- Humana (Columbus, OH)
- **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
- CVS Health (Columbus, OH)
- …make health care more personal, convenient and affordable. **Position Summary:** The Behavioral Health Navigator is a clinical leader in the Medicaid plan ... key stakeholders, community organizations, advocacy groups as well as the OhioRISE Medical Director and senior leadership team to enhance the quality… more
- CVS Health (Columbus, OH)
- …Michigan, Virginia, Pennsylvania, and New Jersey offering a variety of physical and behavioral health programs and services to its membership. Aetna is looking ... Bring your heart to CVS Health . Every one of us at CVS Health shares...for a medical director to be part of a centralized team that supports the … more
- Centene Corporation (Columbus, OH)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... implementation of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies… more
- Elevance Health (Columbus, OH)
- …delivered high-impact results for over 150 years. With capabilities spanning pharmacy, behavioral health , complex care delivery, medical benefits management, ... teams involved in Utilization Management, Specialty Benefits Management, Payment Integrity, Advocacy, Health Plan Subrogation, Behavioral Health , Health … more
- Highmark Health (Columbus, OH)
- …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 (Columbus, OH)
- **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
- ChenMed (Columbus, OH)
- …specialists, hospital providers, and post-acute providers, including skilled nursing facilities, home health , behavioral health , social service, and other ... we need great people to join our team. The Director , Network is to be the business and clinical...providers, and payers in pursuit of improving outcomes and medical cost. Relationship goals include maximizing understanding of the… more
- Highmark Health (Columbus, OH)
- **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 (Columbus, OH)
- …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 (Columbus, OH)
- …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
- Compass Group, North America (Columbus, OH)
- …platform includes the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership for a Healthier ... Nutrition Services in an Acute Care Hospital. The Associate Director of Food and Nutritional Services will assist in...at Morrison Healthcare are offered many fantastic benefits. + Medical + Dental + Vision + Life Insurance/ AD… more
- NASCO (Columbus, OH)
- …Cross Blue Shield Medical , Dental, and Vision Plans + Telehealthcare - for Medical and Behavioral visits + Generous PTO with buy/sell options + 9 Company ... **Overview** As Executive Director , Compliance you will lead and provide oversight...is designed to support the physical, mental, and financial health of our associates. We offer: **Physical and Mental… more
- Merck (Columbus, OH)
- **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 (Columbus, OH)
- …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
- CVS Health (Columbus, OH)
- …Management, Quality Management, and Medical Management on issues related to Behavioral Health . Further, the incumbent functions as the Behavioral ... Provider Relations, Member Services, Operations and Network. This position supports the Behavioral Health Clinical Director , Chief Clinical Oversight… more
- BrightSpring Health Services (Columbus, OH)
- …mortality reviews are completed within five days of death and submit to State Health Services Director and Assigned Director , Clinical Practice* Review ... Community Living, Adult Host Homes for adults regardless of disability, Behavioral /Mental Health Support, In-home Pharmacy Solutions, Telecare and Remote… more
- National Youth Advocate Program (Columbus, OH)
- …and clinical therapists on case consultation with the development and growth of behavioral health and outpatient mental health services. **Responsibilities** ... Repayment assistance** , up to $1,200 per year! + Medical , Dental, and Vision + **22 Days Off** Each...+ Lead the application of evidence-informed service modalities in behavioral health service delivery for the Service… more
- Veterans Affairs, Veterans Health Administration (Columbus, OH)
- …advice and consultation in areas related to professional psychology and behavioral health . Knowledge of clinical research literature. Preferred Experience: ... VA Careers - Psychologist: https://youtube.com/embed/77qHlLw9Xck Total-Rewards-of-an-Allied- Health -VA-Career-Brochure.pdf Psychologist: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a-Psychology-Career-Flyer.pdf At the… more
- Highmark Health (Columbus, OH)
- …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