- 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
- 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
- City and County of San Francisco (San Francisco, CA)
- …Operations/Facilities), IT, HR, BHS Managed Care (eg, Office of Coordinated Care, Quality Management , Utilization Management , Regulatory Affairs). Core ... Francisco Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in… 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 (Carmichael, CA)
- …the resident population . + Provide oversight of the community medication management program to promote resident safety in the medication use process including ... NAME** Sunrise of Carmichael **Job ID** 2025-232068 **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
- UCLA Health (Los Angeles, CA)
- …members. + Ensure seamless integration of various clinical functions with Utilization Management , such as Case Management , Quality Improvement, ... Description We are seeking a highly skilled and dynamic Director of Clinical Services to lead the development, evaluation, and implementation of multiple clinical… more
- Stanford University (Stanford, CA)
- …and decision support tools. + Reporting of core institutional metrics, such as population headcounts and degree completions. The Director of IR oversees ... Director of IR achieves the mission and goals of the group through the management of six institutional research analysts. The Director of IR reports to the… more