- Genesis10 (Columbus, OH)
- …to an experienced, caring recruiting team (more than 7 years of experience, on average.) * Behavioral Health Platform * Medical , Dental, Vision * Health ... of the client's Human Resource (HR) department. Responsibilities: Assists the Director on benefit reconciliations. Assists with recruiting; conducts or assists with… more
- Molina Healthcare (Columbus, OH)
- …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
- Humana (Columbus, OH)
- **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 (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… more
- Centene Corporation (Columbus, OH)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals...child psychiatry. + 5+ years of experience working in behavioral health managed care or behavioral… more
- Molina Healthcare (Columbus, OH)
- …stay appropriateness for behavioral health services. + Collaborates with Behavioral Health Medical Directors on complex or borderline cases, ensuring ... **Job Description** **Job Summary** Performs behavioral health utilization reviews, applying evidence-based...quality-of-care, safety, and compliance concerns and escalate to the Medical Director as appropriate. + Maintains compliance… more
- Elevance Health (Columbus, OH)
- …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
- CVS Health (Columbus, OH)
- …Michigan, Virginia, Pennsylvania, and New Jersey** offering a variety of physical and behavioral health programs and services to its membership. Aetna is looking ... At CVS Health , we're building a world of health around every...for a medical director to be part of a centralized team that supports the … more
- Compass Group, North America (Columbus, OH)
- CCL Hospitality Group **Position Title: Director , Business Development - Behavioral Health (Remote)** **Salary: $115,000 - $135,000 + commissions** **Travel: ... Director of Business Development will aggressively sell business to the Behavioral Health sector, generating leads and developing prospects, selling business… more
- Elevance Health (Columbus, OH)
- **Utilization Management Medical Director - NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of required ... but not required. Alternate locations may be considered. The ** Medical Director ** will be responsible for utilization...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- CenterWell (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews ... health claims. The Medical Director , Primary Care work assignments involve...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- Highmark Health (Columbus, OH)
- …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
- CVS Health (Columbus, OH)
- …execution on Aetna's overall strategic plan, roadmap, and investment areas for its behavioral health and employee assistance businesses. This role reports to the ... At CVS Health , we're building a world of health...heart, each and every day. **Position Summary** The Lead Director , Mental Well-being Strategy is responsible for leading the… more
- Battelle Memorial Institute (Columbus, OH)
- …Model a culture of safety and risk management across all domains, particularly in behavioral health and data privacy. + Direct resource management and staffing ... Program Director for Human Performance Optimization (HPO)** within our Health Business to lead the execution of large-scale, globally distributed military… more
- Highmark Health (Columbus, OH)
- …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
- Veterans Affairs, Veterans Health Administration (Columbus, OH)
- …care as a member of the Medical Weight Management team and Integrated Behavioral Health Division providing Health Psychology and behavioral medicine ... and improvement of new and existing behavioral health programming in specialty medicine and throughout medical...using data-driven quality assurance process and presents reports to Director of the Integrated Behavioral Health… more
- BrightSpring Health Services (Columbus, OH)
- …community living, adult host homes for adults regardless of disability, behavioral /mental health support, in-home pharmacy solutions, telecare and remote ... of data into the company system(s). Works with Executive Director and billing/collection staff to ensure maximum reimbursement to...year of supervisory experience required + One year of medical or relevant billing experience required + Ability to… more
