43 regulatory operations coordinator jobs found in Columbus

Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for developing plans and managing activities in support of Risk Adjustment and Quality/HEDIS. Directs the daily activities of direct reports supporting Risk Adjustment Coding and Quality/HEDIS. Assesses viability of current direction/projects/operations and recommends strategies and tactics to satisfy current and future business needs. Actively seeks and identifies opportunities for improvement. Implements strategic and tactical improvements to the Risk Adjustment Coding and Quality/HEDIS processes. Manages information that will ensure accurate and efficient projects. Responsible for working with appropriate departments in the areas of risk adjustment, compliance, process improvement and member/provider satisfaction for all product lines. Recommend and/or implements process improvements related to the potential of quality medical care and service. Serves as a resource regarding government...

Job Description As Director of Operations, Critical Infrastructure , you will lead the safe, reliable, and efficient operation of mission-critical electrical, mechanical, and building infrastructure systems supporting OCI data center campuses. This role is accountable for day-to-day operational execution, risk management, maintenance performance, and leadership effectiveness across assigned sites or regions, ensuring compute load is protected and high availability is maintained at all times. This role directly leads site-level operational leadership for critical infrastructure, including the Site Operations Support Manager - Data Center Facilities, Office & Facilities Coordinator - Facilities Operations, Facilities Operations Manager - Mechanical / Plant Manager, and Facilities Operations Manager - Electrical / Plant Manager, along with their supporting technical teams. The Director is responsible for ensuring these teams operate as one coordinated facilities...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: Job Description The Coordinator, Intake Utilization Management at Evolent will serve as a point of contact for processing prior authorization requests in accordance with...

Job Description Team Overview The Data Center Infrastructure Delivery team at Oracle Cloud Infrastructure is a dynamic group of professionals dedicated to delivering state-of-the-art data center facilities at scale and at pace. This team comprises experienced project managers who work collaboratively with vendors and internal teams to ensure the successful execution of complex data center construction and network projects. They bring a wealth of expertise in project management, technical design, and on-site construction, ensuring that our data centers meet the highest standards of quality, efficiency, and sustainability. This team plays a crucial role in supporting Oracle Cloud Infrastructure's data needs and driving our growth and success. Job Summary Strategically, you will be responsible for developing and implementing comprehensive plans that optimize efficiency, cost-effectiveness, and operational excellence in delivery. You will engage with key stakeholders,...

The Electronic Payments Operations team is responsible for the accurate, secure and timely execution of money movement in and out of the bank, including ACH, Wire Transfers and Instant Payments. The team ensures regulatory compliance, manages daily reconciliation and mitigates operational risks associated with payments. As the FX Payment Operations Specialist, you will have responsibility and oversight for post-trade currency transactions, ensuring accurate and timely settlement and compliance for UMB and our clients. This is a subset of the overall responsibilities which will include leading and participating in multiple projects & initiatives assigned by Bank Operations leadership. This role is hybrid (Mon through Thu on-site / Fri remote) for candidates in the Kansas City metropolitan area and open to qualified remote candidates outside of the Kansas City area. However, the remote location must be within the US. How you will spend your time:...

Customer Engagement Model Otsuka America Pharmaceutical, Inc. has launched a new customer engagement approach designed to better deliver on patient, caregiver, and HCP needs in an evolving healthcare environment. The new model is built around where patients get their care-locally, with the intent to better serve patients, caregivers, and healthcare providers, delivering a higher quality experience that ultimately is focused on improving patient care. The local "ecosystem approach" creates a unified focus among account management, medical, patient access and market access to engage local healthcare systems and identify opportunities to improve the patient experience. Through this matrix model, customers will now experience more coordinated and seamless care with digital-enabled support to bridge care gaps. In Otsuka's evolved customer engagement model, a Health Science Associates (HSA) will engage HCPs through a variety of in-person, virtual and digital tools, offering...

Job Description Strategic Solutions - Field CTO Oracle Healthcare Role Overview The Field CTO - Oracle Healthcare serves as Oracle's senior technical and architectural authority for healthcare providers, payers, and life sciences organizations. This role operates at the intersection of industry transformation, enterprise architecture, AI/data platforms, and large-scale cloud adoption, guiding customers through complex modernization initiatives that span clinical, operational, financial, and research domains. Acting as a trusted advisor to C-suite executives (CEO, CIO, CTO, CDO, CMIO, CFO), the Field CTO brings broad portfolio mastery across Oracle, including Oracle Health, Oracle Cloud Infrastructure, Fusion Cloud Applications, analytics, AI, and data platforms - while translating business outcomes into scalable, secure, and financially viable architectures. Responsibilities Key Responsibilities Strategic Customer Leadership Serve as the...

The SR, Packaging Engineer position typically reports to a senior leader in the Packaging and Device Technology department. The Senior Packaging Engineer is a technical resource responsible for assisting in the day-to-day operations ensuring the timely packaging of OAPI's products. The position's key responsibilities include the package and device development, component specifications and graphic arts related activities utilized in OAPI's product portfolio. This position is as an individual contributor role under general direction from his/her supervisor. The individual must have experience in managing complex multiple projects simultaneously involving both internal and external team members. The position requires interfacing with various company entities including but not limited OPCJ, OPDC, and OCPI teams to provide support for packaging processes for new and life cycle products and devices. The position requires an individual who has sufficient knowledge and experience...

Job Description We are seeking a Senior Principal-level Electrical Engineer to serve as the field authority for mission-critical power systems across our global data center fleet. You will lead complex troubleshooting, commissioning, reliability improvements, and capacity enablement for medium- and low-voltage systems supporting high-density, liquid-cooled compute. This is an individual contributor role with broad influence across Design, Construction, Operations, Controls/BMS, and EPMS. Responsibilities Key Responsibilities Lead on-site and remote technical support for electrical infrastructure: utility service, MV switchgear, transformers, LV switchgear, UPS/ESS, PDUs/PPMs, RPPs, busway, and grounding. Ensure electrical reliability strategies (N, N+1, 2N) are implemented and verifiable; validate selective coordination, protection settings, and arc flash boundaries. Develop, review, and approve electrical MOPs/SOPs/EOPs for live-site switching,...

Operational Reinsurance Leader Anywhere Type: Consulting Category: Accounting & Finance Industry: Financial Services Workplace Type: Remote Reference ID: JN -042026-106400 Date Posted: 04/14/2026 Shortcut: http://careers.eliassen.com/mH5fPX Description Recommended Jobs Description: Remote Our client seeks an Operational Reinsurance Leader to direct end-to-end reinsurance operations across a complex multi-entity platform. The role focuses on treaty and facultative administration, bordereaux processing, data ingestion and reconciliation, and settlements with cedants and brokers. The leader will partner with Finance, Accounting, Claims, Underwriting, and Risk to ensure accurate reporting, sound controls, and scalable processes. The position requires deep reinsurance operations expertise and the ability to influence cross-functional stakeholders. We can facilitate W2 and corp-to-corp consultants. For our W2...

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 Initial Review Pharmacy Technician Job Description Plays a key role in medical and pharmacy management initiatives critical to the company achieving revenue goals and operational objectives. Responsible for executing utilization management programs on behalf of health plan/payor customers, while utilizing additional clinical knowledge pertaining to a set list of managed medications across all health plans, with additional training for each medication and therapeutic class. Primary activities center on reviewing both prospective and retrospective requests for therapeutic appropriateness using sound clinical criteria. Responsible for making and receiving calls to and from physicians, patients, and pharmacies to gather...

Position Overview The Security Program Manager (SPM) is responsible for leading and governing customer-facing security programs for externally delivered and managed services, with an initial focus on Managed Services contracts. This role serves as the single accountable owner for customer security relationships, ensuring that contractual, regulatory, and risk management requirements are met through effective coordination of internal teams and third-party service providers. The SPM balances external customer leadership with internal security coordination, providing oversight of Security Operations services delivered by a Managed Security Service Provider (MSSP) while retaining accountability for security outcomes, risk posture, and customer trust. Over time, this role is expected to expand to manage security programs across all enterprise customer relationships. This position emphasizes program ownership, governance, communication, and execution, rather than hands-on...

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. Leads a team of virtual Business Banking Healthcare Relationship Managers, providing strategic direction, performance coaching, and day-to-day leadership. Brings proven experience in fast-paced Business Banking Healthcare environments, driving portfolio growth, client satisfaction, and risk management while supporting healthcare clients with tailored financial solutions. 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...

Overview At PNNL, our core capabilities are divided among major departments that we refer to as Directorates within the Lab, focused on a specific area of scientific research or other function, with its own leadership team and dedicated budget. Our Science & Technology directorates include National Security, Earth and Biological Sciences, Physical and Computational Sciences, and Energy and Environment. In addition, we have an Environmental Molecular Sciences Laboratory, a Department of Energy, Office of Science user facility housed on the PNNL campus. The Energy and Environment Directorate?delivers?science and technology solutions for the nation's biggest energy and environmental challenges. Our more than 1,700 staff support the Department of Energy (DOE), delivering on key DOE mission areas including: modernizing our nation's power grid to maintain a reliable, affordable, secure, and resilient electricity delivery infrastructure; research, development, validation,...

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 Senior Privacy Analyst (Oversight and Monitoring) - Remote Job Description The Senior Privacy Analyst - Oversight supports Prime's compliance with contractual, state, and federal privacy requirements related to the protection of and access to protected health information (PHI). The role focuses on administering and overseeing privacy program activities to prevent, detect, and remediate privacy risks, while evaluating organizational adherence to privacy policies and regulatory requirements. Responsibilities: Collaborate with Privacy leadership, Clients and internal business partners to ensure Prime possesses the appropriate privacy materials; facilitate ongoing maintenance of these materials to ensure alignment to...

At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. The oppportunity The Director of Enterprise Incident Response & Remediation provides executive leadership for the company's enterprise-level cybersecurity incident response capability. The role sets strategic direction, establishes global standards, and exercises oversight across incident response, supplier cyber incident coordination, and enterprise remediation programs. This leader shapes how the organization anticipates, responds to, and learns from cybersecurity events and ensures the corporate environment remains resilient against evolving threats. Key Responsibilities Strategic Leadership & Governance Define the enterprise incident response vision, priorities, and long-term strategic roadmap. Establish...

Position Overview This position reports into the Marketing organization and manages the Interventional GI & Accessories team. The product portfolio includes innovative endoscopes for ERCP, EUS and Double Balloon Enteroscopy as well as accessories for endoscopic procedures. This role works cross-functionally both within the organization and with external stakeholders (e.g., KOLs) to execute company initiatives and manage all aspects of product commercialization, including both upstream and downstream marketing. The Senior Product Manager, Interventional GI & Accessories contributes to the evolution of the organization as new protocols and business methods gain adoption and the priorities of the division continue to change. Company Overview At FUJIFILM Healthcare Americas Corporation, we're on a mission to innovate for a healthier world, and we need passionate, driven people like you to help us get there. Our cutting-edge healthcare solutions span diagnostic...

We are transforming how content is created, reviewed, and delivered - fast, compliant and at scale. Our End-to-End Content Strategy connects AI, automation, data and smart workflows to deliver high-quality content globally. At the center of this transformation is a connected product ecosystem, powered by AI-enabled solutions, and data-driven insights, combined with streamlined processes that enhance productivity and maximize marketing ROI. Our commitment is clear: to deliver a streamlined, compliant, user-centric AI-enabled content experience that supports our business globally. If you are passionate about innovation, collaboration and building products that sit at the intersection of strategy, user experience and technology, join us. Be part of a team that's setting the North Star for content excellence, leveraging AI and automation to unlock new possibilities and deliver meaningful impact globally. ROLE PURPOSE The Workfront Business Product Lead drives the success...

Employment Law Attorney 5 Who we are: At the Ohio Department of Behavioral Health (DBH), we strive to exemplify The Heart of Hope for individuals and families affected by mental health and substance use disorders. We proudly employ over 2,800 dedicated employees across our six inpatient behavioral health hospitals, Ohio Pharmacy Services, Ohio's prison systems, and the central office located in the James A. Rhodes State Office Tower in Columbus, OH. DBH Values: Service-Oriented (Person Centered, Solution Oriented, Customer Service Focused) Collaborative (Approachable, Reasonable, Transparent) Value Driven Innovative (Yes Before No) Strong Sense of Urgency Our team of highly qualified professionals advances a critical system of behavioral healthcare in Ohio that helps people be well, get well, and stay well. Join our collaborative,...

Process Safety Management Process Hazard Analysis (PHA) Management : Conduct and coordinate comprehensive process hazard analyses including HAZOP studies, What-If analyses, and Failure Mode and Effects Analysis (FMEA) for refinery operations. Identify potential hazards in distillation, and hydrotreatment units, ensuring all findings are documented and corrective actions are implemented. Management of Change (MOC) Program Implementation : Oversee the Management of Change process for all modifications to equipment, procedures, raw materials, and operating conditions. Review and approve proposed changes to ensure they don't introduce new hazards or compromise existing safety systems. Process Safety Information (PSI) Maintenance : Maintain current and accurate process safety information including process flow diagrams, P&IDs, equipment specifications, and safety data sheets for all chemicals used in the re-refining process. Incident Investigation and Root Cause...

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 Provider Relations Analyst Sr - Remote Job Description The Senior Provider Relations Analyst is responsible for contracting efforts and managing Prime's independent pharmacy networks. This position is responsible for the management of Prime's independent pharmacy network contracting activities, ensuring contracting initiatives are effective and completed in accordance with network management strategies. In addition, this position manages and maintains the Prime Provider Manual, issues resolution for escalated pharmacies inquiries through the Provider Relations email box. Responsibilities Research and resolve pharmacy contract related inquires; evaluate network participation and distribute pharmacy contract...

Job Description Position Summary The Clinical Supervisor provides clinical leadership, oversight, and supervision to staff delivering direct services. This role ensures high-quality, ethical, and trauma-informed service delivery across programs. The Clinical Supervisor supports staff development, ensures compliance with clinical, ethical, and regulatory standards, and collaborates with organizational leadership to strengthen participant outcomes and overall program effectiveness. Duties & Responsibilities Clinical Supervision & Staff Development Provide regular individual and group clinical supervision to clinical staff, interns, and supervisees Support staff in case conceptualization, assessment, treatment planning, and intervention strategies Review clinical documentation for accuracy, quality, and compliance Support staff professional growth, licensure progression, and ethical practice Program Quality & Service Delivery...

Job Description As the Senior Director of Colocation Infrastructure Construction Delivery, you will be at the forefront of shaping the future of our data infrastructure. Your leadership will be pivotal in driving the strategic vision for our data center projects, ensuring they align with our long-term organizational goals. You will lead a dynamic team of professionals, fostering a culture of innovation, collaboration, and excellence. Your role will involve not only overseeing the successful execution of complex construction projects but also inspiring your team to push the boundaries of what's possible in data center design and construction. Strategically, you will be responsible for developing and implementing comprehensive plans that optimize efficiency, cost-effectiveness, and operational excellence in delivery. You will engage with key stakeholders, manage high-stakes vendor relationships, and navigate the complexities of regulatory compliance. Your ability to...

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 Contingent Labor Associate within PNC's Talent Acquisition organization, you will be based in Columbus, OH. Manage day-to-day operations, including incident resolution, ticket management, troubleshooting, and support for managers and suppliers. Oversee invoicing for contingent workers and ensure accuracy through partnership with suppliers and internal teams. Produce and maintain reporting within various applications and utilizing Excel (v-lookups, pivot tables) and other applications to create clear, functional reports for leaders. Serve as a key liaison to internal partner teams as...