- Humana (Sacramento, CA)
- …Medical Director (CMD) relies on medical background to review 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 regarding the appropriateness and… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …other. It's this deep-rooted dedication that drives us to uncover answers to complex , underserved medical needs, so that patients can push past the limitations of ... was possible each and every day. **Position Overview:** The Director of Field Strategy and Operations serves as the...regulations and guidelines including PhRMA Code on Interactions with Healthcare Professionals as well as complying with all OAPI… 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
- Centene Corporation (Sacramento, CA)
- …to providers that would improve utilization and health care quality. + Reviews claims involving complex , controversial, or unusual or new services in order ... Directors** Centene Corporation is a leading provider of government-sponsored healthcare coverage, providing access to affordable, high-quality services to Medicaid… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …in both in-line brand stewardship and upcoming product launches, the Associate Director , Channel Strategy and Patient Affordability will serve as a key strategic ... + Bachelor's degree + 5-7 years of experience in pharmaceutical or healthcare industries, with experience in payer and/or channel functions required + Performance… 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
- Sharp HealthCare (San Diego, CA)
- …and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit ... Administration team members. Assumes additional responsibilities in the absence of the Director . **Required Qualifications** + 5 Years in HMO or Health Insurance… more
- Healthcare Services Group, Inc. (Sacramento, CA)
- …Job Type:Full-Time - Remote (20% Travel) Reports To: Human Resources Director Responsibilities Healthcare Services Group (HCSG) is currently seeking ... join our growing Corporate Team! This position reports to the Human Resources Director . This role is primarily responsible for the investigation, and resolution of… more
- Prime Healthcare (Ontario, CA)
- Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 ... health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a… more
- Stanford Health Care (Menlo Park, CA)
- …in alignment with the Stanford Integrated Master Plan. Stanford Health Care is seeking a Healthcare Director of Construction with 10 to 20 years of experience in ... improving health through leadership, collaborative discoveries, and innovation in healthcare , education, and research. The Facilities Construction business unit… more