- Elevance Health (Costa Mesa, CA)
- …to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation. **Minimum Requirements:** + ... **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management** **Radiology Benefit Management/Utilization Review ** _A proud… more
- Humana (Sacramento, CA)
- …how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer based review of moderately complex to complex ... caring community and help us put health first** The Medical Director relies on medical ...group practice management. + Utilization management experience in a medical management review organization, such as Medicare… more
- Humana (Sacramento, CA)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex ... caring community and help us put health first** The Medical Director actively uses their medical...group practice management. + Utilization management experience in a medical management review organization, such as Medicare… more
- Humana (Sacramento, CA)
- …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 scope and complexity...and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation… more
- LA Care Health Plan (Los Angeles, CA)
- …within required turnaround times specific to the case type. Identifies requests needing medical director review or input and presents for second ... Works with UM leadership, including the Utilization Management Medical Director , on requests where determination requires extended review . Collaborates with… more
- Sharp HealthCare (San Diego, CA)
- …the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp ... + 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons...as directed by the Quality Management + Committee, Peer Review Committee and Chief Medical Officer and… more
- Ventura County (Ventura, CA)
- Medical Director , Ventura County Health Care Plan Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4924113) Apply Medical Director , ... Description + Benefits Description Click here (http://tiny.cc/6vwi001) to view the Brochure for Medical Director , Ventura County Health Care Plan What We Offer… more
- Ventura County (Ventura, CA)
- Clinic Medical Director Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4724908) Apply Clinic Medical Director Salary $219,417.77 - ... + Benefits Description Under general supervision of the Chief Medical Director - Ambulatory Care, is responsible...to address provider behavior issues and support the annual review process for clinic providers. + Supports local governance… 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
- 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...group practice management. + Utilization management experience in a medical management review organization, such as Medicare… more