- Centene Corporation (Baton Rouge, LA)
- …benefits including a fresh perspective on workplace flexibility. **We're Hiring: Full-time Behavioral Health Medical Director ** Centene Corporation ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a...years of post-residency experience **Position Purpose:** Assist the Sr Medical Director to direct and coordinate the… more
- CVS Health (Baton Rouge, LA)
- …and effective utilization of health care resources. Reporting to the Executive Behavioral Health Medical Director , Aetna Medicaid, this role ... Provide daily support and guidance to the ABA prior authorization clinical team and health plan medical directors. * Attend and actively participate in clinical… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …requests that meet established criteria, as authorized by licensed professional staff, including the Behavioral Health Medical Director . + Organizes and ... Coordinator is responsible for providing both administrative and clinical support in the behavioral health authorization process for ABA and Autism Services at… more
- Highmark Health (Baton Rouge, LA)
- …**JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support ... the full-cycle ownership of commercial and Medicare Advantage medical policies, both developed internally and by vendors. This...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Baton Rouge, LA)
- …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
- CenterWell (Baton Rouge, LA)
- …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 Director , Home Health...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- CenterWell (Baton Rouge, LA)
- …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 Associate Director , Product Management...or in-practice role (eg, Center Administrator, Front Office, Scheduling, Medical Assistant, Physician, or Physician Extender). + Two or… more
- Highmark Health (Baton Rouge, LA)
- …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 ... Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** +… more
- CVS Health (Baton Rouge, LA)
- …letter training to authorization PAL coordinator's * Facilitate collaboration with medical director , authorization and care management staff address enrollee ... * Collaborate with care management and utilization management teams in monitoring behavioral health services, assure assessments for needed equipment are… more