- Evolent (Sacramento, CA)
- …leadership is preferred. + Familiarity with value-based care models and utilization management frameworks is preferred. Technical Requirements: We require ... related discipline). + 5+ years of analytics & reporting experience in healthcare , including medical economics, cost/ utilization analysis, and membership trend… more
- The County of Los Angeles (Los Angeles, CA)
- CLINICAL NURSING DIRECTOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3136407) Apply CLINICAL NURSING DIRECTOR I Salary $152,555.76 ... PLAN (MAPP) : This position is subject to the provisions of the Management Appraisal of Performance Plan (MAPP). Initial salary placement and subsequent salary… more
- Humana (Sacramento, CA)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health insurance ... our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals.… more
- Elevance Health (Walnut Creek, CA)
- …preferred. + Extensive spine surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. + **Orthopedic ... Medical Director ** **Orthopedic Spine Surgery** **Carelon Medical Benefit Management ** **Schedule: 10:30 AM-7 PM Central** **Virtual:** This role enables… more
- Bristol Myers Squibb (Los Angeles, CA)
- …lives. Read more: careers.bms.com/working-with-us . **Position Summary:** The Associate Director of Strategic Accounts will be responsible for optimizing access ... and appropriate utilization of ORENCIA IV (abatacept) and SOTYKTU (Deucravacitinib), while elevating BMS as a leader within Immunology with National Organized… more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** This position is remote.** **Position Summary:** The Director of Provider Contracting is a key executive leader responsible for the strategic ... the full contract lifecycle for physicians, facilities, and ancillary providers. The Director plays a pivotal role in maximizing clinical, financial, and experience… more
- City and County of San Francisco (San Francisco, CA)
- …as a Director of Nursing Services or a similar clinical management position, all of which must include supervision of professionals EDUCATION SUBSTITUTION: ... The Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its… more
- Elevance Health (Costa Mesa, CA)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management ** **Radiology Benefit Management / Utilization Review** _A proud ... as required by law._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical management...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Humana (Sacramento, CA)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health insurance ... our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The… more
- ENFRA (Los Angeles, CA)
- …just values-they are the pillars of our continued success. **Overview** The Director of Construction will be responsible, in collaboration with regional leadership, ... ensuring our projects are on schedule and meeting client expectations. The Director of Construction will participate in the development and implementation of… more