• Manager, Utilization Management Department

    Elevance Health (Washington, DC)
    …The Mgr II HCMS is responsible for managing a team of physical and/or behavioral health practitioners in the development, implementation, and coordination of a ... studies, HEDIS reporting and adherence to National Committee for Quality Assurance (NCQA) standards. + Hires, trains, coaches, counsels, and evaluates… more
    Elevance Health (05/17/24)
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  • National Director, Clinical Pharmacy- Remote

    CenterWell (Washington, DC)
    …leader will play a critical role in ensuring optimal patient care, high quality health outcomes, and improved cost and utilization in pharmacy-related care, ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more… more
    CenterWell (04/28/24)
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  • Care Manager_LVN_LPN

    Centene Corporation (Arlington, VA)
    …28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive ... to provide care coordination to lower acuity members with acute and chronic health care needs. Provides education and support in assisting members to achieve optimal… more
    Centene Corporation (05/30/24)
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