4 behavioral health program manager jobs found

Company : enGen Job Description : JOB SUMMARY This job supports one or more analytical aspects of the business products and services life cycle, including capability enablement with cross-team dependencies within a product scope. Uses significant judgement and discretion to collaborate with customers on complex data and reporting issues in order to understand capability needs, gather project and data specifications, create data sets, operational reports, and analytical deliverables to translate high-level business needs into detailed requirements for new capabilities (and change request/enhancements on existing capabilities), analyze data to determine business problems, trends, or opportunities for process improvements, create/execute test cases, provide root cause analysis and corrective action plan, verify delivery of customer needs, and ensure quality delivery. Also responsible for identification, documentation, and resolution of risks, defects and issues....

Work Location: Mount Laurel, New Jersey, United States of America Hours: 40 Pay Details: $29.75 - $47.75 USD TD is committed to providing fair and equitable compensation opportunities to all colleagues. Growth opportunities and skill development are defining features of the colleague experience at TD. Our compensation policies and practices have been designed to allow colleagues to progress through the salary range over time as they progress in their role. The base pay actually offered may vary based upon the candidate's skills and experience, job-related knowledge, geographic location, and other specific business and organizational needs. As a candidate, you are encouraged to ask compensation related questions and have an open dialogue with your recruiter who can provide you more specific details for this role. Line of Business: Financial Crime Risk Management Job Description: The Financial Crime Risk Analyst II role provides a range of analytical,...

Company : Highmark Inc. Job Description : JOB SUMMARY This job coordinates and maintains delegated credentialing program in accordance with GHP, NCQA, and all regulatory agency standards. This includes delegation program, policies/procedures, and all necessary compliance documentation. The incumbent coordinates, conducts, and evaluates all pre-delegation assessments, annual oversight audits, and the ongoing monitoring of recommendations and work plans. Coordinates and maintains all delegation agreements. ESSENTIAL RESPONSIBILITIES Implement GHP Programs. Facilitate problem resolution when needed. Provide daily oversight of credentialing delegates to ensure that the delegated entities meet all NCQA, DPW, and DOH, policies and procedures related to GHP's delegated program. Establish and implement monitoring processes to evaluate performance against contract standards, requirements and performance expectations. Identify opportunities...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: The Office of Sponsored Research (OSR) provides centralized administrative services and oversight for clinical research programs, and activities include, but not limited to: Medicare Coverage Analysis and associated filings with the Center for Medicare and Medicaid, budgetary development, protocol review, contract and budget negotiations. The incumbent is responsible for negotiating and executing clinical trial agreements and preparing budgets based on study protocol optimizing reimbursement from Sponsors. In addition, incumbent will build and maintain the study within Clinical Trial Management System (CTMS) along with performing Medicare Coverage Analysis (MCA) to support billing compliance efforts. Assists and contributes with the development and maintenance of Office of Sponsored Research (OSR) policies and procedures. Participates and contributes in process improvement initiatives within OSR....