- Sharp HealthCare (San Diego, CA)
- …Utilization/Cost Management Program and Quality Improvement Program, in conjunction with the Director of PHM/ Medical Management and Quality Improvement ... clinical quality improvement (QI) objectives, in conjunction with the Director of Medical Management/PHM and Quality Improvement...and interpretation of the covered benefit provisions of member materials and Plan contracts. Assists… more
- Sharp HealthCare (San Diego, CA)
- …Assists in the development and interpretation of the covered benefit provisions of member materials and Plan contracts. Assists in the development and ... Time** California Physicians and Surgeons License - Medical Board of CA; Doctor of Medicine (MD) **Hours**...a managed care environment, preferably as an HMO Medical Director . + California Physicians and Surgeons License - Medical… more
- Ventura County (Ventura, CA)
- …in a healthcare setting. ABOUT THE POSITION Reporting to and under general direction of the Director of the Health Care Agency (HCA Director ), ... INNOVATION, COMPLIANCE, AND SERVICE DELIVERY As the Chief Deputy Director of the Health Care Agency, you...Scan. Desired Qualifications + Extensive experience in a public healthcare system and knowledge of the operation… more
- J&J Family of Companies (Irvine, CA)
- …Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, ... insights and guidance to internal and external stakeholders. + Lead the preparation of materials needed to deliver presentations on the science supporting the… more
- AbbVie (Irvine, CA)
- …needed) of all Medical Aesthetics Management, Leadership Development, and Director Development courses. Courses include FST annual meeting, ELDP, FSM, Talent ... Aesthetics, an AbbVie company, we develop, manufacture, and market a portfolio of leading aesthetics brands and products. Our aesthetics portfolio includes facial… more
- University of Southern California (Los Angeles, CA)
- …Associate Director will be responsible for the day-to-day operations alongside the Director of Health Plans Administration of USC's self-funded and ... Associate Director , Health PlansApply (https://usc.wd5.myworkdayjobs.com/ExternalUSCCareers/job/Los-Angeles-CA University-Park-Campus/Associate- Director --Health-Plans\_REQ20160798/apply) Keck School of Medicine Los… more
- Humana (Sacramento, CA)
- …valid Florida Medical license and must be able to start with 30-60 days of hire. The Medical Director actively uses their medical background, experience, and ... include national clinical guidelines, CMS policies and determinations, clinical reference materials , internal teaching conferences, and other sources of … more
- Humana (Sacramento, CA)
- …the analysis of situations or data requires an in-depth evaluation of variable factors. **Description** The Medical Director actively uses their medical ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex… more
- Humana (Sacramento, CA)
- … 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 ... Director provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with… more
- CBRE (Sacramento, CA)
- …with CEOs, CFOs and other senior executives. + Possess a sufficient understanding of healthcare regulatory compliance, including, but not limited to, TJC, DNV, ... is Senior Managing Director , Business Development** The Senior Business Development Director , Global Occupier Accounts, will lead the Healthcare sector Named… more
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