- 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
- 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
- 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
- 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
- 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
- BeOne Medicines (Emeryville, CA)
- …closely with internal colleagues, including, but not limited to, Medical Affairs, clinical development, program leadership, clinical operations, legal, ... General Description: The **Senior Regional Director (SRD) (US) - Field Medical Directors (FMD)...team's support of BeiGene marketed compounds as well as Pre- Clinical and Clinical pipeline development by coordinating… more
- Sutter Health (San Francisco, CA)
- … management team including solution architects, and partners across clinical , operational, data science, engineering, design, and compliance functions to ... are not exhaustive, but are merely the most descriptive of the current job. Management reserves the right to revise the job description or require that other tasks… more
- Cedars-Sinai (Los Angeles, CA)
- …Up to 2 days a week from home **What will you be doing:** The Associate Director , Social Work is a Licensed Clinical Social Worker in the state of California ... and works with the Executive Director of Inpatient Care Management to direct...and maintains a comprehensive and fiscally sound social work program and orchestrates cohesive patient care practices which address… more
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