- Pfizer (Sacramento, CA)
- …Cardiac Account Specialist (CAS) - Rare Cardiac, will target health care providers (HCPs), spanning multiple disciplines (eg, Cardiologists, Nuclear Medicine ... appropriate customer stakeholders. The role will report into the Area Business Manager (ABM). The Cardiac Account Specialist (CAS) will demonstrate strong business… more
- Highmark Health (Sacramento, CA)
- …designs, competitive position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist ... confidentiality agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees.… more
- Amergis (Orange, CA)
- … Manager to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management) will be responsible for reviewing and processing ... as those listed above may also be qualifying. Preferred Qualifications: + Utilization management reviewer experience. + Managed care experience. + Behavioral… more
- Ventura County (Ventura, CA)
- …Paula, CA Job Type Full-Time Job Number 1707HCA-25AA (EN) Department Health Care Agency Opening Date 06/16/2025 + Description + Benefits + Questions Description ... and coordinates all aspects of the food and nutritional care programs, activities, and personnel at the Ventura County...Collaborates with the lead dietitians to oversee, plan, and review the work and activities of Registered Dietitians and… more
- Elevance Health (Los Angeles, CA)
- …must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to… more
- Veterans Affairs, Veterans Health Administration (Oakland, CA)
- …including journal clubs, grand rounds and in-service trainings. The acupuncturist will review referrals, screen for appropriateness of care , and direct Veterans ... and acupuncture may be used alone or as an adjunct to traditional medical care . The acupuncturist includes the stimulation of specific points along the skin of the… more
- Stanford University (Stanford, CA)
- …expanding clinical research program in theDivision of Pulmonary, Allergy, and Critical Care Medicine (PACCM). This is an opportunity to work in an intellectually ... stimulating and collaborative research environment focused on the care of patients with lung diseases from a variety...of PACCM principal investigators and both the Research Nurse Manager and the Clinical Research Manager . Excellent… more
- Cardinal Health (Sacramento, CA)
- …company connecting patients, providers, payers, pharmacists and manufacturers for integrated care coordination and better patient management. Backed by nearly 100 ... strategy to seize the identified opportunity, execute strategy. Resulting in additional utilization of the Cardinal Service offering. + Prepare and present Quarterly… more
- Elevance Health (Walnut Creek, CA)
- …necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer ... advanced practice nurses regarding established guidelines and accepted standards of care as it relates to treatments, surgical procedures, imaging and appropriate… more
- Sharp HealthCare (La Mesa, CA)
- …therapeutic interventions via collateral calls, conjoint therapy sessions, utilization review process, and/or referrals and revises care plan as necessary. ... reach the maximum level of functioning during the current episode of care . This position is responsible for conducting behavioral health psychosocial assessments and… more