: No FLSA Status: Non-Exempt Job Type: Full-Time Schedule: Monday – Friday, 8am-5pm Minimum Starting Salary: $24.98/hour Number of Openings: 1 Posting Start Date: 05/19/2026 Posting Close Date: Postings are available for a minimum of 10 days after the Posting Start Date. Postings may be extended or rescinded at Agency's discretion after 10 days. All submissions received within the first 10 days will be considered. How to Apply: Email your updated resume to fccshr@fccs.us. Who We Are: Franklin County Children Services (FCCS) is a large, metropolitan child welfare agency with more than 300 caseworkers and 400 support staff members dedicated to child protection and family stability. FCCS believes in investing our time and...

Job Description Strong critical thinking and problem-solving skills, with the ability to apply company policies and procedures effectively while exercising sound business judgment. Ability to collaborate across teams on complex renewal and expansion opportunities that require strong attention to detail, strategic coordination, and adherence to established processes. Escalates non-standard or highly complex situations appropriately to management for guidance and resolution. Five or more years of experience in high-tech sales, customer success, renewals, or account management. Strong communication and relationship-building skills with the ability to engage effectively with executive-level decision makers. Self-motivated with the ability to work independently in a fast-paced environment while maintaining a high level of accuracy and attention to detail. Bachelor's degree in Business, Computer Science, or related field preferred; equivalent...

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 FINRA Supervisory Specialist Senior within PNC's Wealth Management organization, you will be based within the PNC footprint at one of the major hub locations. PNC is an in-office company that fosters a supportive culture where employees can thrive and achieve balance. We encourage candidates to connect with their recruiter and hiring manager to understand workplace expectations and ensure the role aligns with their goals. PNC will not provide sponsorship for employment visas or participate in STEM OPT for this position. Job Description Responsible for the supervision, trade review, and/or new...

Management Analyst II (Vacancy) Print (https://www.governmentjobs.com/careers/columbusoh/jobs/newprint/5341284) Apply ? Management Analyst II (Vacancy) Salary $37.02 - $55.52 Hourly Location Varies by position Job Type Full-time Job Number 26-0780-V2 Department 60 Columbus Water & Power Division Office of the Public Utilities Director Opening Date 05/14/2026 Closing Date 5/27/2026 11:59 PM Eastern Description Benefits Questions Definition Columbus Water & Power (CWP), Director's Office is seeking a Management Analyst II in the Director's Office to support and lead the coordination and tracking of the implementation of CWP's Strategic Plan., as well as drive organizational development initiatives. The position will collaborate closely with the Assistant Director and the leadership team of the department and serve as a vital link among various divisions. The primary focus will be to ensure that all actions...

Data Management Coordinator (Vacancy) Print (https://www.governmentjobs.com/careers/columbusoh/jobs/newprint/5341257) Apply ? Data Management Coordinator (Vacancy) Salary $37.96 - $56.98 Hourly Location Varies by position Job Type Full-time Job Number 26-0591-V2 Department 60 Columbus Water & Power Division Office of the Public Utilities Director Opening Date 05/14/2026 Closing Date 5/28/2026 11:59 PM Eastern Description Benefits Questions Definition This position in the Director's Office-Information Technology Section at Columbus Water & Power (CWP) will be responsible for planning, directing and coordinating the ongoing management and analysis of data and processes associated with Oracle Customer Cloud Services (Customer Service and Billing System) on behalf of the division. This role will focus on the Customer Information and Billing Application, as well as integrated systems. May perform other related duties...

Position Description & Qualifications The Army PPB BOS program is seeking a CM Specialist to deliver cloud-based configuration management, DevSecOps, and release engineering activities to support the enterprise systems. Serco supports the US Army as the prime for PPB BBOS and consists of multiple managed cloud environments and numerous hosted data, applications, and processes that enable Army Planning, Programming and Budgeting (PPB) processes to develop the Army Future Years Defense Program (FYDP). Our team performs administration, maintenance, and improvement of IT systems that collect POM, Budget Estimate Submission (BES) and President's Budget resources data deemed necessary to accomplish the Department's mission. In this role, you will: Support applications and systems operating within AWS GovCloud and Commercial Cloud environments/ Be responsible for developing, maintaining, and enforcing software configuration management tools and processes that...

Job Description Staff Program Manager, Incident Management - Autonomous Vehicle Development At General Motors, our product teams are redefining mobility. Through a human-centered design process, we create vehicles and experiences that are designed not just to be seen, but to be felt. We're turning today's impossible into tomorrow's standard - from breakthrough hardware and battery systems to intuitive design, intelligent software, and next-generation safety and entertainment features. Every day, our products move millions of people as we aim to make driving safer, smarter, and more connected, shaping the future of transportation on a global scale. The Safety Assurance for Effective Autonomous Driving Software (SAFE-ADS) department is part of GM's Global Product Safety, System, and Certification (GPSSC) organization. Our mission is to help GM deliver trusted automated driving products. As the central authority for automated driving system (ADS) safety, SAFE-ADS brings...

Job Profile 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 FINRA Supervision Specialist within PNC Wealth Management, you will be based in Pittsburgh, PA, Cleveland, OH, Cincinnati, OH, Columbus, OH, Charlotte, NC, Raleigh, NC, Birmingham, AL, Houston, TX, or any additional HUB location within PNC's footprint. This position may be eligible for remote work in select geographic locations, subject to approval by PNC. If approved, work must be conducted from a quiet, secure, and confidential home-based workspace. Occasional in-office participation may be required based on business needs. PNC will not provide sponsorship for employment visas or...

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 FINRA Supervisory Principal within PNC Wealth Management, you will be based in Pittsburgh, PA, Cleveland, OH, Cincinnati, OH, Columbus, OH, Grand Rapids, MI, Charlotte, NC, Raleigh, NC, Birmingham, AL, Houston, TX, or any additional HUB location within PNC's footprint. PNC is an in-office company that fosters a supportive culture where employees can thrive and achieve balance. We encourage candidates to connect with their recruiter and hiring manager to understand workplace expectations and ensure the role aligns with their goals. PNC will not provide sponsorship for employment visas or participate in...

Please note: Effective October 1, 2025, the Ohio Department of Mental Health & Addiction Services has transitioned to its new name—the Ohio Department of Behavioral Health. This change reflects our continued commitment to providing comprehensive, person-centered care that addresses the full range of behavioral health needs for Ohioans. All positions and services now fall under the Ohio Department of Behavioral Health as we move forward in serving individuals, families, and communities across the state. What you’ll do at DBH: Ohio Department of Behavioral Health is seeking two highly skilled Human Capital Management Senior Analyst's to support statewide absence management, disability programs, and payroll-related HR functions across central office, pharmacy services, and regional psychiatric hospitals. This role is ideal for an HR professional with strong analytical skills, deep knowledge of leave programs, and the ability to navigate complex federal and state...

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(n) [position title] within PNC's [name of division] organization, you will be based in [city/state location of position]. Job Profile 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 an Account Manager I within PNC's Treasury Management Sales organization, you will be based...

DODD Core Values: To help Ohioans with developmental disabilities, DODD has embodied the following core values that focus on the experience of our customers, the people we serve, and their families: Kindness & Empathy – All interactions are based on genuine care and concern for all involved. We listen to those we serve, our partners, and each other. Collaboration – We engage with each other and our partners with openness and trust. Transparency – We are accessible and visible in our business practices. Quality Innovation – The services we deliver are value-added and promote excellence. Inclusiveness – Cultivate an environment that embraces diversity and ideas at every level of interaction. Our systems and processes are designed to ensure that every person is treated equally, and every voice is heard fairly. Accountability – We conduct ourselves professionally and will manage taxpayer dollars responsibly. What You Will Do: Payroll, Benefits &...

Job Summary In collaboration with the Senior Director of Clinical Management, the Director is responsible for the operational strategy and management of Otsuka clinical programs, including coordination with other relevant parties (e.g., other Otsuka departments, external service providers (ESPs), etc.). Responsibilities include the planning, execution, and completion of clinical programs according to applicable regulations and guidance; ICH Guidelines, Good Clinical Practices (GCP), and Otsuka SOPs, within agreed upon timelines and budget. Job Description Provides scientific clinical research and operational expertise in the development of overall strategy and objectives of the Global Clinical Development Plan (GCDP), including performing/overseeing and providing background research. May represent Clinical Management in the development of the Clinical Development Plan, timelines, and budget for Business Development opportunities. Ensures program specific...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title AVP, Enterprise Program Portfolio Management - REMOTE Job Description The AVP Program Portfolio Management is responsible for leading and developing the overall portfolio and project vision for one or more accounts. This position will be responsible for creating an implementation strategy to accomplish the division's long term strategic and market driven vision within their accounts. This position requires broad technical and analytical experience, as well as strong interpersonal leadership skills. This leader works directly with external clients and customers to ensure that business needs are met while leveraging cross functional internal, matrixed resources to deliver results. Responsibilities Lead a long-term...

Position: Director, Facilities Management Status: Full time, permanent Location: Ohio History Center, Columbus OH Salary: $83,000-99,000 per year Benefits: Full benefits package including medical, dental, vision, life and disability insurance, retirement pension, paid time off and holidays Summary: The Director of Facilities Management leads the physical care, improvement, and major project management of the statewide historic site and museum system. This position is accountable for the strategic planning, execution, financial stewardship, and reporting of capital and operating investments across facilities and infrastructure. The Director supervises the Architectural Services and Buildings and Grounds teams and ensures strong coordination between these teams and the broader organization. The position has primary responsibility for capital project accountability, including development of capital requests, coordination of approvals through the...