• Behavioral Health Medical

    Humana (Madison, WI)
    **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
    Humana (08/07/24)
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  • Behavioral Health Medical

    CVS Health (Madison, WI)
    …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
    CVS Health (08/31/24)
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  • Medical Director Aetna Duals Center…

    CVS Health (Madison, WI)
    …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
    CVS Health (09/13/24)
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  • Part-time/Remote Medical Director

    Highmark Health (Madison, WI)
    **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 (06/25/24)
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  • Behavioral Health Specialist

    Centers for Independence (Madison, WI)
    ** Behavioral Health Specialist** **Job Details** **Job Location** WHCG - Milwaukee, WI **Position Type** Full Time - Union **Education Level** 4 Year Degree ... Percentage** Minimal; Less than 10% **Job Shift** 3rd Shift **Job Category** Health Care **Description** **Job Purpose** : This is a professional position that… more
    Centers for Independence (07/13/24)
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  • Medical Director , Medicaid (Remote…

    Highmark Health (Madison, WI)
    …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 (08/23/24)
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  • Associate Director , Clinical Coding…

    CenterWell (Madison, WI)
    …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
    CenterWell (08/27/24)
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  • Director Integrated Experience Design

    Highmark Health (Madison, WI)
    …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
    Highmark Health (08/09/24)
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  • National Director , Clinical Pharmacy-…

    CenterWell (Madison, WI)
    …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
    CenterWell (07/27/24)
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  • Director of Finance Corporate Systems

    Marriott (Madison, WI)
    …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
    Marriott (06/25/24)
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  • Director Cybersecurity Engineering(Metrics…

    Humana (Madison, WI)
    **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
    Humana (08/29/24)
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  • Senior Director IT Application Development

    Marriott (Madison, WI)
    …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
    Marriott (07/25/24)
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  • Clinical Program Supervisor - Child/Adolescent…

    Meriter-UnityPoint Health (Madison, WI)
    …Hospital Job Description: + The Clinical Program Supervisor has accountability for the Behavioral Health Therapy and the Clinical Supervisor teams under the ... of programing, with the support of the Manager and Medical Director . + The Clinical Program Supervisor...the clinical supervision program for all members of the Behavioral Health Therapist and Clinical Coordinator teams.… more
    Meriter-UnityPoint Health (08/11/24)
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  • Clinical Program Supervisor - Child/Adolescent…

    Meriter-UnityPoint Health (Madison, WI)
    …the Child and Adolescent (CAP) inpatient units have accountability for the Behavioral Health Therapy team and the Occupational Therapy/Recreation Therapy teams ... unit. This includes management of the clinically focused mental health aspects of staff education and new employee orientation....team on their respective unit in conjunction with the Medical Director , and in coordination with the… more
    Meriter-UnityPoint Health (08/15/24)
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  • Coordinator, Intake Utilization Management

    Evolent Health (Madison, WI)
    …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
    Evolent Health (09/07/24)
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  • Family Clinical Advocate, Registered Nurse…

    Sharecare, Inc. (Madison, WI)
    …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
    Sharecare, Inc. (08/10/24)
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  • Bilingual Lead Clinician - JOR

    National Youth Advocate Program (Madison, WI)
    …Possess a sincere desire and ability to advocate for youth facing behavioral health , educational, legal, development, and socio-economic challenges. The ... + **22 Days Off** Each Year! **Plus 10** Paid Holidays Per Year! + Medical , Dental, and Vision + Competitive salaries and benefits including a 401(k), **Summer Hours… more
    National Youth Advocate Program (08/20/24)
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  • Insurance Verification Specialist

    Centers for Independence (Madison, WI)
    …+ 3+ years of prior authorization experience. + 3+ years of behavioral health authorization experience. **Required License - Certification - Registration** ... system services that require authorization. **Reporting Relationships** **Reports To** : Director of Business Operations **Direct Reports** : No direct reports… more
    Centers for Independence (08/03/24)
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  • Bilingual Case Manager- JOR

    National Youth Advocate Program (Madison, WI)
    …a sincere desire and ability to advocate for children facing behavioral health , immigration, educational, legal, development, and socio-economic challenges. ... Each Year! **Plus 10** Paid Holidays Per Year! + Medical , Dental, and Vision + Competitive salaries and benefits...or other topics as deemed appropriate by the program director . + Must assist in the evacuation of youth… more
    National Youth Advocate Program (08/20/24)
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  • Bilingual PSA Compliance Manager - JOR

    National Youth Advocate Program (Madison, WI)
    …+ **22 Days Off** Each Year! **Plus 11** Paid Holidays Per Year! + Medical , Dental, and Vision + Competitive salaries and benefits including a 401(k), **Summer Hours ... Quality Improvement initiatives including administrative and clinical review of medical records, utilization management, outcome measurement, and generating statistical… more
    National Youth Advocate Program (08/20/24)
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