- Cedars-Sinai (Los Angeles, CA)
- **Job Description** Job Summary The Director of Managed Care develops and implements managed care and payer relations strategies including contract ... the health of its most vulnerable residents. **Req ID** : 10874 **Working Title** : Managed Care and Payor Relations Director , Managed Care - #1… more
- Cardinal Health (Sacramento, CA)
- …with Health Insurance companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible ... negotiation with strategy. **Essential Functions:** + In collaboration with the Director of Managed Care , negotiate and manage assigned contracts, including… more
- Dignity Health (Rancho Cordova, CA)
- …leadership to the Pharmacy Services for Dignity Health Medical Foundation. Reporting to the Director of Managed Care , this individual serves as the leader ... anti-coag team and Price Clinic.The Manager will work closely with the Director of Managed Care on Dignity Health Medical Foundation initiatives related to… more
- UCLA Health (Venice, CA)
- …the other 65%. The Chief Medical Officer directly supervises the Associate Medical Directors, the Director , Managed Care & Care Coordination, the ... Clinic is a leader in providing comprehensive, high-quality health care to people in need. The organization has more...productivity of the clinical staff and the quality of care delivered by staff and volunteer medical clinicians. +… more
- EPAM Systems (San Francisco, CA)
- As the ** Director , Next-Generation Managed Services** AI-Powered Managed Services at EPAM Systems, you will revolutionize our service delivery model by ... while leading multiple strategic client accounts. You'll architect next-generation managed services that integrate DevOps, SRE principles, and intelligent automation… more
- Ventura County (Ventura, CA)
- …the current principles and techniques of diagnosis and treatment + Experience with managed care + Experience and current knowledge of Quality Assurance, ... Medical Director , Ventura County Health Care Plan...of Medicine and includes the following: + Experience with managed care + Experience and current knowledge… more
- Humana (Sacramento, CA)
- …clinical specialists with recent inpatient experience preferred** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- City and County of San Francisco (San Francisco, CA)
- …Contract Development and Technical Assistance, Fiscal, Budget, Operations/Facilities), IT, HR, BHS Managed Care (eg, Office of Coordinated Care , Quality ... and efficiency of the division's service delivery system + Assists the System of Care Director of the Child, Youth and Family Services Section in an annual city… more
- Stanford Health Care (Palo Alto, CA)
- …implementing departmental standards, systems, staffing plans, and processes. + Knowledge of managed care and commercial insurance, MediCal, Medicare, and other ... and behavioral health practices. **This is a Stanford Health Care job.** **A Brief Overview** The Senior Director... Care job.** **A Brief Overview** The Senior Director of Social Work provides strategic direction and operational… more
- AbbVie (Irvine, CA)
- …lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For ... and treatments for Parkinson's, as well as higher cost and payer managed medications typically processed through retail pharmacy in Migraine, Psychiatry, and Eye… more
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