- Humana (Dover, DE)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is 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
- CVS Health (Dover, DE)
- …network management and clinical coverage and policies. **Primary Job Duties & Responsibilities:** Behavioral Health Medical Director + Collaborates with ... This person will oversee and be responsible for all behavioral health activities in the health..., physical health , and social determinants of health . The medical director will… more
- Highmark Health (Dover, DE)
- …Direct Patient care (hospital, outpatient, or private practice) + 1 - 3 years in Medical Management in a Health Insurance Plan; strong knowledge of managed care ... 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)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… more
- CenterWell (Dover, DE)
- …Education, and work as a thought partner with Coding and Documentation Improvement Medical Director . The main responsibilities of the role are: + Determine ... strategy with clinical education team and CDI (coding and documentation improvement) medical director embedded in Clinical excellence. + Align clinician coding… more
- Highmark Health (Dover, DE)
- …conceptualize and design how people interact with finding and accessing virtual/physical medical and behavioral care in tight collaboration with our Experience, ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- CenterWell (Dover, DE)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The National Director , Clinical Pharmacy...Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: +… more
- Marriott (Dover, DE)
- …to receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care ... **JOB SUMMARY** Marriott has an exciting opportunity for a Director on the Corporate Systems team within the Finance...a course of action. + Professional Demeanor - Exhibits behavioral styles that convey confidence and command respect from… more
- Humana (Dover, DE)
- **Become a part of our caring community and help us put health first** Director of Enterprise Information Protection (EIP) Cybersecurity Engineering focused on ... of manual processes using AI and RPA (Robotics Process Automation) ** Behavioral Competencies:** * Exceptional leadership skills, marked by poise, positive influence,… more
- Marriott (Dover, DE)
- …to receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care ... internal and external user expectations and operations. The Senior Director collaborates with cross-functional teams both within Marriott's Global Technology… 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 Masters - Behavioral Health Education - Preferred License and Certifications - Required… more
- Evolent Health (Dover, DE)
- …as required. + Entering data into a proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be submitted ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...will serve as a point of contact for processing medical treatment requests in accordance with departmental policies, regulatory… more
- Highmark Health (Dover, DE)
- …a timely manner. May coordinate credentialing, re-credentialing, member complaint investigations, Medical Director site visit requests, facility site visit ... appropriate departments in the areas of compliance, process improvement, medical record review and coding, and member and provider...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Sharecare, Inc. (Dover, DE)
- …one or more of the following areas: NICU, Oncology, Transplant, Maternity, and/or Behavioral Health . + Training in motivational interviewing preferred. + Strong ... **Job Description:** Sharecare is the leading digital health company that helps people - no matter...providers or members to the Clinical Advocate Manager or Director when he/she identifies an opportunity for education or… more
- PSEG (Salem, NJ)
- … health -related benefits including medical , vision, dental, and well-being and behavioral health programs. We also offer a retirement program, 401(k) with ... of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll...data. + The PI&PM will also assist the Security Director and SLT in the facilitation of strategy and… more
- PSEG (Salem County, NJ)
- …health -related benefits including medical , vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company ... why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll be offered several … more
- Marriott (Dover, DE)
- …to receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care ... N **Position Type** Management **JOB SUMMARY** Reporting directly to the Director - Messaging & Collaboration, the Senior Product Owner - Exchange/Email… more
- Marriott (Dover, DE)
- …to receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care ... **Relocation?** N **Position Type** Management **JOB SUMMARY** Reporting directly to the Director - Messaging & Collaboration, the Senior Product Owner - Entra… more