- Elevance Health (Columbus, OH)
- ** Behavioral Health Medical Director - Child Psychiatrist** Location: This role enables associates to work virtually full-time, with the exception of ... Schedule: Fulltime position, Monday through Friday. Open to part-time. The ** Behavioral Health Medical Director - Child Psychiatrist** is responsible… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… more
- Veterans Affairs, Veterans Health Administration (Columbus, OH)
- Summary The Behavioral Health Interdisciplinary Program (BHIP) Supervisor is a clinical and administrative position that has program management and direct ... administrative areas of three BHIP teams within the Outpatient Behavioral Health Division. The BHIP Supervisor is...programs were sanctioned by the VHA Central Office Program Director for Psychology and the VHA Office of Academic… more
- Elevance Health (Columbus, OH)
- ** Medical Director - Medicare** Location: This...** is responsible for the administration of physical and/or behavioral health medical services, to ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Highmark Health (Columbus, OH)
- …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
- Elevance Health (Columbus, OH)
- …culturally competent, person_ _‐_ _centered coordination for all members that addresses physical health , behavioral health , long term services and supports, ... ** Director of LTSS Provider Relations** **Preferred Location: Ohio....live within 50 miles of one of our Elevance Health PulsePoint locations within the state of Ohio. _The… more
- Elevance Health (Columbus, OH)
- …culturally competent, person_ _‐centered coordination for all members that addresses physical health , behavioral health , long term services and supports, ... Job Description **LTSS Director - Planning & Strategy Lead** **(** **Strategy...live within 50 miles of one of our Elevance Health PulsePoint locations within the state of Ohio._** _MyCare… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …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
- The Cigna Group (Columbus, OH)
- …health -related benefits including medical , vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company ... in understanding our value proposition, and ultimately cultivating new business for Forsyth Health Services. This position will play a key role in building and… more
- Highmark Health (Columbus, OH)
- …and lines of business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding of innovation and industry ... Advanced Analytics, Contracting and Provider Relations, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** +… more
- Humana (Columbus, OH)
- **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 (Columbus, OH)
- …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
- The Cigna Group (Columbus, OH)
- …health -related benefits including medical , vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company ... Identification with client managers on identifying and pursuing vetted medical only clients to move to an integrated program...of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll… more
- Advanced Correctional Healthcare (Delaware, OH)
- …SUMMARY: Our associates deliver a higher standard of business services to support medical care and behavioral health care. We maintain professionalism, ... Health Serv Administrator - Exempt Job Details Job...the Assistant Regional Nurse Mangers, Regional Nurse Manager or Director Medical Operations, and prepares reports as… more
- Elevance Health (Columbus, OH)
- …culturally competent, person_ _‐_ _centered coordination for all members that addresses physical health , behavioral health , long term services and supports, ... services and supports (LTSS) needs are assessed for physical health , behavioral health , and social...counsels, and evaluates performance of direct reports. + Supports director with operational process and strategy to ensure the… more
- National Youth Advocate Program (Columbus, OH)
- …and clinical therapists on case consultation with the development and growth of behavioral health and outpatient mental health services. **Responsibilities** ... Repayment assistance** , up to $1,200 per year! + Medical , Dental, and Vision + **22 Days Off** Each...+ Lead the application of evidence-informed service modalities in behavioral health service delivery for the Service… more
- BrightSpring Health Services (Columbus, OH)
- …community living, adult host homes for adults regardless of disability, behavioral /mental health support, in-home pharmacy solutions, telecare and remote ... for cardholders/users. Reconcile receipts to US Bank statements, obtain Executive Director approval and retain for audit. Reallocate Purchase card expenses as… more
- Evolent (Columbus, OH)
- …as required. + Entering data into a proprietary system generating cases for both the medical and behavioral health reviewers. These requests may be submitted ... also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our... reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs,… more
- Maxim Healthcare Services (Mount Vernon, OH)
- …+ Technological proficiency, including mobile devices for documentation Maxim Benefits: Health and Wellness Medical /Prescription, Dental, Vision, Health ... Advocacy (company paid if enrolled Medical ) and Health Advocate Employee Assistance Program Retirement and Financial Security: Health Savings Account,… more
- Molina Healthcare (Columbus, OH)
- …but not limited to, Hospitals, Independent Physician Association, and complex Behavioral Health arrangements. **Job Duties** This role negotiates contracts ... Remote and must live in Ohio _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy… more