- CareFirst (Baltimore, MD)
- …members for government programs lines of business. Ensures quality management of the clinical appeal process to reduce the risk of State and Federal Regulatory fines ... who is willing and able to work in a hybrid model. The incumbent will be expected to work...goals resulting in the full and fair review of appeals and grievances designed to achieve corporate objectives and… more
- Elevance Health (Washington, DC)
- **Provider Relationship Account Manager Senior** Carelon Behavioral Health _Location: Hybrid 1: This role requires associates to be in-office 1 - 2 days per ... companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive… more
- Elevance Health (Hanover, MD)
- …and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor to enhance ... Medical Director Associates. May be responsible for an entire clinical program. **How you will make an impact:** +...the United States when conducting utilization review or an appeals consideration and cannot be located on a US… more
- Elevance Health (Hanover, MD)
- ** Clinical Operations Associate Medical Director** **Orthopedic Surgery** **Virtual** : This role enables associates to work virtually full-time, with the exception ... companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive… more