- Elevance Health (Nashville, TN)
- …you will make an impact:** + Partners with internal UR staff and external Behavioral Health Providers to ensure appropriate and consistent utilization of plan ... license. + Conducts pre-certification, concurrent review, and appeals of Behavioral Health OP services. + Mentors ...creating a culture that is designed to advance our strategy but will also lead to personal… more
- Elevance Health (Nashville, TN)
- …lead initiatives to enhance the efficiency and effectiveness of our Behavioral Health operations. This role involves collaborating with cross-functional teams ... manage process improvement projects to streamline operations within the Behavioral Health services organization. + Utilize Lean...creating a culture that is designed to advance our strategy but will also lead to personal… more
- The Cigna Group (Chattanooga, TN)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, ... a complex and expanding area in healthcare. The main responsibility is to lead a team of BI developers responsible for creating dashboards and reporting products… more
- Highmark Health (Nashville, TN)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role is responsible for designing, developing, implementing, supporting, and optimizing ... architectural solutions that address stakeholder concerns. **Key Responsibilities:** + Lead and participate in Architecture Review Board processes, providing expert… more
- Highmark Health (Nashville, TN)
- …**Job Description :** **JOB SUMMARY** This job is responsible for developing the sales strategy for the TPA business line in conjunction with the President of HNAS, ... This leader will be accountable for executing upon the strategy by providing leadership and direction to a team...limited to PA, DE, WV, NY and CA. + Lead the strategic planning sales efforts for the market,… more
- Elevance Health (TN)
- …services. **Minimum Requirements:** + Requires AA/AS and minimum of 2 years of experience in health services or behavioral health field or in a peer support ... creating a culture that is designed to advance our strategy but will also lead to personal...and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy .… more
- Elevance Health (Cleveland, TN)
- …the member's circle of support and overall management of the individuals physical health (PH)/ behavioral health (BH)/LTSS needs, as required by applicable ... creating a culture that is designed to advance our strategy but will also lead to personal...and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy .… more
- Elevance Health (Lafayette, TN)
- …the identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term ... creating a culture that is designed to advance our strategy but will also lead to personal...and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy .… more
- Elevance Health (Greeneville, TN)
- …the identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term ... creating a culture that is designed to advance our strategy but will also lead to personal...and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy .… more
- Highmark Health (Nashville, TN)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job plays a key role in ensuring projects (ie change initiatives) meet objectives on time ... **ESSENTIAL RESPONSIBILITIES** + Apply a structured change methodology and lead change management activities.This involves partnering with sponsors and project… more