- 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
- 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
- Elevance Health (Waukesha, WI)
- …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 (Waukesha, WI)
- …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 (Waukesha, WI)
- ** 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
- Centers for Independence (Waukesha, WI)
- ** Behavioral Health Specialist I - CRC Waukesha** **Job Details** **Job Location** CRC Waukesha - Waukesha, WI **Position Type** Full Time - Union **Education ... physical and emotional stability. + Provides some oversight and guidance to the Behavioral Health Technician staff to ensure the proper execution of work… 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
- Highmark Health (Madison, WI)
- **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 (Madison, WI)
- …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
- Lilly (Pleasant Prairie, WI)
- …improvements, increased productivity, and variability reduction. **Responsibilities:** The Senior Director , Quality Assurance, serves as the Site Quality Leader and ... establishes the site's quality objectives, priorities, and roadmap. The senior director leads and/or participates in the assessment, development, and implementation… more
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