- Centene Corporation (Honolulu, HI)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Directs the care management team and the care ( management ) ... high quality, cost-effective healthcare outcomes. Develops strategies and objectives within care management to improve member and/or provider experience. +… more
- Cardinal Health (Honolulu, HI)
- …is passionate about helping oncology practices navigate the future. The Director , Managed Care is responsible for strategy and management of managed care ... are responsible to implement strategic initiatives related to payer contracts. The Director , Managed Care contributes to practice growth and profitability by… more
- Humana (Honolulu, HI)
- …size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... work, communication of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient… more
- Humana (Honolulu, HI)
- …size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... work, communication of decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from inpatient… more
- Humana (Honolulu, HI)
- …size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... and use of business metrics. + Experience working with Case managers or Care managers on complex case management , including familiarity with social determinants… more
- Humana (Honolulu, HI)
- …size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Highmark Health (Honolulu, HI)
- …physicians by providing consultation and education to colleagues and attending physicians related to care and complex care management + Participate in team ... :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for...+ 3 experience in all aspects of medical cost management , care management , quality and… more
- Cardinal Health (Honolulu, HI)
- …offering deep and demonstrated expertise in managed care sales and relationship management . The Director , Sales & Business Development - Managed Care ... Summary_** Reporting to the National VP of Sales, the Director , Sales & Business Development - Managed Care...+ Minimum of 5 years of sales and/or account management experience within Managed Care , Payer Partnerships/Relations,… more
- Magellan Health Services (Honolulu, HI)
- …standards, and supporting initiatives with providers and members to manage cost of care . Oversees utilization management and criteria-based reviews of care , ... Job Requirements Responsibilities 8+ years' clinical experience. 3+ years in utilization management operations. 5+ years in health care quality improvement.… more
- Always Best Care Senior Services (Honolulu, HI)
- Job Summary: The Director of Nursing at Always Best Care Senior Services - Oahu is responsible for overseeing and managing the nursing department and all aspects ... of patient care . This individual will play a key role in...role based in Honolulu, Hawaii. Compensation & Benefits: The Director of Nursing will receive a competitive salary ranging… more
- Always Best Care Senior Services (Honolulu, HI)
- …care services, performing marketing duties and communicating the concept of quality client care to the general community. The Director of Nursing will have ... a fast growing, results oriented Home Health and Home care business. As the fastest growing home care...the limit, you've come to the right place. The Director of Nursing will be responsible for the coordination… more
- Marriott (Honolulu, HI)
- …United States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Director of Privileged Access ... as a service (IDaaS) platform + Graduate/post graduate degree **CORE WORK ACTIVITIES** + Director role focused on Privileged Access Management + This function is… more
- Always Best Care Senior Services (Honolulu, HI)
- …assists with the planning, coordination, leading, controlling, and evaluation of home care services. The NS is responsible for coordination and liaison with ... NS directs and supervises professional and paraprofessional personnel rendering client care services, performs marketing duties, and fosters public relations for the… more
- CVS Health (Honolulu, HI)
- … Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and ... in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior...located. **Preferred Qualifications** * Combination of five years of management and/or clinical experience in a managed care… more
- Norstella (Honolulu, HI)
- Senior Director , Product Management Company: Panalgo Location: Remote, United States Date Posted: Sep 9, 2024 Employment Type: Full Time Job ID: R-391 ... (IHD), to generate insights into population health, quality of care , efficiency of medical research, and cost management...of our products across Norstella business units. The Senior Director , Product Management will be responsible for… more
- Humana (Honolulu, HI)
- …Health Medical Director will attend and participate in meetings involving care management , provider relations, quality of care , audit, grievance ... metrics, population health, and disease or care management . The Behavioral Health Medical Director may...care management . The Behavioral Health Medical Director may develop procedures, processes, productivity targets and new… more
- Takeda Pharmaceuticals (Honolulu, HI)
- …that will inspire you and empower you to shine? Join us as an Associate Director , Global Regulatory Project Management and Strategic Planning - GI2 TAU within ... (HA) for early to late phase programs by providing effective Project Management leadership, oversight, direction and planning. + Directly supports program GRL by… more
- Teradata (Honolulu, HI)
- …in a results-oriented environment + Lead cross-functional teams in product life cycle management **Who You'll Work With** The Product Management team drives the ... is seeking a passionate, highly motivated, and experienced senior director to lead the Strategy for the team. As...for the team. As a member of the Product Management Leadership Team, you will be shaping the strategy… more
- CenterWell (Honolulu, HI)
- …be the ambassador for value-based, senior care model in the primary care network. The Associate Director , Clinical Coding Education (RN) will develop, ... our caring community and help us put health first** The Associate Director , Coding Education identifies opportunities to improve provider documentation and creates… more
- Evolent Health (Honolulu, HI)
- …training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a… more