• Behavioral Health Medical…

    Humana (Honolulu, HI)
    **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the… more
    Humana (08/09/25)
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  • Part-Time Weekend Medical Director…

    Highmark Health (Honolulu, HI)
    …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
    Highmark Health (09/11/25)
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  • Clinical Transformation Director

    Highmark Health (Honolulu, HI)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role will support the leadership team for Clinical Transformation and executive physicians ... three primary Workstreams: leadership over the execution of the Population Health Performance strategy roadmap, support physician executives to identify ownership,… more
    Highmark Health (08/21/25)
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  • Director Reimbursement Design & Market…

    Highmark Health (Honolulu, HI)
    …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
    Highmark Health (07/30/25)
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  • ABA Clinical Manager

    BAYADA Home Health Care (Waipahu, HI)
    …includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, ... reviews, onsite case consults, ongoing training, and group meetings + Collaborate with Director of Clinical Operations and Manager of Behavioral Operations to… more
    BAYADA Home Health Care (09/02/25)
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  • Coordinator, UM Intake

    Evolent (Honolulu, HI)
    …as required. + Entering data into a proprietary system generating cases for both the medical and behavioral health reviewers. These requests may be submitted ... also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our... reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs,… more
    Evolent (09/06/25)
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  • Senior Clinical Pharmacy Technician

    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 ... **Become a part of our caring community and help us put health first** The Clinical Pharmacy Technician 4 assists the interdisciplinary CIT team with… more
    CenterWell (09/11/25)
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