- Elevance Health (Mason, OH)
- ** Utilization Management Medical Director - NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of ... Alternate locations may be considered. The ** Medical Director ** will be responsible for utilization review case management for North Carolina Medicaid.… more
- Elevance Health (Mason, OH)
- …responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews for both ... Director ** is responsible for serving as the Operational Medical Director for our care management...director provides clinical expertise in all aspects of utilization review and case management . Provides input… more
- Molina Healthcare (Cincinnati, OH)
- …, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk ... resource management . + Develops and implements a Utilization Management program and action plan, which...activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. +… more
- Molina Healthcare (Cincinnati, OH)
- …, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk ... and chemical dependency services. Works closely with the Regional Medical Directors to standardized utilization management...**REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3… more
- Molina Healthcare (Cincinnati, OH)
- …closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and ... and clinical leadership for health plan and/or market specific utilization management and care management ...health portions of state contracts. * Assists behavioral health medical director lead trainers in the development… more
- Elevance Health (Mason, OH)
- …schedule: Monday - Friday. Half day Saturday rotation, once a month.** The ** Medical Director ** is responsible for the administration of behavioral health ... increase effectiveness and quality. + Provides oversight, direction, and guidance to Medical Director Associates. + Works independently with oversight from… more
- Elevance Health (Mason, OH)
- ** Medical Director Associate - CarelonRx** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... dispensing services to drive affordability and improve member outcomes. The ** Medical Director Associate- CarelonRx** supports pharmacy prior authorization… more
- Elevance Health (Mason, OH)
- …Associate Medical Director ** **Carelon Medical Benefits Management ** **Radiology Benefit Management / Utilization Review** **Virtual:** This role ... granted as required by law._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the... Director ** is responsible for supporting the medical management staff ensuring timely and consistent… more
- Elevance Health (Mason, OH)
- **Plan Performance Medical Director ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... is granted as required by law. The **Plan Performance Medical Director ** serves as a lead clinician...**How you will make an impact:** + Supports the Medical Management staff to ensure timely and… more
- Elevance Health (Mason, OH)
- …resides within a commutable distance from an office._** The **Business Strategy Plan Director - MedEx ( Medical Expense) Management ** is responsible for ... processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual benefit design… more
- Cintas (Mason, OH)
- **Requisition Number:** 214365 **Job Description** The Director of Corporate Facilities will be responsible for the facilities strategy and day-to-day operations for ... housekeeping, grounds and construction maintenance. + Assist in the planning and management of capital renewal and replacement planning as they relate to the… more
- City of Cincinnati (Cincinnati, OH)
- …studies and surveys with technical staff; for the purpose of quality assurance, utilization review and the overall improvement of medical programs of the ... Benefits + Questions General Statement of Duties This employee perform professional medical work relating to the evaluation and treatment of newborns, infants,… more