- Tiburcio Vasquez Health Center (Hayward, CA)
- …Oversees internal clinical audits and external reporting to HRSA, UDS, HEDIS, and managed care plans. + Oversee the Credentialing and Privileging department and ... Collaborates with the CEO, CFO, CIPO and COO on managed care strategy, risk-based initiatives, and budget...a senior or executive medical leadership role (eg, Medical Director , Associate CMO, or CMO). + Demonstrated… more
- CenterWell (San Diego, CA)
- …put health first** The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. + Develops, plans, implements, ... analyzes, and organizes clinical operations for a specific location managed . + Conducts/delegates the assessment and reassessment of patients, including updating of … more
- Elevance Health (Los Angeles, CA)
- …of associate 's degree in nursing. + Requires a minimum of 4 years managed care experience and requires a minimum of 2 years clinical, utilization review, ... treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do not...not be receiving appropriate type, level, or quality of care , eg, if services are not in line with… more
- Sacramento Behavioral Healthcare Hospital (Sacramento, CA)
- …of information with the treatment team, external providers, collateral contacts, and/or managed care organizations; and implementation of the discharge planning ... POSITION TITLE: Clinician - AMFT/ASW/LMFT/LCSW/APCC/LPCC REPORTS TO (TITLE): Director of Clinical Services Schedule: Per Diem/On call (Weekends, but flexible to… more
- Sacramento Behavioral Healthcare Hospital (Sacramento, CA)
- …of information with the treatment team, external providers, collateral contacts, and/or managed care organizations; and implementation of the discharge planning ... POSITION TITLE: Clinician REPORTS TO (TITLE): Director of Clinical Services Currently Hiring: Per Diem/On...hours of weekly group supervision. About Sacramento Behavioral Health Care Hospital (SBHH): SBHH provides services for Northern, Central,… more
- AbbVie (Irvine, CA)
- …and programs across all phases of training. This position reports to the Associate Director of Sales Training - Hospital Anti-Infectives Contributions to the ... key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan...the training team, digital learning team, and Hospital Anti-Infectives Associate Director of Training to ensure agendas,… more
- Grifols Shared Services North America, Inc (Los Angeles, CA)
- …in-depth knowledge of the medical industry (Specialty Pharmacy, Home Health, Managed Care , Biologics/Biotech, Pharmaceutical and/or Hospital) + Respiratory and ... Kern Counties + The SSR-Pulmonology will report directly to a Regional Sales Director + This individual will be responsible for detailing the following customers:… more
- Humana (Sacramento, CA)
- …in a management field + Prior healthcare industry experience, preferably in the managed care or provider sector **Reporting Relationships** The role reports to ... a Director within the Strategy team, works collaboratively with leaders...(collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and… more
- Humana (Sacramento, CA)
- …a significant financial impact on the business. They will work closely with the Director to ensure key workstreams are meeting timelines and that work is properly ... peer-reviewed results **Preferred Qualifications** + 5 years of experience within the managed Medicaid industry + 3 years of project management experience + In… more