- Dignity Health (Bakersfield, CA)
- …patient monitoring, and CRM. - Provide backup support to the Medical Director of Utilization Management in medical review activities, peer-to-peer consultations, ... primarily in the Bakersfield/Central CA region.** **Position Summary:** The Medical Director of Physician Engagement is responsible for developing and driving… more
- Dignity Health (Bakersfield, CA)
- … managed care populations. This leader will have direct oversight of the Medical Director of Utilization Management (UM) and the Medical Director of ... Clinical Oversight functions. + Oversee and manage the medical director capacity to support Managed Care Services... Care COO to ensure contract compliance and successful management of the managed care population. +… more
- UCLA Health (Los Angeles, CA)
- …multiple clinical programs and medical services with an emphasis on optimizing Utilization Management for the Faculty Practice Group (FPG) Management ... Description We are seeking a highly skilled and dynamic Director of Clinical Services to lead the development, evaluation,...Organization (MSO). Reporting to Chief Medical Officer of Faculty Practice Group and Medical Group, this role is pivotal… more
- KBF (CA)
- …NC** **.** As the external client facing Controller at KBF within the Managed Accounting Services practice you will be responsible for assisting clients ... a variety of industries. This position will be a management level role with the expectation that client service...service is critical. The role will report to a Director of Managed Accounting Service and be… more
- Ventura County (Ventura, CA)
- …communicates matters of VCHCP medical policy with the Health Care Agency Director and Insurance Administrator, Utilization Management staff and Quality Assurance ... Medical Director , Ventura County Health Care Plan Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4924113)...Health and Safety code for VCHCP, a Department of Managed Health Care (DMHC) licensed Commercial HMO. This position… more
- CommonSpirit Health (Santa Cruz, CA)
- …Responsibilities** This position will support the Central Coast market. The Market Director , Facility Management provides oversight and leadership to Market, and ... objectives, attaining high customer satisfaction, and meeting CommonSpirit Health's Facilities Management 's mission. The Market Director , Facility Management … more
- Humana (Sacramento, CA)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines… more
- Humana (Sacramento, CA)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in ... 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
- Humana (Sacramento, CA)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management + Utilization management experience in ... care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may... managed care industry including Medicare Advantage and Managed Medicaid products, or other Medical management … more
- CenterWell (Sacramento, CA)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilizationmanagement experience in a medical ... toadaptand the courage to innovate. **Additional Information** Will report to the Director of Physician Strategy at Utilization Management . The Medical … more