• Utilization Management…

    Humana (Hartford, CT)
    …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… more
    Humana (01/10/26)
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  • Coordinator, Intake Utilization…

    Evolent (Hartford, CT)
    …the mission. Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for ... and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, … more
    Evolent (01/06/26)
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  • Pharmacist - Utilization Management…

    Highmark Health (Hartford, CT)
    …coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by ... prior authorization or appeals against medical policy through the Utilization Review system. Update the system records appropriately to...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (12/30/25)
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  • Behavioral Health Medical Director…

    Elevance Health (Wallingford, CT)
    ** Behavioral Health Medical Director-Psychiatrist Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... Monday - Friday. Half day Saturday rotation, once a month.** The ** Behavioral Health Medical Director-Psychiatrist Appeals** is responsible for the… more
    Elevance Health (01/09/26)
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  • Behavioral Health Care Manager I…

    Elevance Health (Wallingford, CT)
    …medical benefits, including medical management . **Hours: 8am-5pm (Local time)** The ** Behavioral Health Care Manager I** is responsible for managing adult ... ** Behavioral Health Care Manager I -...** Behavioral Health Care Manager I - Ameriben** **Location** :...Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad… more
    Elevance Health (01/07/26)
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  • Behavioral Health Clinical Director

    State of Connecticut, Department of Administrative Services (New Haven, CT)
    Behavioral Health Clinical Director Office/On-site Recruitment # 251230-6214MP-001 Location New Haven, CT Date Opened 1/8/2026 12:00:00 AM Salary $124,895* - ... to lead clinical operations and shape the future of behavioral health care? Apply today and become...appropriate action; + Initiates workforce planning and monitors staff utilization to meet identified goals; + Investigates and responds… more
    State of Connecticut, Department of Administrative Services (01/09/26)
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  • Licensed Clinician ( LCSW, LPC, LMFT, LADC)…

    Hartford HealthCare (West Hartford, CT)
    …balance. Every moment matters. And this is *your moment*. **Job:** ** Behavioral Health * **Organization:** **Hartford HealthCare Medical Group Specialists* ... Clinician ( LCSW, LPC, LMFT, LADC) - University of St. Joseph- Behavioral Health - 10 months* **Location:** *Connecticut-West Hartford-1678 Asylum Avenue… more
    Hartford HealthCare (12/29/25)
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  • Healthcare Management Services (HCMS)…

    Elevance Health (Wallingford, CT)
    …Medical Management of more than one member population type of Physical Health and/or Behavioral Health with varying degrees of medical complexity. ... you will make an impact:** + Oversees case and utilization management execution/decision making for managed member... management . + Partners with Provider Relations, Quality Management , Health Promotions, and Community Relations to… more
    Elevance Health (01/09/26)
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  • Lead Technical Analyst - Technical Product Manager

    Highmark Health (Hartford, CT)
    …This role supports the full application product lifecycle for **clinical and utilization management software** , with a specific focus on driving ... function as a pivotal bridge, translating high-level **clinical and utilization management software** business needs into detailed...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (12/02/25)
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  • Medical Director, Medical Management

    Highmark Health (Hartford, CT)
    …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... (DO) **Substitutions** + None **Preferred** + Master's Degree in Business Administration/ Management or Public Health **EXPERIENCE** **Required** + 5 years… more
    Highmark Health (11/21/25)
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