- Humana (Sacramento, CA)
- …role, you will be a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with ... The Director , Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations training medical director … more
- Humana (Sacramento, CA)
- …management + Utilization management experience in a medical management review organization, such as Medicare Advantage and managed Medicaid + ... quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Evolent (Sacramento, CA)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... cases. you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- Evolent (Sacramento, CA)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
- The County of Los Angeles (Los Angeles, CA)
- …the following: + Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT ... the work of staff, and evaluating employee performance. For this examination, Utilization Review is defined as provides technical and administrative direction… more
- Humana (Sacramento, CA)
- …. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in… more
- Evolent (Sacramento, CA)
- …initiatives. **What You Will Be Doing:** + Responsible for oversight of utilization management (UM)/care management (CM) correspondence development, internal ... to adeptly negotiate internally and externally around interpretation and application of utilization review law, accreditation standards and policy. + Ensures… more
- Ross Stores, Inc. (Dublin, CA)
- …contracts, identifies embedded leases and applies proper accounting treatment for management utilization in decision making process\. * Drive cross\-functional ... opportunities and development for our teams\. **GENERAL PURPOSE:** The Director of Accounting \- Lease and Asset Management...but not limited to account reconciliations and trial balance review , and Identity and Access management compliance… more
- The County of Los Angeles (Los Angeles, CA)
- …BOARD RELATIONS, HEALTH SERVICES ( DIRECTOR , GOVERNMENTAL RELATIONS) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4203260) Apply MANAGER, ... BOARD RELATIONS, HEALTH SERVICES ( DIRECTOR , GOVERNMENTAL RELATIONS) Salary $141,907.20 - $220,694.40 Annually Location Los Angeles County, CA Job Type Full time Job… more
- Humana (Sacramento, CA)
- …management + Utilization management experience in a medical management review organization such as Medicare Advantage, managed Medicaid, or Commercial ... community and help us put health first** The Medical Director relies on broad clinical expertise to review...with prior experience participating in teams focusing on quality management , utilization management , or similar… more