- Humana (Richmond, VA)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work… more
- Elevance Health (Richmond, VA)
- …of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff ... ** Behavioral Health Care Manager II - Autism** **Location:**...supervision. + Previous experience in case management / utilization management with a broad… more
- Elevance Health (Ashburn, VA)
- …of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff ... supervision.) **Preferred Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad range of… more
- CVS Health (Richmond, VA)
- …Aetna. **Expectations and Responsibilities:** * Serve as the principal utilization management reviewer for cases related to Applied Behavior Analysis (ABA). ... medical directors. * Attend and actively participate in clinical meetings with care management and utilization management teams, offering subject matter… more
- Battelle Memorial Institute (Arlington, VA)
- …as directed by the unit Commander of his/her designee + Conduct applied research and clinical investigations in clinical/ behavioral health/organizational social ... environment. The Licensed Clinical Social Worker position serves as a behavioral health care provider within operational units, delivering evidence-based assessment,… more
- Highmark Health (Richmond, VA)
- …supporting, and optimizing the architectural strategy for **all clinical and utilization management applications** . Their expertise spans application, solution, ... and AI integration, extending this strategic oversight across **all clinical and utilization management applications** . This involves ensuring the completeness… more
- Amazon (Arlington, VA)
- …survey experience * Bachelor's degree in Data Science, Statistics, Computer Science, Applied Math, Psychology, Behavioral Economics, or 4+ years of quantitative ... research methods, and UX design and applying these to your work * Experience in the utilization of behavioral data and the design and analysis of A-B tests a… more
- Highmark Health (Richmond, VA)
- …and mentorship in areas of expertise and architecture to peers, developers, management , and business users. **Key Responsibilities:** + Lead the design and ... application designs to ensure optimal technology selection, efficient resource utilization , and seamless system integration. + Ensure system architecture adheres… more