• Commonwealth Care Alliance (Boston, MA)
    …Utilization Mgmt - Directs, coordinates and evaluates efficiency and productivity of utilization management functions for physical health services and ... of health plan QI Committee. Co-chair of health plan Utilization Management Committee...five (5) years of clinical experience in medical or behavioral health care delivery Required Knowledge, Skills… more
    DirectEmployers Association (10/02/25)
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  • Commonwealth Care Alliance (Springfield, MA)
    …patients by impacting acute care utilization , ensuring optimal treatment for behavioral health needs, and closing quality gaps. Additionally, the SBHC ... care and care management experience with patients with complex medical, behavioral health , and social needs; preferred experience in community settings. in… more
    DirectEmployers Association (10/07/25)
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  • Commonwealth Care Alliance (Springfield, MA)
    …team for care delivery and care coordination for the most complex medical and behavioral health patients. The CHW participates in aiding the patients around all ... reducing gaps in preventive care interventions, optimize patients' engagement with primary care, behavioral health , and substance use services. The CHW will play… more
    DirectEmployers Association (10/07/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …to support dual eligible populations - Experience in behavioral health clinical practice, provider relations, or healthcare management Desired Experience ... 011230 CA-Provider Engagement & Performance Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating… more
    DirectEmployers Association (10/18/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …utilization , closing care quality gaps, and optimizing member connection to medical, behavioral health , and substance use disorder resources. CHWs play an ... Team and Primary Care Provider (PCP) or specialty care providers (eg, behavioral health clinician). + CHWs utilize recovery-centered strategies, harm reduction… more
    DirectEmployers Association (08/27/25)
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  • Premera Blue Cross (Mountlake Terrace, WA)
    …of practice **(Required)** :- For nurses, required registration (eg RN, ARNP).- For behavioral health , required licensure (eg LMFT, LICSW, LPC, LMHC)- For ... to Fortune 100 companies. Our services include innovative programs focused on health management , wellness, prevention, and patient safety. We deliver these… more
    DirectEmployers Association (10/17/25)
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  • Stanford Health Care (Palo Alto, CA)
    …+ Knowledge of social work and the needs of service line (oncology, behavioral health , inpatient surgical and medical) patients and families + Knowledge ... systems and services. Oversees service line efficiencies to ensure appropriate utilization of Health System resources including patient financial assistance.… more
    DirectEmployers Association (10/09/25)
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  • Washington Metropolitan Area Transit Authority (Alexandria, VA)
    Senior Financial Management Analyst - Payroll Job ID: 250923 Location: VA - Metro Bldg At Eisenhower Full/Part Time: Full-Time Posting Open-Close 10/10/2025 - ... 10/19/2025 Union NRP Regular/Temporary: Regular **Job Description** **Senior Financial Management Analyst ? Payroll Marketing Statement:** The Washington Metropolitan… more
    DirectEmployers Association (10/11/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …Work collaboratively with internal departments-including Clinical Operations, Contracting, Network Management , Utilization Management , and Business ... Education (nice to have):** + Bachelor's degree in public health , health management , social work,...& Language (nice to have):** + Familiarity with care management and utilization management systems… more
    DirectEmployers Association (10/17/25)
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  • Moses/Weitzman Health System (Middletown, CT)
    …Officer is a key leadership position, along with the Chiefs of Medicine, Dentistry, Behavioral Health and Nursing, and has the opportunity to participate in ... in establishing and reaching targets for clinical capacity and utilization and ensure financial success of the department +...Patient Centered Medical Home, with its focus on population health management , integration of all health… more
    DirectEmployers Association (07/31/25)
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