- Elevance Health (Waukesha, WI)
- ** 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
- Humana (Madison, WI)
- **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
- Molina Healthcare (Green Bay, WI)
- …sections and reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development ... SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and...and chemical dependency services - working closely with regional medical directors to standardize behavioral health… more
- Molina Healthcare (Green Bay, WI)
- …requests for proposals (RFPs). + Contributes to the development and implementation of behavioral health medical policies, peer review processes, provider ... the medical necessity, appropriateness, and quality of behavioral health services (mental health ...health and at least 3 years as a medical director in a managed care setting… more
- Elevance Health (Waukesha, WI)
- ** Medical Director - Commercial** Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... fine). Weekend rotation coverage 5-6 weekends a year.** The ** Medical Director - Commercial** will be part of...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Highmark Health (Madison, WI)
- …**JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support ... the full-cycle ownership of commercial and Medicare Advantage medical policies, both developed internally and by vendors. This...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Centers for Independence (Milwaukee, WI)
- …physical and emotional stability. + Provides some oversight and guidance to the Behavioral Health Technician staff to ensure the proper execution of work ... Level **4 Year Degree** Travel Percentage **Minimal; Less than 10%** Category ** Health Care** **Description** **Job Purpose:** This is a professional position that… more
- Ascension Health (Milwaukee, WI)
- …which host residents. Ascension hospitals have been recognized for renowned cardiology, behavioral health , women's health , oncology, and neuroscience service ... Program_** **in Milwaukee as both** **_Associate Program Director_** **and** **_Clinic Director of the Villard Family Health Center (FHC)._** **Highlights… more
- Highmark Health (Madison, WI)
- …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
- Elevance Health (Waukesha, WI)
- …than one member population type of Physical Health and/or Behavioral Health with varying degrees of medical complexity. **How you will make an impact:** ... **Healthcare Management Services (HCMS) Director Senior** Location: This role requires associates to...development of the strategic vision, goals, and objectives for medical management. + Serves as liaison to state regulatory… more
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