- Humana (Sacramento, CA)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health insurance ... and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review... Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical… more
- Liberty Healthcare Corporation (Redwood City, CA)
- …finance, quality assurance and operations teams + Participating in peer review , utilization management , incident reporting, performance improvement, ... trauma-informed and rooted in the recovery model. As Clinical Director , your role will involve both management ...Clinical Director , your role will involve both management and direct patient care responsibilities, including: + Helping… more
- Harris & Associates (Sacramento, CA)
- …delivery, negotiation, and problem-solving. + Conduct labor and revenue forecasting, review timesheets, and approve internal project management processes. ... The Director /Vice President leads complex public and private vertical...and brand. + Drive performance metrics, including revenue, profit/loss, utilization , and client satisfaction. + Provide strategic and day-to-day… more
- CBRE (Sacramento, CA)
- …action and termination. Effectively recommends same for direct reports to next level management for review and approval. Plans and monitors appropriate staffing ... Business Intelligence Director Job ID 229566 Posted 29-Jul-2025 Service line...type Full-time Areas of Interest Data & Analytics, Facilities Management Location(s) Remote - US - Remote - US… more
- BeOne Medicines (Emeryville, CA)
- …currently have an exciting opportunity available for an experienced Senior Director , Investigator-Initiated Trials (IIT) and Expanded Access Programs in Global ... Affairs. The ideal candidate will be responsible for effective strategic management of all aspects of investigator-initiated studies, Expanded Access Programs, and… more
- Evolent (Sacramento, CA)
- …critical role in **Performance Suite risk arrangements with payers and strategic utilization management initiatives.** This is an opportunity for a ... developing cardiovascular programs that include improvements to clinical effectiveness of utilization management (UM) and risk-based models.** + Process… more
- Vail Resorts (CA)
- …is filled (whichever is first). **Jo** **b Summary:** The Senior Director of Strategic Mountain Planning is responsible for leading long-range, multi-disciplinary ... related to terrain expansion, lift infrastructure, skier circulation, capacity management , and guest experience. Working cross-functionally with operations, finance,… more
- Highmark Health (Sacramento, CA)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... and DOL regulations at all times. In addition to utilization review , the incumbent participates as the...member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- Grant Thornton (San Diego, CA)
- …including performance reviews, task delegation, project scheduling, project financials, quality review and client management + Use network of business ... As a Process Risk Director , you will get the opportunity to grow...you achieve more, confidently. Your day-to-day may include: + Review processes and internal controls across multiple risk domains… more
- Merck (Sacramento, CA)
- …headquarters submission (ex-USA). + Manages programs (patient support, educational or risk management ) to support appropriate and safe utilization of Our Company ... **Job Description** **Role Summary:** The Sr. Global Director Medical Affairs (GDMA) is responsible for supporting the execution of scientific & medical affairs… more