• Utilization Management

    Humana (Columbus, OH)
    **Become 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 2 work… more
    Humana (01/10/26)
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  • Behavioral Health Care Manager I

    Elevance Health (Columbus, OH)
    …abuse cases preferred. ​ **Preferred Skills, Capabilities and Experiences:** + Experience in behavioral health utilization management is highly preferred. + ... are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and...there is licensed staff supervision. Previous experience in case management / utilization management with a broad… more
    Elevance Health (01/10/26)
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  • Behavioral Health Care Manager II

    Elevance Health (Cincinnati, OH)
    …of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff ... ** Behavioral Health Care Manager II - Autism** **Location:**...supervision. + Previous experience in case management / utilization management with a broad… more
    Elevance Health (01/08/26)
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  • Behavioral Health Medical Director…

    Elevance Health (Mason, OH)
    …Skills, Capabilities and Experiences:** + Child and Adolescent experience preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) ... ** Behavioral Health Medical Director-Psychiatrist Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of required… more
    Elevance Health (01/09/26)
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  • Behavioral Health Care Manager I - Ameriben

    Elevance Health (Independence, OH)
    …of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff ... supervision.) **Preferred Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad range of… more
    Elevance Health (01/07/26)
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  • Behavioral Health - Care Manager II

    Elevance Health (Mason, OH)
    …of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff ... ** Behavioral Health - Care Manager II** **Location:** _Virtual:_...supervision. + Previous experience in case management / utilization management with a broad… more
    Elevance Health (12/22/25)
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  • Lead Architect

    Highmark Health (Columbus, OH)
    …supporting, and optimizing the architectural strategy for **all clinical and utilization management applications** . Their expertise spans application, solution, ... and AI integration, extending this strategic oversight across **all clinical and utilization management applications** . This involves ensuring the completeness… more
    Highmark Health (12/02/25)
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  • Associate Architect - Oracle PaaS Administrator

    Highmark Health (Columbus, OH)
    …and mentorship in areas of expertise and architecture to peers, developers, management , and business users. **Key Responsibilities:** + Lead the design and ... application designs to ensure optimal technology selection, efficient resource utilization , and seamless system integration. + Ensure system architecture adheres… more
    Highmark Health (12/02/25)
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