- Humana (Sacramento, CA)
- … clinical guidelines, CMS policies and determinations, Medicaid state contracts , clinical reference materials, internal teaching conferences, and other ... present educational seminars on various behavioral health topics to the clinical operations team and healthcare organization. The Medical Director's work includes… more
- Sharp HealthCare (San Diego, CA)
- …membership. Serves as a lead medical manager and policy advisor to SHP clinical and its' Chief Medical Officer. **Required Qualifications** + Doctor of Medicine (MD) ... or Family Practice. + 15 or more years of clinical practice of medicine. + 5 years' experience as...the covered benefit provisions of member materials and Plan contracts . Assists in the development and implementation of new… more
- Veterans Affairs, Veterans Health Administration (Long Beach, CA)
- …force within the organization, you will: Serve as a trusted advisor and clinical leader to the Medical Center Director and COS. Provide strategic leadership, ... board certification) Malpractice: Free liability protection with tail coverage provided Contract : No Physician Employment Contract and no significant restriction… more
- SOS International LLC (Santa Ana, CA)
- Overview **This position is contingent upon contract award** SOSi is actively seeking a Clinician to join us in supporting our customer's mission in California. The ... Clinician provides support to the Lead Clinician in ensuring quality clinical services for up to 1,100 non-citizen unaccompanied children (UC) in temporary care… more
- Highmark Health (Sacramento, CA)
- …Description :** **JOB SUMMARY** This job works collaboratively riskacross Highmark Health clinical areas to support clinical quality auditing, The Senior Risk ... policies, state, CMS, and federal regulations. This role serves as a clinical subject matter expert, providing insights and guidance to internal departments. The… more
- Dignity Health (Bakersfield, CA)
- …network. This leader oversees a high-performing team managing the full contract lifecycle for physicians, facilities, and ancillary providers. The Director plays ... a pivotal role in maximizing clinical , financial, and experience outcomes across the network by negotiating competitive agreements, managing performance, and… more
- Cardinal Health (Sacramento, CA)
- …Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and ... up to proper track revenue associated to managed care contracts + Collaborate with Revenue Cycle team to establish... + Collaborate with Revenue Cycle team to establish contract groups, ensuring revenue is attributed to the correct… more
- Valor Health (Escondido, CA)
- …visits, or nurse visits. + Maintain staffing levels consistent with veteran enrollment, contract terms, and to maintain clinical outcomes.* Review and analyze ... Apply Description Valor Healthcare is looking for a passionate Clinical Medical Director to join our team at the...preferred; specific requirements could vary based on individual VA contract . + Doctor of Medicine or Osteopathic Medicine Degree… more
- City and County of San Francisco (San Francisco, CA)
- …planning, implementation, and evaluation of neighborhood-based initiatives; overseeing contracts and partnerships; and coordinating with key stakeholders to ... operational activities of the Street Health teams. + Provides clinical and administrative supervision to Street Health leadership and...+ Possession of a valid license as a Licensed Clinical Social Worker (LCSW), issued by the California Board… more
- UCLA Health (Los Angeles, CA)
- …active physician assistant, working 50% of their time in their designated clinical specialty and 50% of their time in administrative duties. Supervises, coordinates, ... education, promote safe continuity of care. Participate in interdisciplinary and clinical rounds, provide education and support, as well as make appropriate… more