- Molina Healthcare (Covington, KY)
- …to standardize policies and procedures. + Recruits, hires, trains, mentors, and develops medical director staff and team members as needed. + Ensures ... clinical staff, providing psychiatric oversight and expertise in the medical necessity, appropriateness, and quality of behavioral ... health and at least 3 years as a medical director in a managed care setting… more
- Elevance Health (Mason, OH)
- **Healthcare Management Services (HCMS) Director Senior ** Location: This role requires associates to be in-office 3 days per week, fostering collaboration and ... as required by law. The **Healthcare Management Services (HCMS) Director Senior ** is responsible for the development,...than one member population type of Physical Health and/or Behavioral Health with varying degrees of medical … more
- Elevance Health (Cincinnati, OH)
- …plan/contract. + May process a medical necessity denial determination made by a Medical Director . + May work directly with healthcare providers to obtain and ... ** Medical Management Clinician** **Location:** This role enables associates...person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial… more