Medical Director serves as a physician leader responsible for promoting the delivery of safe and effective medical care in the... best interest of Independence. The Medical Director will be responsible for rendering coverage and payment determinations based...
director including but not limited to, changes to referrals from the contact center, BH stratification rules, process changes... and Medical situations requiring higher level management intervention Assured compliance with all legislative and accreditation...
members BH condition to the Medical Director for their further review and evaluation. The BH Care Management Coordinator... and refers cases in which the plan of care/services are not meeting established criteria to the Medical Director for further...
Coordinator provides relevant information regarding members BH condition to the Medical Director for their further review... of care/services are not meeting established criteria to the Medical Director for further evaluation and determination...
, and implement strategic initiatives aimed at bending the medical cost curve, mitigating/avoiding emerging cost drivers... of the people and communities we serve. As a senior leader within this team, the Director of HVO Enablement...
. Extensive travel throughout the Mid-Atlantic region (NY, NJ, PA, DE, MD, DC, VA) Location: NY, NJ, PA, DE, MD, DC, VA Rate... and operational excellence across assigned communities. Position Highlights: Status: Full Time Schedule: 90% travel 10% remote...
. Extensive travel throughout the Mid-Atlantic region (NY, NJ, PA, DE, MD, DC, VA) Location: NY, NJ, PA, DE, MD, DC, VA Rate... and operational excellence across assigned communities. Position Highlights: Status: Full Time Schedule: 90% travel 10% remote...
team. Salary $90,000- $95,000 depending on experience Hybrid-Remote Position open to candidates residing in PA..., DE, and NJ Up to 25% travel to our headquarters in Lafayette Hill, PA expected. Position Details: The Manager of Benefits...