- Humana (Salem, OR)
- **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
- Centene Corporation (Salem, OR)
- …including a fresh perspective on workplace flexibility. **We're Hiring: Remote Child Behavioral Medical Directors** Centene Corporation is a leading provider of ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a...+ Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the… more
- CenterWell (Salem, OR)
- **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 (Salem, OR)
- …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 (Salem, OR)
- …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
- Highmark Health (Salem, OR)
- …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
- Centene Corporation (Salem, OR)
- …and NCQA standards. + Maintain files and logs for all appeals + Coordinate with Medical Director (s) to clarify medical determinations or clinical rationale + ... 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a...or LPC, LCSW or Psy D. licensure within UM Behavioral Health Appeals team. **Specialty Therapy Requirement:**… more