- Humana (Sacramento, CA)
- …a focus on collaborative business relationships, value-based care, quality metrics, population health, and disease or care management . The Behavioral Health ... help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or...skills, with prior experience participating in teams focusing on quality management , utilization management , case… more
- Humana (Sacramento, CA)
- …analytic and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... a focus on collaborative business relationships, value based care, population health, or disease or care management ....size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Sharp HealthCare (San Diego, CA)
- …and accountable for implementing the Utilization/Cost Management Program and Quality Improvement Program, in conjunction with the Director of PHM/ ... the continuum of care foundation for our NCQA required population health management program. Additionally, this position...Medical Management and Quality Improvement Director . + Oversees and mentors Medical Directors and Physician… more
- Humana (Sacramento, CA)
- …analytic and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... a focus on collaborative business relationships, value based care, population health, or disease or care management ....size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Humana (Sacramento, CA)
- …support quality care delivery and system-wide performance The Clinical Director will contribute to the design and operationalization of the region's clinical ... care industry, either provider or payer. + Strong understanding of value-based care, population health, and quality metrics (eg, Stars, HEDIS, MRA). +… more
- Ventura County (Ventura, CA)
- …with the Health Care Agency Director and Insurance Administrator, Utilization Management staff and Quality Assurance Staff. + Participates, as a member ... dollar budget. In accordance with the National Committee on Quality Assurance (NCQA), the Medical Director , Ventura...Participates in Plan inter-rater reviews. + Promotes Health Equity, Population Health Management , and quality … more
- Humana (Sacramento, CA)
- …analytic and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Sunrise Senior Living (Westlake Village, CA)
- …the resident population . + Provide oversight of the community medication management program to promote resident safety in the medication use process including ... to be a part of.** **Job ID** 2025-231531 **JOB OVERVIEW** The Resident Care Director (RCD) serves as the nursing clinical leader for the community and is… more
- Dignity Health (Bakersfield, CA)
- …and geographies and will lead the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is dedicated to ... but will be expected to work PST business hours.** **Position Summary:** The Director of Analytics oversees and strategizes the data analytics needs of the… more
- CVS Health (Sacramento, CA)
- …practice) Experience in managed care, care management , utilization management , quality management , or population health MD or DO degree, Board ... and well-being of our members at the individual and population health levels. The Medical Director provides...the latest clinical research, trends, and technologies relevant to population health management . + Support innovation by… more