- AbbVie (Irvine, CA)
- …lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For ... We deliver transformative solutions to advance evidence generation, interpretation and utilization . As the program continues to grow, we're seeking a strong… more
- Verint Systems, Inc. (Sacramento, CA)
- …enrollment processes, including obtaining and analyzing benchmark data and utilization data, identifying trends, preparing recommendations with impact assessments ... a culture of health with an emphasis on preventive care . + Monitor benefits programs to ensure compliance with...four pillars. + Responsible for all aspects of leave management , tuition reimbursement, paid time off, annual holiday schedules… more
- LA Care Health Plan (Los Angeles, CA)
- …to the Supervisor of ECM and receives clinical supervision as needed from the Medical Director of Care Management . The position is responsible for providing ... of member care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and… more
- Providence (Irvine, CA)
- …purpose of this position is to provide excellence in Human Capital Management (HCM) application planning, implementation, and support for Providence St. Joseph ... aligns with our organizational vision and objectives. + **Resource planning and utilization ** : Efficiently plan and utilize resources to meet strategic goals. +… more
- Kyndryl (Sacramento, CA)
- …industry experience is a strong plus, especially in payer/provider operations and care management workflows. **Preferred Qualifications: ** + 15+ years' ... experience in leading healthcare-focused journey redesign from eligibility verification to care management . + Align contact center transformation with healthcare… more
- Travelers Insurance Company (Sacramento, CA)
- …skills **What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical Specialties ... **Who Are We?** Taking care of our customers, our communities and each...the leading edge of the P&C industry. Develop medical management strategies that help injured employees return to work… more
- Cedars-Sinai (Beverly Hills, CA)
- …with community resources and social supports required. + 1 year of previous utilization management or managed care experience; word processing spreadsheet ... The coordinator works collaboratively with all team members of Utilization Management , Patient and Provider Services, Claims...Case Management Coordinator (Hybrid) - MNS Ambulatory Care Management **Department** : MNS Ambulatory … more
- Sharp HealthCare (San Diego, CA)
- …implements new programs under the direction of the manager of in-patient care management and the Director of Utilization Management . **Required ... .Coordinates appropriate in-patient utilization of resources to accomplish care management plan and goals.Consults with Hospitalists in a timely and… more
- Stanford Health Care (Palo Alto, CA)
- …flow of information to and from the supplier. The position reports to the Assistant Director - Category Management & Value Based Selection who is a direct report ... our exciting growth story! **This is a Stanford Health Care job.** **A Brief Overview** This position's scope of...This role will work in conjunction with the Assistant Director - Category Management & Value Based… more
- Cedars-Sinai (Beverly Hills, CA)
- …experience with community resources and social supports required. One (1) year of utilization management or managed care experience preferred. **About Us** ... review process. The coordinator works collaboratively with all team members of Utilization Management , Patient and Provider Services, Claims Department and other… more