• Utilization Management Strategy Lead

    Humana (Sacramento, CA)
    …first** The UM Strategy team is a multi-disciplinary team focused on creating data -driven strategies to transform our business and the experiences we create for our ... concrete roadmaps that will generate tangible value to all stakeholders. Within Utilization Management , our goal is to enable members to receive the most appropriate… more
    Humana (08/23/25)
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  • Utilization Review, Management Physician…

    Sutter Health (Sacramento, CA)
    …staff to facilitate accurate and complete documentation for coding and abstracting of clinical data , capture of severity, acuity and risk for mortality, in ... quality regulations. The PA will act as a liaison between the CDI ( Clinical Documentation Improvement) professional, HIM (Health Information Management ) ,and… more
    Sutter Health (05/29/25)
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  • Senior Director, Product Management Team…

    Gilead Sciences, Inc. (Foster City, CA)
    …worldwide, with headquarters in Foster City, California. **Senior Director, Product Management Team Lead (Late Phase & Commercialization** **)** **_Location: Foster ... RESPONSIBILITIES** Reporting to the Executive Director of Product & Project Management and operating within the broader Pharmaceutical Development and Manufacturing… more
    Gilead Sciences, Inc. (08/08/25)
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  • Medicaid State Technology Lead

    Humana (Sacramento, CA)
    …understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; Medicaid ... + Experience with Jira Align, ADO, SNOW, and SmartSheets + Project Management Professional (PMP), Lean Six Sigma, or other relevant certifications are advantageous… more
    Humana (08/19/25)
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  • Inventory Management Specialist (OR)

    Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
    …Inventory Package (GIP) or other equivalent system, to maintain current inventory data . Analyzes a range of inventory management reports. Coordinates with ... standards, please visit the United States Office of Personnel Management 's website at https://www.opm.gov/policy- data -oversight/classification-qualifications/general-schedule-qualification-standards/. Education A transcript… more
    Veterans Affairs, Veterans Health Administration (07/15/25)
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  • Utilization Management Administration…

    Humana (Sacramento, CA)
    …first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration Coordinator 2 performs varied activities and ... at Humana. Join Us!** The UM Administration Coordinator provides non- clinical support for the policies and procedures ensuring best...and Excel with the ability to type and enter data accurately + Ability to quickly learn new systems… more
    Humana (08/23/25)
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  • Director, Head, ICSR Management Team - Job…

    Ascendis Pharma (Palo Alto, CA)
    …for employees to grow and develop their skills. The Director, Head, ICSR Management Team reports to the Head, Global PV Operations within the Global Patient ... of the Head, Global PV Operations, the Director, ICSR Management Team is responsible for the oversight of all...in accordance with Ascendis requirements. + Accountable for the data integrity of safety data outputs from… more
    Ascendis Pharma (08/03/25)
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  • Director, Submission Operations Management

    BeOne Medicines (Emeryville, CA)
    …Strategy & Innovation and will interact at all levels, including BeOne's Senior Management . This role will manage the submission teams for North America, Latin ... with supporting functional areas such as CMC, Reg Strategy, Clinical /Non- Clinical , Quality/Manufacturing, GTS, Pharmacovigilance and Regulatory Compliance. This… more
    BeOne Medicines (08/01/25)
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  • Care Manager RN - Case Management PV *Per…

    Providence (Petaluma, CA)
    …advancement. **Requsition ID:** 383394 **Company:** Providence Jobs **Job Category:** Care Management **Job Function:** Clinical Care **Job Schedule:** Per-Diem ... **Description** Care Manager RN - Case Management at Providence Petaluma Valley Hospital in Petaluma,...be part of a healthcare institution known for its clinical excellence and compassionate care. Utilizing a collaborative process,… more
    Providence (08/19/25)
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  • Per Diem Registered Nurse II/III - Utilization…

    Ventura County (Ventura, CA)
    …as needed for outside services for patients/families; + Conducts daily clinical reviews for utilization/quality management activities based on ... Per Diem Registered Nurse II/III - Utilization Management VCMC Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5009956) Apply  Per Diem… more
    Ventura County (08/10/25)
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