- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …does not manage people + This role reports to this job: SENIOR MEDICAL DIRECTOR (MGR) + Necessary Contacts: department Managers, Authorization, Utilization ... is allowed by a relevant jurisdiction, according to the medical director or clinical director ,...certification in a specialty recognized by ABMS required + Behavioral Health : Board Certification in Psychiatry is… more
- CVS Health (Baton Rouge, LA)
- …regulations. The ideal candidate should possess the following skills: + Knowledge of Behavioral Health products, benefits and offerings + Understanding of Group ... Product Operations team within SPME. Reporting to the Lead Director of MHWB Product Operations, you will play a...a fast-paced environment + A passion for mental and behavioral health **What You Will Do** +… more
- Highmark Health (Baton Rouge, LA)
- …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
- Otsuka America Pharmaceutical Inc. (Baton Rouge, LA)
- …education, and activation, ultimately improving patient access and adherence. The Director will work cross-functionally with medical affairs, market access, ... The Director , Consumer Marketing is responsible for leading the...deep expertise in direct-to-consumer (DTC) marketing, omnichannel engagement, and behavioral insights to create impactful and compliant consumer campaigns.… more
- CenterWell (Baton Rouge, LA)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The Divisional Director is responsible...Lead + Market President + Market CMO + Regional Medical Directors + VP CIO Care Delivery + VP,… more
- BrightSpring Health Services (Baton Rouge, LA)
- …community living, adult host homes for adults regardless of disability, behavioral /mental health support, in-home pharmacy solutions, telecare and remote ... the needs of our clients in a variety of settings such as Home Health , Hospice, Residential and Private Duty. If your passion is outstanding patient care coupled… more
- Humana (Baton Rouge, LA)
- **Become a part of our caring community and help us put health first** The Director , Risk Adjustment Strategy Advancement will provide business intelligence and ... planning support for business segments and the company at large. The Director , Risk Adjustment Strategy Advancement requires an in-depth understanding of how… more
- CenterWell (Baton Rouge, LA)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** The IPA Coding Leader manages a diverse...identify and influence enhancements to technology to improve the medical coder experience. + Oversees coding operations by identifying… more