- CenterWell (Dover, DE)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews ... health claims. The Medical Director , Primary Care work assignments involve...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- Highmark Health (Dover, DE)
- …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 (Dover, DE)
- …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 ... Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** +… more
- Magellan Health Services (Dover AFB, DE)
- …personnel at child development centers, and consultation to installation command regarding behavioral health issues affecting children and youth. CYB counselors ... - Required Clinical Work Experience - Preferred Education - Required Master's - Behavioral Health Education - Preferred License and Certifications - Required… more
- Highmark Health (Dover, DE)
- …facilities and providers for care-coordination. + Participate in rounds with the Medical Director . + Review documentation and processes for consistent practice, ... (CCM) + Experience working with HIV/AIDS population + Experience working with behavioral health population + Experience working with developmental disabilities… more
- The Cigna Group (Wilmington, DE)
- …health -related benefits including medical , vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company ... passing requirements + Will work as a Cigna Global Health Benefits broker advocate as an internal partner to...refresh current processes- as delegated by Team Leader or Director . + May act as a technical resource that… more
- Centene Corporation (Newark, DE)
- …a project at any level at a medical group, IPA or health plan setting. **License/Certification:** Licensed behavioral health clinician (LMFT, LCSW, ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a...open action items + Works closely with the Regional Medical Director to analyze data and develop… more
- Oracle (Dover, DE)
- …helping build a culture where high-performing teams thrive. Reporting to the Senior HR Director , this role will have the opportunity to influence the future of HR ... business, in partnership with HR COE, to elevate culture, improve organizational health and enhance employee engagement. + Drive multi-year organizational and talent… more
- Perdue Farms, Inc. (Georgetown, DE)
- …superior safety environment at the facility. + Builds relationship with occupational health / medical ; to improve worker safety, associate wellness, and case ... with operation leadership to deliver operational results through impactful safety, health , and security solutions. \#LI-AF1 **Principal and Essential Duties &… more