- Generations Family Health Center (Putnam, CT)
- Behavioral Health Medical Director / Psychiatrist Job Details Level Management Job Location GEN Putnam - Putnam, CT Remote Type N/A Position Type Full ... Percentage Undisclosed Job Shift Day Job Category Health Care Description Behavioral Health Medical Director / Psychiatrist (MD/DO) Location: Putnam… more
- Humana (Providence, RI)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director responsible for behavioral ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the… more
- Highmark Health (Providence, RI)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Highmark Health (Providence, RI)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This role leads a Pharmacology & Therapeutics Committee and serves as a Medication ... requested. . **Q** **UALIFICATIONS:** **Required** + Doctorate degree in Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO)...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Providence, RI)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** Highmark seeks a Director of Rating Tools Enablement to lead the design, development, and ... Oversee the execution of analytics to support the implementation of key medical cost savings initiatives: Understand the insights required to capture cost-savings,… more
- Highmark Health (Providence, RI)
- …and lines of business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding of innovation and industry ... Advanced Analytics, Contracting and Provider Relations, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** +… more
- Highmark Health (Providence, RI)
- …initiatives. These functions collectively maintain the Organization's reimbursements to all health care providers, and serve as a consulting resource in maintaining ... in reimbursement and payment model design + Familiarity with core health plan reimbursement operations **_Preferred_** + Familiarity with alternative care model… more
- Open Sky Community Services (Douglas, MA)
- …interventions. + Participates in program on-call rotation. Qualifications Master's Degree in Behavioral Health or related field, current c linical licensure ... for adults (male and female) who have both mental health and substance use disorders. Our residential treatment program...recovery, therapy animals, 12-step programs, and more. The Clinical Director will oversee and help develop the clinical and… more
- Merck (Providence, RI)
- **Job Description** The Clinical Research Director (CRD) is the Clinical Operations lead in a country/cluster and is responsible for execution of all Clinical Trials ... Research & Development Division / GCD Therapy Areas, and when appropriate Human Health . + Working with regional and global colleagues develops and executes the GCTO… more
- CenterWell (Providence, RI)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** The IPA Coding Leader manages a diverse...identify and influence enhancements to technology to improve the medical coder experience. + Oversees coding operations by identifying… more
- Magellan Health Services (Newport, RI)
- …child daycare centers and schools, and consultation to installation command regarding behavioral health issues affecting military personnel and their family ... - Required Clinical Work Experience - Preferred Education - Required Master's - Behavioral Health , Master's - Social Work Education - Preferred License and… more
- Charter Care Health Partners (Providence, RI)
- Summary: Under the direction of the System Director of Outpatient and Integrated Behavioral Health , ED Clinicians will function as clinical Behavioral ... of care. Clinician will have working knowledge of insurance prior authorization, medical necessity criteria and ASAM criteria. Clinicians will have the ability to… more
- Highmark Health (Providence, RI)
- …of member specific information to improve individual outcomes as an adjunct to health coaching. If acting in the capacity as a clinical pharmacist the incumbent ... disease management identification process, and consult with the Organization's Associate Medical Directors and Medical Directors when appropriate, follow-up on… more
- State of Massachusetts (Wrentham, MA)
- …and specific drugs that affect behavior and psychiatric conditions and works with medical staff and psychiatry on assessment of behavioral effects of those ... full range of psychological services including conduct assessments, create positive behavioral support plans, attend meetings, training staff, provide input into… more
- CenterWell (Providence, RI)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... **Become a part of our caring community and help us put health first** The Clinical Pharmacy Technician 4 assists the interdisciplinary CIT team with… more
- State of Massachusetts (Taunton, MA)
- …the skills necessary to thrive to apply for this role. **Job:** ** Medical Services* **Organization:** **Department of Mental Health * **Title:** *Psychologist IV* ... IV functions as a member of a clinical team, develops incentive-based behavioral management programs, provides therapy, assessment, and psychological testing on a… more
- Sevita (Taunton, MA)
- …and follow up on healthcare planning as directed by the Program Director /Manager; ensure appropriate medical follow-up for designated program participants + ... to program participant's incentive account + Organize and facilitate internal medical appointments as requested by management, overseeing timely completion of annual… more