- Humana (Augusta, ME)
- **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
- Elevance Health (South Portland, ME)
- …deliver an improvement in the health of the people we serve. The medical director supports product strategy/design through medical management that impact ... health improvement tools offered to clients/ members. The medical director provides clinical expertise in all...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Elevance Health (South Portland, ME)
- …Medical Director -PSCCR** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and ... ** Medical Director -PSCCR** Location: This role enables...Osteopathic Association (AOA). + Must possess an active unrestricted medical license to practice medicine or a health… more
- Elevance Health (South Portland, ME)
- ** Medical Director -Pain Management/Anesthesia Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of required ... an accommodation is granted as required by law. The ** Medical Director Pain Management/Anesthesia Appeals** is responsible...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- MaineGeneral Health (Waterville, ME)
- …to patients in an assigned area. Job Description: Elmwood Primary Care - Medical Director Elmwood Primary Care, a hospital-employed outpatient Family Medicine ... for an experienced Family Medicine physician as the practice Medical Director . We are looking for an...leadership and care coordination. Elmwood Primary Care has considerable behavioral health support, including a psychiatric nurse… more
- Highmark Health (Augusta, ME)
- …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 (Augusta, ME)
- **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
- Genesis Healthcare (Kennebunk, ME)
- …injury rehabilitation with a focus on cognitive remediation. *Collaborate with the nursing center medical director and the Vice President of Medical Affairs ... meaningful impact in the communities we serve. Responsibilities The Brain Injury Program Director is responsible for the integrity of the nursing center Brain Injury… more
- UNUM (Portland, ME)
- … plans to ensure an innovative, effective, and cost-effective portfolio that drives health , optimizes overall medical spend and drives a best-in-class employee ... Measure and regularly report out on the impact of health & wellbeing initiatives on medical &...change with respect to benefits and an understanding of behavioral change strategies and demonstrated experience translating these strategies… more
- Highmark Health (Augusta, ME)
- …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