- Magellan Health Services (Honolulu, HI)
- …utilization data. Strong verbal and written communications skills. General Job Information Title Director , Clinical Care ( UM /BH), HMSA, Licensed/Reside ... of a high quality team and effective transitions of care with the clinical care ...care standards in the participating provider network, vendors, UM staff, Health Guides, and for case managers. +… more
- CVS Health (Honolulu, HI)
- …in inter-rater review activities and other quality oversight processes for internal Director UM decisions. If specifically assigned to one business segment ... review activities and other quality oversight processes for internal Director UM decisions. If specifically assigned to...the Department. **Required Qualifications** * Minimum of 5 years clinical experience in direct patient care . *… more
- Evolent Health (Honolulu, HI)
- …client partners, including the CEO, CFO, CMO, pharmacy leadership, clinical operations/ UM , medical economics/actuarial services/analytics, and vendor management. ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...Stay for the culture. **What You'll Be Doing:** **Senior Director , Partner Operations** The Senior Director , Partner… more
- Evolent Health (Honolulu, HI)
- …Data Warehouse tables, including medical, pharmacy and ancillary claims data, membership data, clinical operational data ( UM & CM), or other healthcare data- ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...as we solve complex business problems. **Collaboration Opportunities** The Director , Client Analyst role will be serving as a… more