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Cvs Health Utilization Management Remote Jobs in Ohio

Harris

Remote Care Management - CMA

Delaware, OH · Remote

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients ...

Harris

Remote Care Management - CMA

New Hampshire, OH · Remote

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients ...

CareSource

Medical Director

Dayton, OH · On-site +1

$195K - $341K/yr

Collaborated with cross functioning teams including legal, compliance, utilization management and ... Clinical decision making * Healthcare policy knowledge * Appeals processing * Stakeholder ...

Solid Rock Recruiting LLC

Remote Tax Manager

Columbus, OH · On-site +1

$135K - $195K/yr

Position Overview Seeking a Remote CPA / Tax Manager to join our team in a generalist capacity ... Health, dental, and retirement benefits * Paid time off and holidays * Supportive, team-oriented ...

Signet Jewelers Ltd.

IT Project Manager (Remote)

Akron, OH · On-site +1

$106K - $135K/yr

Ensure compliance with PMO standards, project governance, and documentation requirements. POSITION ... Comprehensive healthcare, dental, and vision insurance to keep you and your family covered that is ...

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Cvs Health Utilization Management Remote information

What is the difference between Cvs Health Utilization Management Remote vs Cvs Health Medical Reviewer?

AspectCvs Health Utilization Management RemoteCvs Health Medical Reviewer
CredentialsRN, LPN, or other healthcare licensesRN, MD, or DO licenses
Work EnvironmentRemote, home-basedRemote or onsite, depending on role
Employer & Industry UsageUtilization management for insurance approvalsMedical review for claims and authorizations

Both roles involve healthcare assessments, often requiring similar licenses. Utilization Management Remote focuses on reviewing medical necessity for insurance purposes, while Medical Reviewers may handle detailed case evaluations. Both are remote-friendly and integral to healthcare insurance processes, but differ slightly in scope and responsibilities.

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What are popular job titles related to Cvs Health Utilization Management Remote jobs in Ohio? For Cvs Health Utilization Management Remote jobs in Ohio, the most frequently searched job titles are:
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Cvs Health Utilization Management Remote jobs near you

Senior Contract Manager (Remote)

Medpace, Inc.

Cincinnati, OH • On-site, Remote

Other

Medical, Retirement, PTO

Posted 15 days ago

Medpace rating

8.6

Company rating: 8.6 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

14th of 73 rated research

Job description

Job Summary
We are growing rapidly, and currently seeking a full-time, office or remote-based Site Contract Manager to join our Clinical Operations team (CRO experience required for remote-based). This position will work on a team to accomplish tasks and projects that are instrumental to the company's success. If you want an exciting career where you use your previous expertise and can develop and grow your career even further, then this is the opportunity for you!
Responsibilities
  • End-to-end management of the clinical trial agreement (CTA) process for global, multi-site clinical trials
  • Develop the study-specific CTA strategy with the Sponsor and internal stakeholders
  • Develop country-specific CTA templates
  • Negotiate CTAs and the corresponding budget directly with sites
  • Present progress to internal and external stakeholders ensuring deliverables are met within agreed upon timelines.

Qualifications
  • Bachelor's degree (required) in relevant legal or business field;
  • 8+ years of direct Clinical CRO experience required;
  • Site contract and budget negotiation experience required;
  • 4+ years of management or oversight experience required;
  • Ability to effectively influence others;
  • Exceptionally strong communication skills; and
  • Advanced knowledge of Microsoft Word, Excel, and PowerPoint.

Travel: minimal
Medpace Overview
Medpace is a full-service clinical contract research organization (CRO) providing phase l-lV clinical development services to the biotechnology, pharmaceutical, and medical device industries. Our mission is to accelerate the global development of safe and effective medical therapeutics through the advancement of clinical research. We leverage in-country regulatory and therapeutic expertise across all major therapeutic areas including oncology, cardiology, metabolic, endocrinology, central nervous system, and anti-viral and anti-infective. Headquartered in Cincinnati, Ohio, we employ more than 6,500 people across 40+ countries.
Why Medpace?
When you join Medpace, you become part of an innovative team that brings cutting-edge therapies to market while building a meaningful and rewarding career focused on scientific excellence and improving patient outcomes around the world through continuous learning and cross-functional collaboration.
Purpose-Driven Work
    • Work alongside physicians, scientists, and industry-leading experts committed to advancing the global development of medical therapeutics through clinical research excellence

Collaborative Culture
    • Contribute to an interactive team environment that empowers decision making, creative thinking, and continuous learning through open communication and mutual trust.
    • Leadership throughout Medpace is both accessible and approachable

Continuous Growth & Development
    • Office based environment with on-site mentors
    • Defined career paths with clear advancement opportunities
    • Industry renowned onboarding and training programs designed to accelerate professional development
    • Ongoing training and continuous learning opportunities throughout your career
    • An environment that encourages employees to influence change, contribute ideas, and grow quickly

Other Employee Benefits
    • Competitive compensation programs that recognize and reward performance
    • Comprehensive health, wellness, retirement, and PTO benefits
    • Office based culture with occasional WFH that provides flexibility for eligible positions after training
    • Company-sponsored social events and intramural sports

Cincinnati Headquarters Experience
    • A modern corporate campus designed to support collaboration and productivity
    • Multiple on-site dining options in the heart of Madison Square
    • Free on-site parking
    • Convenient access to on-site 24-7 fitness and wellness facilities

What to Expect Next
A Medpace team member will review your application and if your profile matches our current needs, you will be contacted for an interview. While we review all applications carefully, we are unable to respond to every applicant, and only candidates selected for interviews will be contacted.

What Medpace employees say

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Benefits

Hours and flexibility

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About Medpace

Sourced by ZipRecruiter

Medpace is a globally recognized clinicial contract research organization (CRO) based in Cincinnati, OH, in the United States. Established in 1992, it operates in the healthcare sector, providing scientifically-driven outsourcing solutions for the development of drugs and medical devices. It offers comprehensive services like full-service clinical development services, regulatory affairs management, clinical pharmacology, data management, statistical analysis, and medical writing. By applying a scientifically-driven, therapeutically-focused, and patient-centric approach, Medpace's mission is to accelerate the global development of safe and effective medical therapies.

Industry

Medical equipment and supplies manufacturing

Company size

1,001 - 5,000 Employees

Headquarters location

Cincinnati, OH, US

Year founded

1992

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