- Molina Healthcare (San Diego, CA)
- …Active, unrestricted Utilization Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management ... prior authorizations, inpatient/outpatient medical necessity/utilization review, and/or other utilization management activities aimed at providing Molina Healthcare … more
- Molina Healthcare (Columbia, SC)
- …assessments. Preferred candidates will have experience working with the Behavioral health population . Excellent computer skills and attention to detail ... Population in the state of South Carolina. Member Health Assessor will be partnering with Behavioral Health...Experience** 1-3 years in case management , disease management , managed care or medical or behavioral health… more
- Beth Israel Lahey Health (Wakefield, MA)
- …lives.** Under the general supervision of the Manager, Clinical Analytics, the Health Care Analyst is responsible for providing high quality analyses that answer ... questions about the most pressing healthcare needs and is comfortable utilizing various data modelling approaches to forecast future network's performance.… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …contracts, provider networks and care management programs. + Collaborates with Population Health and Clinical Operations to quantify ROI for chronic disease ... health plan aligns with institutional goals, supports population health priorities, and manages cost and... management , behavioral health and value-based care programs.… more
- Sharp HealthCare (San Diego, CA)
- …collaboration necessary for the continuum of care foundation for our NCQA required population health management program. Additionally, this position provides ... **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp Health Plan's (SHP) physicians (Medical… more
- Elevance Health (Norfolk, VA)
- …a healthcare and/or managed care organization preferred + Familiarity with medical management or population health programs preferred. + Possess working ... **Predictive Healthcare Economics Analyst** **Location:** This role requires associates...and value propositions, operational effectiveness and efficiencies, client specific health gaps and needs. **How you will make an… more
- Bloom Healthcare (Lakewood, CO)
- Job Title: Behavioral Health Consultant Territory: Lakewood About Bloom: Bloom Healthcare is a pioneering and employee-owned primary care and hospice practice at ... is proven to provide exceptional care to the homebound population , and Bloom Healthcare has generated outstanding...for cultural differences and how they may impact mental health and healthcare seeking behavior. Cultural competence… more
- Bassett Healthcare (Cooperstown, NY)
- …to helping the population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. What you'll do The Logistics ... you looking to make a difference by improving the health of our patients? Here you will find an...primary liaison between all service locations, support departments, other healthcare facilities, and in partnership with physicians to ensure… more
- Bassett Healthcare (Oneonta, NY)
- …to helping the population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. What you'll do The Supervisor ... minimum of 15 members monthly and maintain exemplary quality according to the Bassett Health Home Policies. + Provide Core Care Management Services to assigned… more
- Hartford HealthCare (Farmington, CT)
- …moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The Division of Health Psychology at the Institute of ... health clinician (LCSW, PhD or PsyD) in Hartford HealthCare 's Tallwood Men's Health center in Farmington....will craft a strong program to support the behavioral health of this population , understanding the unique… more