- CenterWell (Sacramento, CA)
- …toadaptand the courage to innovate. **Additional Information** Will report to the Director of Physician Strategy at Utilization Management . The Medical ... a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The Medical … more
- Humana (Sacramento, CA)
- …CMS requirements, Humana policies, clinical standards, and (in some cases) contracts . The Medical Director provides medical interpretation and decisions ... members of the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including… more
- Humana (Sacramento, CA)
- …CMS requirements, Humana policies, clinical standards, and (in some cases) contracts . The Medical Director provides medical interpretation and decisions ... members of the Medicare population and reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements,… more
- University of Southern California (Los Angeles, CA)
- …information. * Participates in InterQual competency testing as requested by department director . + Outcomes Management * Participates in core measure process ... to members of the health care team in the management of specific patient populations. The RN case manager...M drive. * Maintains awareness of current managed care contract requirements. * Participates in appeal process. * Performs… more
- Dignity Health (Bakersfield, CA)
- …the managed care populations. This leader will have direct oversight of the Medical Director of Utilization Management (UM) and the Medical Director of ... Clinical Oversight functions. + Oversee and manage the medical director capacity to support Managed Care Services and approve...Collaborate closely with the Managed Care COO to ensure contract compliance and successful management of the… more
- University of Southern California (Alhambra, CA)
- …and/or InterQual) competency testing as requested by department director or Medical Director . + Outcomes Management 1. Participates in core measure or HEDIS ... Hospital admissions, or Re-admissions. 4. Maintains awareness of current managed care contract requirements. 5. Coordinate the management of all in-patient… more
- Rain for Rent (Bakersfield, CA)
- …degree is preferred. A minimum of ten (10) years' progressive experience in contract management , operations, or business process leadership. A minimum of five ... Description The Director of Contracts is responsible for...business objectives. Essential Duties and Responsibilities: Operational Excellence in Contract Management + Draft, review, and negotiate… more
- University of Southern California (Los Angeles, CA)
- Associate Director of Contracts and Grants Administration Department of Contracts and Grants | University Park Campus (Credit Union Building) The Department ... is excited to announce an opening for an Associate Director of Contracts and Grants Administration at...strategic oversight, operational leadership, and expert guidance in the management of sponsored projects. As the Associate Director… more
- Genesis Healthcare (Elk Grove, CA)
- …or In-Training (IT) Director of Rehab is responsible for assisting the Director of Rehab in the efficient management of rehabilitation services in his/her ... the patient. 3. Assists in the efficient and profitable management of rehabilitation services in sites of service and...Rehabilitation personnel and consultants within facility or home care contracts . 5. Assists the Director of Rehab… more
- Turner & Townsend (San Francisco, CA)
- …strong professional relationships, and a well-rounded background in both pre- and post- contract cost management . **Responsibilities:** + Serve as the senior ... into success. Our capabilities include program, project, cost, asset and commercial management , controls and performance, procurement and supply chain, net zero and… more