- 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
- 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
- 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
- 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
- Alameda Health System (Oakland, CA)
- …Title 22 and other regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case Management functions. + ... Director , Inpatient System Care Management +... Director , Inpatient System Care Management + Oakland, CA + Highland General...hiring! Under the direction of the Vice President of Care Management, the Director of Inpatient System… more