- Humana (Honolulu, HI)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health ... care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately...millions of people we serve to achieve their best health - delivering the care and service … more
- Queen's Health System (Honolulu, HI)
- …units, departments, programs, functions, activities and consultative support related to QMC behavioral health services . May be assigned other departments ... RESPONSIBILITIES I. JOB SUMMARY: A director functions at a high organizational level, providing...Five (5) years management/leadership experience in inpatient and outpatient behavioral health services , preferably in… more
- Centene Corporation (Honolulu, HI)
- …(DFPS) staff, Caregivers, PCP's and Service Managers to coordinate access to behavioral health services and community resources. **(Oahu).** + Identify ... medical director and corporate oversight + Facilitate access to behavioral health services , including assisting with locating providers and scheduling… more
- Highmark Health (Honolulu, HI)
- …this position will drive the development and realization of segment-specific SDoH / Health Equity strategies into actionable services and programs, develop and ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The job...or from site-to-site Rarely Works primarily out-of-the office selling products/ services (sales employees) Never Physical work site required Occasionally… more
- Highmark Health (Honolulu, HI)
- …requirements. **EDUCATION** **Required** + Bachelor's Degree in STEM, Analytics, Health Services Research, or closely related discipline **Preferred** ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** Highmark seeks a Director of Rating Tools Enablement to lead the design, development, and… more
- Highmark Health (Honolulu, HI)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This senior shared services leadership role provides critical thought partnership and ... excellence, leading change management, fostering innovation to improve product health , contributing to product transformation and maturity, and strategic utilization… more
- Highmark Health (Honolulu, HI)
- …quality programs (eg pay for performance) + 5 years Familiarity with the delivery of health care services across the continuum and quality metrics. + 5 years ... and lines of business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding of innovation and industry… more
- Highmark Health (Honolulu, HI)
- …plan quality programs (eg pay for performance) + Familiarity with the delivery of health care services across the continuum and quality metrics. + Experience ... initiatives. These functions collectively maintain the Organization's reimbursements to all health care providers, and serve as a consulting resource in maintaining… 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
- Highmark Health (Honolulu, HI)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This role leads a Pharmacology & Therapeutics Committee and serves as a Medication ... job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Highmark Health (Honolulu, HI)
- …work sites or from site-to-site Rarely Works primarily out-of-the office selling products/ services (sales employees) Never Physical work site required No Lifting: up ... job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Merck (Honolulu, HI)
- **Job Description** The Clinical Research Director (CRD) is the Clinical Operations lead in a country/cluster and is responsible for execution of all Clinical Trials ... Research & Development Division / GCD Therapy Areas, and when appropriate Human Health . + Working with regional and global colleagues develops and executes the GCTO… more
- CenterWell (Honolulu, HI)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... our customers, and our company. Through our Humana insurance services , and our CenterWell healthcare services , we...millions of people we serve to achieve their best health - delivering the care and service … more
- Pearson (Honolulu, HI)
- …Director of School Service Delivery, this role collaborates closely with the Director and the Therapy Services Lead to develop and implement a strategic ... by working with the Director of School Service Delivery and the Therapy Services Lead...years of experience in K-12 school setting delivering mental health services to Special Education populations, virtual… more
- Highmark Health (Honolulu, HI)
- …MFA capabilities, such as financial/statistical modeling, predictive modeling, benchmarking, self- service analytics, episodic grouping, etc. Ensure that MFA staff ... and to develop and maintain relationships with those business partners. Assist the director of MFA in establishing the vision and strategy for Highmark's market… 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 ... setting. The incumbent acts as a strategic business partner, interfacing at the Director levels of the company, providing leadership in the designated spend category… more
- Highmark Health (Honolulu, HI)
- …of member specific information to improve individual outcomes as an adjunct to health coaching. If acting in the capacity as a clinical pharmacist the incumbent ... to develop and implement clinical and operational initiatives within Integrated Clinical Services . May participate in outreach efforts as needed to effectively reach… more
- CenterWell (Honolulu, HI)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... as needed and requested by lead pharmacist or National Director of Pharmacy. + Responsible for interacting with other...primary care, one of the largest providers of home health services , and fourth largest pharmacy benefit… more