- Centene Corporation (Sacramento, CA)
- …meaningful change in the community? **Qualifications for this role include:** + California License MD or DO without restrictions + Board certified by the American ... and Medi-Cal experience, preferred **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and… more
- Humana (Sacramento, CA)
- …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… 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
- Alameda Health System (Oakland, CA)
- Director , Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + FTE:1 + ... time off plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight,… more
- Veterans Affairs, Veterans Health Administration (Menlo Park, CA)
- …insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory CME: Possible $1,000 per year ... listed in the job announcement. Applicants pending the completion of training or license requirements may be referred and tentatively selected but may not be hired… more
- WTW (Los Angeles, CA)
- **Description** As an Absence, Disability Management and Life Associate Director , you will be at the forefront of managing projects for large, complex clients ... + Strong financial skills; prior experience in group disability underwriting or claims management strongly preferred + Proven experience creating project plans and… more
- Travelers Insurance Company (Walnut Creek, CA)
- …including sales and marketing, underwriting, underwriting reviews, service strategies and claim partnership. This job manages technical specialists and other staff. ... + Certified Fire Protection Specialist, NFPA Committee Member, Professional Engineering license or similar earned designation preferred. **What is a Must Have?**… more
- City and County of San Francisco (San Francisco, CA)
- …to the general duties above: + Detects, investigates, and prevents fraudulent claims for public assistance to avoid welfare fraud and other financial crimes. ... matches and overpayment referrals, determines overpayment amounts or investigates paid claim matches, if applicable, and prepares related documentation by citing… more
- The County of Los Angeles (Los Angeles, CA)
- …specialized retail food inspections for motion picture catering, micro markets, license Health Care Facility cafeterias, certified farmer's markets and large venues. ... region, and district level. + Recommends to a Bureau Director the addition of new and the modification of...the level of Chief Environmental Health Specialist* or higher. LICENSE : + Certificate as a Registered Environmental Health Specialists… more
- The County of Los Angeles (Los Angeles, CA)
- …STANDARDS: Positions allocable to this class report to a Deputy Director , Agricultural Commissioner/Weights and Measures and are distinguished by their management ... letters, press releases and special reports on behalf of the Agricultural Commissioner/ Director of Weights and Measures. + Recommends bureau policy to the Deputy… more