- Dignity Health (Bakersfield, CA)
- …teams, and resolving provider issues. The role ensures consistent provider interactions with Managed Care operations and plays a vital part in new business ... also provide backup support for utilization management activities. The Director ensures care solutions align with best...years experience practicing medicine as a physician within a managed care setting - Minimum 5 years… 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
- LA Care Health Plan (Los Angeles, CA)
- …or cross-functional groups. Demonstrated experience managing complex investigations in a managed care or healthcare environment. Experience in coordinating with ... Director , Compliance on Special Investigations Unit and Fraud,...$175,676.00 (Mid.) - $216,218.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- Option Care Health (Los Angeles, CA)
- …sales teams and key supporting functions is a major focus. The Specialty Sales Director will work collaboratively with Option Care Health Operations to resolve ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...talent in healthcare. **Job Description Summary:** The Specialty Sales Director will develop and implement the Specialty business sales… more
- Stanford Health Care (Palo Alto, CA)
- …discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key ... of Health Care Access and Information (HCAI) In addition, the Director of Reimbursement oversees the organization's responses to government audits and inquiries,… more
- Humana (Sacramento, CA)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... 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
- Stanford Health Care (Palo Alto, CA)
- …to create a comprehensive marketing database that drives performance insights ( managed by Director , Performance Reporting) while upholding compliance with ... Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** Directs and leads the strategic development and implementation… more
- Humana (Sacramento, CA)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Ventura County (Ventura, CA)
- …through division managers, a comprehensive system of integrated behavioral health services, managed care operations and administrative services; + Assists the ... best practices of behavioral health program planning and administration including managed care operations; recruitment, supervision and personnel management;… more
- Humana (Sacramento, CA)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...to a Lead Medical Director . The Medical Director conducts post-service, inpatient care reviews for… more
Recent Jobs
-
Customer Account Manager - Tooling (Remote)
- Howmet Aerospace (Torrance, CA)
-
Steel Prep Operator
- Wabtec Corporation (Hibbing, MN)