- Evolent (Sacramento, CA)
- …recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially...+ Minimum of five (5) years' experience in the practice of Medicine, post residency and Active Clinical … more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices . **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp Health ... Doctor of Medicine (MD) - Internal Medicine or Family Practice + **OR** Doctor of Osteopathic Medicine (DO) -...+ 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether… more
- Wellpath (Sonora, CA)
- …physician must ensuretimelyandaccuratedocumentation of all assessments and treatment decisions. **As a Medical Director ,** you will be responsible for providing ... of services is provided to the Regional or Corporate Medical Director or designee to monitor services...+ Must maintain privileges. Maintains CME requirements for continued medical practice in the State. **We are… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... and preservice appeals. The Corporate Medical Director works on problems of diverse...of assignment + Board Certified in an approved ABMS Medical Specialty + **Internal Medicine, Family Practice ,… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The Corporate … more
- VCA Animal Hospitals (Sacramento, CA)
- …specialty referral practices in Northern California, is looking for a **Specialty Medical Director ** to lead our growing team. VCA SVRC opened in 2007 ... Ensures highest quality patient care (pain control, safe anesthetic practices , wellness care, care for hospitalized patients etc.) and...DVM's + The MD is the 'on the floor' director of medical staff to maximize efficiency… more
- Providence Medical Group (PMG) (Santa Rosa, CA)
- Acute Rehab Medical Director - Santa Rosa, CA (24014) Physician - Sonoma County Providence Santa Rosa Memorial Hospital is seeking an Acute Rehabilitation ... Medical Director to lead its rehabilitation unit...and 5-6 weeks per year of time away from practice forvacation/holiday/CME time + Shareholder track opportunity starting in… more