- Children's Hospital Los Angeles (Los Angeles, CA)
- …_Required:_ 5+ years' risk management , claims, professional liability and/or clinical experience including 2+ years of Director , Risk Management ... years' risk management , claims, professional liability and/or clinical experience. _Preferred:_ Management /leadership experience. **Education/Licensure/Certification:** _Required:_… more
- Alameda Health System (San Leandro, CA)
- …10. Communicates and collaborates regularly with the Department Chair, administrator, the director of nursing, on strategic and clinical alignment and provides ... Medical Director , John George Psychiatric Hospital + San Leandro,...Physicians JGP ER + Full Time - Day + Management + $96.70 - $161.16 / Hour + Req… more
- Ventura County (Ventura, CA)
- …will also be eligible for the following: Recruitment Relocation Incentive: Executive management employees, as designated by the Director -Human Resources, may be ... HCA Director , you will drive strategic initiatives, oversee complex program operations, and ensure regulatory compliance while acting as the agency's principal… more
- Danaher Corporation (Sunnyvale, CA)
- …which makes everything possible. We are seeking a visionary and strategic Senior Director of Product Management to lead Cepheid's systems & software product ... In this critical leadership role, you will be responsible for the global management of this product portfolio, driving new product ideation, new product launches,… more
- Alameda Health System (Oakland, CA)
- Director , Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + ... paid time off plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational… more
- Abbott (Alameda, CA)
- …how to manage their disease-state and live life to the fullest. As the IT Director Business Relationship Management - Global Data Analytics, you will play a ... customer, their external customers, and internal partners. **Leadership and Management ** + Strong organizational skills, including program /project governance… more
- CVS Health (Sacramento, CA)
- …delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. This Medical Director provides subject matter expertise ... Director role include support of the appeal process, clinical claim review process, pre-certification, and predetermination of covered...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Humana (Sacramento, CA)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests received by members ... of the Medicare population and reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, including those… more
- Evolent (Sacramento, CA)
- …impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... discussions with treating providers to ensure appropriate, high-value care aligned with clinical guidelines. + Collaborate with leadership, management , and … more
- Elevance Health (Walnut Creek, CA)
- … and/or independently performs clinical reviews. + Typically has program management responsibilities including clinical policy development, improvement ... **Behavioral Health Medical Director -Psychiatrist Appeals** **Location:** California. This role enables associates...responses to members and providers. + Provides guidance for clinical operational aspects of a program . +… more
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