- Humana (Sacramento, CA)
- …services such as inpatient rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed ... help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care ...medical management review organization, such as Medicare Advantage and managed Medicaid + Experience with national guidelines such as… more
- Humana (Sacramento, CA)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- Grifols Shared Services North America, Inc (Modesto, CA)
- …presentations to appropriate groups such as the following: key accounts, managed care organizations, integrated systems, national medical associations, and ... and regions. The primary responsibility of the MSL Field Director is the management, performance, and coaching of a...an equivalency could include 8 years of experience, an associate 's degree with 6 years of experience, or a… more
- Stanford University (Stanford, CA)
- …assistant director elements of this role: will assist the Senior Associate Director for Project Delivery in overseeing projects, supporting multiple staff, ... contract negotiations. Will act as backup for the Senior Associate Director when they are away. For...of functional integration and involving multiple disciplines to be managed . . Direct development of an action plan, and… more
- Humana (Sacramento, CA)
- …+ 5 years of established, post-residency clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products + ... our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals.… more
- Compass Group, North America (San Jose, CA)
- Levy Sector Director of Retail Operations **Salary: $80,000 to $90,000** **THIS ROLE is LOCATED with the San Jose Earthquakes!** Different perspectives make us ... An environment where you can be your authentic self. **Position Overview:** The Director of Retail Operations is a strategic leader responsible for the end-to-end… more
- Humana (Sacramento, CA)
- …skills + 5 years of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + ... our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The… more
- Compass Group, North America (Carson, CA)
- …NBA, NFL, and MLS All-Star Games. **Job Summary** **Job Summary:** **Working as a Director of Operations for Compass Group** will allow you the opportunity to work ... operations is required + Knowledge of P&L accountability and contract- managed service experience is required + Strong leadership and...**At Levy, team = family. And we'll always take care of family, learn more about Levy benefits offered.**… more
- LA Care Health Plan (Los Angeles, CA)
- …and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience ... and receives clinical supervision as needed from the Medical Director of Care Management. The position is...with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed … more
- Ventura County (Ventura, CA)
- …Clinic Administrator I/II - Ambulatory Care Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5019335) Apply Outpatient Clinic Administrator ... I/II - Ambulatory Care Salary $85,570.42 - $136,912.62 Annually Location throughout Ventura...and optometry services. The manager reports to the department director and is responsible for managing the direct provision… more