• Director of LTSS Provider

    Elevance Health (Mason, OH)
    ** Director of LTSS Provider Relations ** **Preferred Location: Ohio. This position is hybrid and will require the associate to report to 1 of the 4 Ohio ... long term services and supports, and psychosocial needs._ The ** Director of LTSS (Long-Term Support Services) Provider Relations ** will be responsible… more
    Elevance Health (06/05/25)
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  • LTSS Director - Planning & Strategy…

    Elevance Health (Cincinnati, OH)
    Job Description ** LTSS Director - Planning & Strategy...the OH MyCare Program. + Lead Care Coordination and LTSS Provider Relations to execute ... long term services and supports, and psychosocial needs._ The ** LTSS Director - Planning & Strategy Lead**...program requirements, rules, and regulations. + Implement and oversee provider management functions for LTSS services, including… more
    Elevance Health (06/13/25)
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  • Case Manager, RN or Licensed Behavioral Health (SN…

    Excellus BlueCross BlueShield (Rochester, NY)
    …generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit (SIU), Provider Relations (PR), or Sales & Marketing. + Ensuring all ... Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse, Medical Director , Pharmacist, Geriatrics, etc.) to ensure continuity and coordination… more
    Excellus BlueCross BlueShield (06/10/25)
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  • Community Investor

    Point32Health (Canton, MA)
    …members, partners, colleagues and communities. **Job Summary** Reporting to the Director of Community Investments, the Community Investor manages relevant and ... stays relevant and effective. + Work closely with Community Investment Director , Senior Community Investor, and Communications Manager to review, evaluate, prepare,… more
    Point32Health (04/15/25)
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  • Manager, Utilization Management

    Commonwealth Care Alliance (Boston, MA)
    …staff, including nurse reviewers and support personnel. * Act as liaison with medical director , provider relations , case management and quality teams to ... Duties & Responsibilities: The Manager, Utilization Management reports to the Director of Utilization Management * Oversees clinical decision review for services… more
    Commonwealth Care Alliance (05/21/25)
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