- Humana (Sacramento, CA)
- …Delivery Systems, health insurance, other healthcare providers, clinical group practice management + Utilization management experience in a medical ... behavioral health topics to the clinical operations team and healthcare organization. The Medical Director 's work includes...with prior experience participating in teams focusing on quality management , utilization management , case … 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 ... the organization's overarching data strategy. + Continuously monitor advancements in healthcare technology, data management , and analytics, advocating for the… more
- Humana (Sacramento, CA)
- … management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers. + Utilization management experience in a ... size of region or line of business. The Medical Director conducts Utilization Management of...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- The County of Los Angeles (Los Angeles, CA)
- …used to fill a vacancy in Department of Health Services, Harbor-UCLA Medical Center, Utilization Management Division. May also be used to fill other vacancies ... + Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT INFORMATION:… more
- Elevance Health (CA)
- …agency.*_ **Preferred Skills, Capabilities and Experiences:** + 3-5 years minimum Utilization Management experience strongly preferred. + Strong oral, written, ... entire clinical program and/or independently performs clinical reviews. The Medical Director typically has program management responsibilities including clinical… more
- Evolent (Sacramento, CA)
- …economics related position within Utilization Management /Clinical Vendor Management functions + Knowledge of healthcare underwriting methodologies + ... for the culture. **Who You'll Be Working With:** The Director , Performance Suite Analytics, utilizes and develops analytic tools...Familiarity with value-based care and utilization management + Understanding of data systems… more
- Elevance Health (Walnut Creek, CA)
- …Capabilities and Experiences:** + Child and Adolescent experience preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) experience. ... **Behavioral Health Medical Director -Psychiatrist Appeals** **Location:** California. This role enables associates...and propose new medical policies based on changes in healthcare . + Leads, develops, directs, and implements clinical and… more
- Cedars-Sinai (Los Angeles, CA)
- …engages finance to ensure adequate financial performance, effective expense reduction, utilization management , budget control and new revenue generation. + ... **Job Description** The Director , Clinical Operations for Radiation Oncology will be...Management experience and overseeing departments/service lines in a healthcare setting. **About Us** Cedars-Sinai is a leader in… more
- Evolent (Sacramento, CA)
- …billing and various sites of care/service + Familiarity with value-based care and utilization management + Understanding of data systems and the critical ... Management ** , leveraging advanced analytics to solve complex healthcare challenges and support impactful decision-making that enhances organizational performance… more
- Alameda Health System (San Leandro, CA)
- …staff, visitors, and volunteers. 8. Assures that the facility complies with all utilization review and case management requirements of Alameda County, AHS, and ... Medical Director , John George Psychiatric Hospital + San Leandro,...Physicians JGP ER + Full Time - Day + Management + $96.70 - $161.16 / Hour + Req… more