46 medical reviewer jobs found

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 Postings may be extended or rescinded at Agency's discretion after 10 days.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...

Mercy Health About Us 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. Certified Medical Assistant - Defiance Clinic Job Summary: The Certified Medical Assistant is a key component of our team that works closely with the primary care physician to deliver excellent patient care to our community, ensuring services are provided within the Medical Assisting scope and state guidelines. The Certified Medical Assistant is responsible for reviewing and updating health records, measuring vital signs, and preparing treatment rooms for upcoming...

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...

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 Supervisory Principal within PNC Wealth Management, you will be based in office in Pittsburgh, PA, Cleveland, OH, Cincinnati, OH, Columbus, OH, Grand Rapids, MI, Charlotte, NC, Raleigh, NC, Birmingham, AL, Houston, TX, or any additional in office HUB locations 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...

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...

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...

Release Management Executive Advisor Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Release Management Executive Advisor is responsible for planning, coordinating, and executing FEP application releases across multiple teams and environments, ensuring releases are predictable, well-governed, and aligned with business priorities. The role serves as the central coordination point between application teams, infrastructure,...

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...

Enterprise Change Management Consultant Location: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Enterprise Change Management Consultant is responsible for managing and supporting change management aligned with transformational business initiatives with various stakeholders' enterprise wide, as well as embedding user adoption through change management practices into...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

Enterprise Change Management Consultant Location: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Enterprise Change Management Consultant is responsible for managing and supporting change management aligned with transformational business initiatives with various stakeholders' enterprise wide, as well as embedding user adoption through change management practices into...

Position Summary Actalent connects passion with purpose. We are supporting critical engineering and sciences initiatives that advance how companies serve the world. With almost 40 years of experience, our scalable talent solutions and engineering and sciences services provide the expertise our customers need to achieve more. The Project Management Supervisor is responsible for the day-to-day operations of Project Managers and Outage Planners, facilitating professional growth among team members, and reporting metrics and statuses to the Program Manager and the customer. The Project Management Supervisor provides leadership and direction to their direct reports and ensures that all projects meet their Cost, Quality and Timing metrics. They will also be responsible for helping to grow the business and execute the current work-flow. This shall include strategy contributions with the Program Manager regarding market evaluations and developing solutions for new and existing...

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...

Current UC employees must apply internally via SuccessFactors You are invited to apply to be included in the general pool of candidates from which qualified faculty roles will be filled. The number of positions varies depending on the needs of the department and there is no guarantee that an open position currently exists. Appointments are renewed based on departmental need and teaching performance. Classes may be day or evening. Rank and compensation are based on experience and academic credentials. Next Lives at the University of Cincinnati Founded in 1819, the University of Cincinnati ranks among the nation’s best urban public research universities. Home to more than 53,600 students, 12,000 faculty and staff, and over 360,000 living alumni, UC, a Carnegie 1 institution, combines research prowess with a physical setting The New York Times has called “the most ambitious campus design program in the country." UC's momentum has never been stronger as the...

Foods you love. Brands you trust. And a career that empowers you to grow. At Nestlé USA, we’re all working towards the same goal – to delight and deliver for our consumers. With a rich portfolio of beloved brands, including DiGiorno, Toll House, and Coffee mate, in 97% of U.S. households, we have a unique opportunity – and responsibility – to be there for every moment in our consumers’ lives. Joining Nestlé means becoming part of an inclusive workplace that inspires innovation, encourages strategic thinking and creativity, and celebrates your achievements. No matter where you work within the organization, you are empowered to challenge the status quo, embrace risk-taking, and pioneer new ideas. Our supportive and collaborative environment encourages bold ambitions and continuous learning so that everyone can grow and thrive. This position is not eligible for Visa Sponsorship. The Leave Management Specialist is a subject matter expert on all types of leaves of...

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. We are looking to hire a Marketing Specialist Senior to support Institutional Asset Management (IAM) within PNC's Marketing organization. Position Overview: This role leads integrated marketing efforts for Institutional Asset Management (IAM), driving audience-focused campaigns, thought leadership, and multi-channel engagement to support business growth across key segments and capabilities. Key Responsibilities: Audience & Product Marketing Execution: Support primary audience segments and core capabilities by developing targeted campaigns that align with key business priorities, balancing...

Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) . Job Description : This job requires a completed 4-year college degree! Summary The Operations Management Trainee will support the shop management process and assist in cost savings, customer retention, and metric-based initiatives. This requires the Manager Trainee to work cross functionally across Operations, Asset Management, Sales, Quality, and Rental Management. This program is fast-paced and touches every aspect of the business unit. In this role, you will acquire proven industry knowledge, skills and resources to develop your operations & fleet maintenance background. We allow you to carve out your own career path and promote from within , based on performance. The ideal path of progression in this role is an Ops Supervisor. Now hiring individuals that are interested in working in the transportation industry. This job is an...

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...

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 Supervision Supervisor 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. 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...

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 Security Analyst within PNC's Technology organization, you will be based in Pittsburgh, PA; Cleveland, OH; Birmingham, AL; Dallas, TX; Denver, CO, or Phoenix, AZ Key Responsibilities: Execute daily SoD scans to identify potential and effective access violations Monitor, triage, and investigate SoD violations, ensuring timely resolution or escalation Provide on-demand support to end users and business stakeholders to analyze and remediate access conflicts Partner with application owners and access request teams to validate and resolve violations in alignment with policy...

Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) . Job Description : This job requires a completed 4-year college degree! Summary The Operations Management Trainee will support the shop management process and assist in cost savings, customer retention, and metric-based initiatives. This requires the Manager Trainee to work cross functionally across Operations, Asset Management, Sales, Quality, and Rental Management. This program is fast-paced and touches every aspect of the business unit. In this role, you will acquire proven industry knowledge, skills and resources to develop your operations & fleet maintenance background. We allow you to carve out your own career path and promote from within , based on performance. The ideal path of progression in this role is an Ops Supervisor. Now hiring individuals that are interested in working in the transportation industry. This job is an...