- Dignity Health (Bakersfield, CA)
- …shared goals. Responsibilities include: - Collaborate with the Chief Medical Officer, Managed Care and executive leadership to develop, implement, and oversee ... Leadership to ensure consistent physician/APP interactions and experience with all internal Managed Care operations such as enrollment, claims operations and… more
- Fresenius Medical Center (Inglewood, CA)
- …POS, etc) in the state of California. Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate ... financial effect, cost benefit and utilization. + Negotiates contractual relationships with managed care organizations and other third party payors as needed.… more
- Dignity Health (Bakersfield, CA)
- …Customer Service, and Clinical Oversight functions. + Oversee and manage the medical director capacity to support Managed Care Services and approve ... Responsibilities** This role is the key clinical leader for Managed Care Services within the Population Health...This leader will have direct oversight of the Medical Director of Utilization Management (UM) and the Medical … 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
- 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
- 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 and Managed ... help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care ...medical management review organization, such as Medicare Advantage and managed Medicaid + Experience with national guidelines such as… more
- Humana (Sacramento, CA)
- …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... management. The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions with external… more
- Humana (Sacramento, CA)
- …adapt and the courage to innovate. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and 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