- Alameda Health System (San Leandro, CA)
- Director , Revenue Cycle Innovation + San Leandro, CA + Fairmont Hospital + AMB Call and Referral Center + Full Time - Day + Management + $69.06 - 115.14/Hour + Req ... paid time off plans **Role Overview:** Alameda Health System is hiring! The Director of Revenue Cycle Innovation is responsible for leading automation initiatives to… more
- Edwards Lifesciences (Irvine, CA)
- ** Director , GHER TMTT Real World Evidence** Innovation starts from the heart. Edwards Lifesciences is the leading global structural heart innovation company, driven ... patient outcomes and discovering lasting solutions for unmet patient needs. Our Director , GHER TMTT Real World Evidence position is a unique career opportunity… more
- Centene Corporation (Sacramento, CA)
- …and Medi-Cal experience, preferred **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and ... of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies to improve quality… more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** This position is remote.** **Position Summary:** The Director of Provider Contracting is a key executive leader responsible for the strategic ... the full contract lifecycle for physicians, facilities, and ancillary providers. The Director plays a pivotal role in maximizing clinical, financial, and experience… more
- Evolent (Sacramento, CA)
- …of our specialty programs and administrative platform. Role Overview The Associate Director role on Client Analytics will support both internal teams (EAS, Specialty ... Data Analytics & Insights: Lead advanced analyses of healthcare authorization, claims , membership data, and clinical outcomes to uncover cost drivers, utilization… more
- Sharp HealthCare (San Diego, CA)
- …with medical management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan Chief Medical Officer) ... physician executive in a managed care environment, preferably as an HMO Medical Director . + California Physicians and Surgeons License - Medical Board of CA… more
- BeOne Medicines (San Carlos, CA)
- …The Advanced Analytics team at BeOne is seeking an Associate Director , Pipeline Analytics to drive data-driven insights into pipeline molecule analysis, ... clinical trial outcomes, and market access feasibility. + Utilize claims data and real-world evidence (RWE) to develop Line...valuation, and R&D investment modeling. + Deep expertise in claims data analysis, RWE, and epidemiology to model Line… more
- Warner Bros. Discovery (Burbank, CA)
- …you are celebrated, here you can thrive. **Your New Role ** The Director , Labor Relations handles union-related claims and grievances, oversees production and ... and production teams. + Demonstrated experience investigating and resolving union claims and grievances, including negotiating settlements with major guilds such as… more
- Evolent (Sacramento, CA)
- …the mission. Stay for the culture. **Who You'll Be Working With:** The Director , Performance Suite Analytics, utilizes and develops analytic tools to solve complex ... public health, biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed care, or related… more
- Sanofi Group (Los Angeles, CA)
- **Job Title:** Associate Director , National Account Operations CVS - US Remote **Location:** Remote/Field Based **About the Job** The **Associate Director , ... knowledge of the US healthcare system, including formulary operations, claims adjudication, specialty pharmacy networks, and contract performance tracking. We… more