Appeals Medical Director – Neurology Job at Elevance Health

Behavioral Health Medical Director

The Behavioral Health (BH) Medical Director leverages clinical expertise to prov...

Location

United States

Salary:

189600.00 - 237000.00 USD / Year

Personify Health

Expiration Date

Until further notice

Requirements

MD or DO degree and 5+ years of direct clinical patient care experience post residency or fellowship including behavioral health environments
Current and ongoing Board Certification in psychiatry by the American Board of Psychiatry and Neurology (ABPN) required
Additional Board Certification in Child and Adolescent Psychiatry or Addiction Medicine
A current and unrestricted license in the state of California and willing to obtain additional license(s)
No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements
Minimum 5 years of Utilization Review or Hospital experience required
Minimum 3 years of compliance related experience preferred
Managed Care experience preferred in utilization review and case management
Expertise in behavioral health case management, utilization review and telehealth delivery
Ability to design and evaluate behavioral health programs, integrating evidence-based practices and holistic wellbeing approaches

Job Responsibility

Oversee and participate in behavioral health case management, including utilization review, telephonic care, and urgent response coordination for behavioral health and substance use disorder needs
Conduct reviews for medical necessity for prior authorization, continued stay, and post-service claims, applying medical policy, guidelines, and current research
Integrate behavioral health screening and interventions within physical health case management programs, utilizing standardized tools (e.g., PHQ2, PHQ9) and ensuring appropriate referrals
Support and monitor virtual behavioral health services, ensuring access, privacy, and continuity of care for all age groups, including children, teens, and adults
Supervise and provide clinical oversight for residential and outpatient behavioral health programs, including partial hospitalization and intensive outpatient services, with an emphasis on family engagement and comprehensive discharge planning
Lead the development and implementation of comprehensive behavioral health strategies, including program design, staff education, and quality improvement initiatives
Maintain compliance with national guidelines (e.g., MCG, InterQual, specialty college recommendations) and regulatory requirements (federal, state, ERISA) specific to behavioral health
Oversee the negotiation and implementation of cost management strategies to affect quality outcomes, reflecting data in monthly case management reviews
Participate in grievance and appeals processes, including escalated behavioral health issues
Collaborate with the VP of Care Management to establish work procedures and processes that support company and departmental standards, procedures, and strategic directives

What we offer

Comprehensive medical and dental coverage through our own health solutions
Mental health support and wellness programs designed by experts who get it
Flexible work arrangements that fit your life
Retirement planning support to help you build real wealth for the future
Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage
Professional development opportunities and clear career progression paths
Mentorship from industry leaders who want to see you succeed
Learning budget to invest in skills that matter to your future
Unlimited PTO policy

Parttime

New

Manufacturing Operator

We are looking for a reliable Manufacturing Operator to join our packaging team ...

Location

United Kingdom , Warrington

Salary:

13.00 - 14.00 GBP / Hour

Randstad

Expiration Date

May 16, 2026

Requirements

At least 1 year of experience in manufacturing, production, or a laboratory setting
Excellent time management and the ability to meet production targets
A willing-to-learn attitude and openness to occasional overtime if available

Job Responsibility

Packaging Assembly: Assembling boxes, inserts, and protective materials to ensure products are secure for transit
Labelling: Applying accurate product labels and regulatory information for inventory and safety
Quality Control: Conducting regular inspections to identify defects or inconsistencies
Documentation: Completing vital paperwork and following written standard operating procedures (SOPs)
Safety: Adhering to site safety standards, including manual handling and COSHH awareness

Fulltime

New

Warehouse technician

Looking for a local role with a global impact? If you're based in or near Sittin...

Location

United Kingdom , Sittingbourne

Salary:

13.00 GBP / Hour

Randstad

Expiration Date

March 27, 2026

Requirements

Proven experience in a fast-paced warehouse or logistics hub
Strong literacy and numeracy skills for inventory control
A track record of being dependable and punctual
Must have own reliable transport or live within a 45-minute walk of the site

Job Responsibility

Precision picking using handheld scanners to select medical products with 100% accuracy
Organising inventory and maintaining flawless records for full traceability
Completing essential system updates
Supporting internal departments with urgent material calls and process improvements

What we offer

Clear progression path

New

Warehouse operative

Do you have experience in a Production environment ? Are you based in or around ...

Location

United Kingdom , Swadlincote

Salary:

12.21 - 24.42 GBP / Hour

Randstad

Expiration Date

March 31, 2026

Requirements

Previous experience in a production environment
Strong verbal and written communication
Comfortable being on foot for long periods of time
Able to conduct manual handling
Driving licence and use of a car

Job Responsibility

Picking and packing
Working in line with Health and Safety guidance and processes at all times
Achieving high quality standards on all work produced
Adhering to customer demands in a timely manner
Completing any other duties relevant to the department as requested by the shift manager

What we offer

Advice and editing on your current CV
Dedicated team throughout your journey within the role
Paid holiday
Exclusive online services including restaurant and retail discounts
Chance to receive £300 for referring a friend
Opportunity for progression into permanent roles
Competitive rates of pay

New

Production Operator

Location

Ireland , Waterford

Salary:

Not provided

Randstad

Expiration Date

March 13, 2026

Requirements

1+ years of experience in a similar position

Job Responsibility

Operate production machinery and equipment to maintain a steady and efficient workflow
Perform quality inspections and maintain accurate documentation to ensure full product traceability
Manage workstation setup, precise packaging, and labelling of goods for distribution
Adhere to lean manufacturing principles, safety protocols, and strict attendance standards

!

New

Warehouse Material Operator

We are seeking a reliable and proactive Warehouse Material Operator to join our ...

Location

United Kingdom , Newport

Salary:

13.45 GBP / Hour

Randstad

Expiration Date

May 27, 2026

Requirements

At least 2 years in a fast-paced warehouse environment
Side-loading forklift experience is essential
Comfortable using computers for inventory and processing tasks
Strong numeracy and literacy skills with a high attention to detail
A "can-do" attitude and the flexibility to adapt to changing shift patterns (including potential weekend/continental shifts in the future)

Job Responsibility

Pick, pack, and palletize customer orders and finished goods
Load/unload delivery vehicles and move stock to designated warehouse locations
Perform regular PI (Perpetual Inventory) counts to ensure accuracy
Maintain a clean, safe workspace (5S standards) and actively work to reduce waste or product damage
Support various warehouse zones, including the "materials highway" and environmental areas

What we offer

Overtime available
High potential for extension or permanent conversion

New

Manufacturing Operator I

We are seeking a detail-oriented and reliable Manufacturing Operator I to join o...

Location

United Kingdom , Bishop's Stortford

Salary:

12.95 GBP / Hour

Randstad

Expiration Date

May 19, 2026

Requirements

Secondary education, Advanced Certificate, or equivalent experience
Basic math
Solid verbal/written communication
Ability to perform repetitive tasks with high quality
Collaborative spirit with a focus on Integrity, Intensity, Innovation, and Involvement

Job Responsibility

End-to-end processing of materials by strictly following Standard Operating Procedures (SOPs)
Picking and packing client orders, pulling materials from internal software, and booking courier transport
Completing Good Manufacturing Practice (GMP) paperwork accurately and in real-time
Receiving biological samples and operating safely with dry ice, Liquid Nitrogen (LN2), and hazardous agents
Maintaining a cleanroom environment, adhering to EHS (Environmental Health and Safety) regulations, and following strict gowning protocols

Fulltime

New

Teacher of mathematics (secondary)

Randstad Education is searching for a dedicated Maths Teacher to join a fantasti...

Location

United Kingdom , Colchester

Salary:

Not provided

Randstad

Expiration Date

March 10, 2026

Requirements

QTS (Qualified Teacher Status) or equivalent qualification
A real passion for helping students excel in Mathematics
The ability to inspire and motivate young minds through analytical thinking
A commitment to student safety (Safeguarding)
An Enhanced DBS on the update service (or be willing to get one)

Job Responsibility

Deliver high-quality lessons that bring mathematical concepts to life
Encourage students to be resilient problem-solvers and confident in their logic
Help maintain a safe, positive, and inclusive classroom environment
Collaborate with an experienced team to keep the STEM curriculum exciting and relevant

What we offer

Career Boost: Personalised training (CPD) and growth opportunities across the Trust
Wellbeing First: 24/7 access to a confidential support programme
Flexibility: Family-friendly policies and a focus on work-life balance
Referral Bonus: Use our Refer a friend and earn £300 shopping voucher for every successful referral

Appeals Medical Director – Neurology

Elevance Health

Location:
United States of America

Category:
Health and Beauty

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 16, 2026

Expiration:
March 13, 2026

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Job Description:

Job Responsibility:

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