- Humana (Columbus, OH)
- **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 (Columbus, OH)
- …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
- AmeriHealth Caritas (Columbus, OH)
- ** Behavioral Health Medical Director (must reside in OH)** Location: Columbus, OH Primary Job Function: Behavioral Health ID**: 34228 **Job ... other administrative services. Discover more about us at www.amerihealthcaritas.com. The Behavioral Health Medical Director provides clinical oversight… more
- CVS Health (Columbus, OH)
- …care resources. **This is a remote based (work from home) role.** In this role has Medical Director ( Behavioral Health ) you will: * Provide comprehensive ... behavioral health care management to facilitate delivery of appropriate quality...management team, including the management of high-risk cases and medical necessity decisions * Participate in the development, implementation,… 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
- Highmark Health (Columbus, OH)
- **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
- 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
- Elevance Health (Columbus, OH)
- …partnering with other leaders across Carelon services relating to pharmacies like behavioral health and palliative care, to foster future client partnerships. ... **Anticipated End Date:** 2024-09-23 **Position Title:** Pharmacy Account Director , Medicare **Job Description:** A proud member of the Elevance Health family of… more
- CenterWell (Columbus, OH)
- …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 (Columbus, OH)
- …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
- ChenMed (Columbus, OH)
- …3 years preferred. + Strongly prefer one (1) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population ... activities preferred. + Preferred to be an existing high performing PCP partner and/or Medical Director within the ChenMed core model, with a proven ability to… more
- CenterWell (Columbus, OH)
- …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 (Columbus, OH)
- …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 (Columbus, OH)
- **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 (Columbus, OH)
- …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
- Veterans Affairs, Veterans Health Administration (Columbus, OH)
- …Behavioral Health programming through the facility Consults and liaisons with Specialty Medical , Primary Care, and Behavioral Health Staff on a wide ... and improvement of new and existing behavioral health programming in specialty medicine and throughout medical...using data-driven quality assurance process and presents reports to Director of the Integrated Behavioral Health… more
- Trinity Health (Columbus, OH)
- …Experience: Minimum of 2 years of case management experience across behavioral health or related fields. Knowledge of basic medical terminology and basic ... the interdisciplinary team internally and externally when appropriate. + Completes an behavioral health , substance abuse and/or psychosocial assessment of the… more
- Evolent Health (Columbus, OH)
- …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
- 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
- Sharecare, Inc. (Columbus, OH)
- …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