- Magellan Health Services (Honolulu, HI)
- …MRx MMUM). After Hours coverage may be required. General Job Information Title Medical Director ( Behavioral Health ) - Hawaii Licensed, Remote Grade 36 Work ... This position supports the clinical vision for the health plan(s) for all lines of business (Medicaid,...(QIA) in collaboration with the clinical lead senior medical director , and quality improvement staff. May participate in various… more
- Queen's Health System (Honolulu, HI)
- …healthcare institution is seeking an exceptional Nursing leader to spearhead our comprehensive behavioral health services . This is a unique opportunity to ... health . Join us in our mission to elevate behavioral health services and continue...and stakeholders. + Driving continuous improvement and innovation in service delivery. + Mentoring and developing staff, creating a… more
- Centene Corporation (Honolulu, HI)
- …(DFPS) staff, Caregivers, PCP's and Service Managers to coordinate access to behavioral health services and community resources. **(Must reside in ... medical director and corporate oversight + Facilitate access to behavioral health services , including assisting with locating providers and scheduling… more
- Highmark Health (Honolulu, HI)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care delivery ... clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards of care are… more
- Highmark Health (Honolulu, HI)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job will be a key player in re-imagining our Living Health digital experience--leading ... design how people interact with finding and accessing virtual/physical medical and behavioral care in tight collaboration with our Experience, Strategy , Research… more
- Highmark Health (Honolulu, HI)
- …:** **JOB SUMMARY** This position is responsible to drive enGen technology and services sales with our alliance and technology partners. The incumbent is responsible ... a voice of the partner. Drive opportunities for cross-selling across technology and services with our alliance and partner community. Lead the full sales lifecycle… more
- Highmark Health (Honolulu, HI)
- …to evaluate the medical necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic peer to peer discussions ... + None **Preferred** + Master's Degree in Business Administration/Management or Public Health **EXPERIENCE** **Required** + 5 years in Clinical, Direct Patient care… more
- Highmark Health (Honolulu, HI)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job will lead our product management teams including strategy, roadmap formulation, and ... + Stay abreast of industry trends, regulations, and best practices in the health care sector & ensure comply with relevant regulations and industry standards. +… more
- Conviva (Honolulu, HI)
- **Become a part of our caring community and help us put health first** The Associate Director , Security Architecture will play a key role in implementing ... and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral ...millions of people we serve to achieve their best health - delivering the care and service … more
- Highmark Health (Honolulu, HI)
- …contracts developed by Highmark, Inc. The incumbent will report to the Director of Value-Based and Population Health Pharmacy. **ESSENTIAL RESPONSIBILITIES** + ... **JOB SUMMARY** This job manages a team of Population Health Pharmacists and support the team in the implementation...Implement the team's strategy under the direction of department Director for improving provider scores on metrics related to… more
- Highmark Health (Honolulu, HI)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job has enterprise-wide responsibility for creating and driving strategic sourcing for an ... incumbent acts as a strategic business partner, interfacing at the VP and Director levels of the company, providing leadership in the designated spend category for… more
- Highmark Health (Honolulu, HI)
- **Company :** Highmark Health **Job Description :** Job Description **JOB SUMMARY** This role within the marketing & experience department will be at the forefront ... deliver measurable business outcomes. This role will report directly to the Director of MarTech and Operations and lead day-to-day optimization, automation and… more
- Highmark Health (Honolulu, HI)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job is responsible for the planning and implementation of the investment strategy for the ... and execute the implementation of the strategies by the Investment Portfolio Director . Execute trades and investment strategy on a best price/competitive bid basis… more
- Evolent Health (Honolulu, HI)
- …Entering data into a proprietary system generates cases for both the medical and behavioral health reviewers. These requests may be submitted via fax, email, or ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...work collaboratively with other Clinical Operation Leaders including our Director may also be available. **What You Will Be… more