- Stanford Health Care (Palo Alto, CA)
- …Cycle and charge-generating departments, School of Medicine leadership, Clinical Operations leadership, Managed Care Contracting, Quality, Controller's Office, ... and tools are utilized to effectively manage day to day Revenue Integrity operations . + Evaluates purchases, contracts and services provided by external vendors… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …of TVHC. Supervises: Department Medical Directors, Medical Providers, Clinical Program Leads, Director of Behavioral Health Services , Street Health Outreach ... Director and Clinical Services Assistant/Executive Assistant. Requirements + Medical Doctor (MD) degree from an accredited institution. + Board certification in… more
- Grifols Shared Services North America, Inc (Los Angeles, CA)
- …and transfusion medicine and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions. Job Title - Specialty ... Kern Counties + The SSR-Pulmonology will report directly to a Regional Sales Director + This individual will be responsible for detailing the following customers:… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …ascertains regulatory changes, legislative efforts, and /or industry trends specific to Managed Care operations and keeps Management Team informed of relative ... JOB SUMMARY: Reporting to the Director of Claims and Systems Administration and functioning...skills are essential Strong knowledge of relevant regulations for managed care operations for both Commercial and… more
- Sharp HealthCare (San Diego, CA)
- …direction of the Sharp Community Medical Group (SCMG) Director for Health Service and in collaboration with the Health Services leadership team, this ... in acute care hospital setting. + 2 Years management, service line or program experience. + Certified Professional in...issues and initiate improvements.Works with Director , Health Services and VP for Clinical operations and… more
- Stanford Health Care (Palo Alto, CA)
- …escalations. Join us to make a meaningful impact on patient care and facility operations ! **This is a Stanford Health Care job.** **A Brief Overview** The Manager - ... the customer for issue resolution and interact with the Director if further direction is needed. The MGR -...oversight of cost centers for region for cost control managed through metrics. Drives cost efficiency improvement initiatives for… more
- HCA Healthcare (Riverside, CA)
- …development, and overall hospital strategy + You will provide medical director services to facility-level physician credentialing, business development, and ... consult with facility-level staff regarding delegated utilization management and disease management operations under managed care contracts. You will meet all… more
- CenterWell (San Diego, CA)
- …by clinical personnel. + Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed . + Conducts/delegates the ... criteria and make the decision to admit patients to service . Assigns appropriate clinicians to a case, as needed....consultation with the Human Resources Department and the Executive Director / Director of Operations . + Participates… more
- Sharp HealthCare (San Diego, CA)
- …under the direction of the manager of in-patient care management and the Director of Utilization Management. **Required Qualifications** + 3 Years Experience in the ... and/or Home Health + 3 Years Medical Management experience, preferably in managed care, with supervisory experience + 2 Years Medical Management experience,… more
- Ventura County (Ventura, CA)
- … services including primary care, specialty, behavioral health, dental, and optometry services . The manager reports to the department director and is ... the incumbent plans, organizes, directs, and manages the clinical and administrative operations of one or more county clinic(s). The Outpatient Clinic Administrator… more