- Stanford Health Care (Palo Alto, CA)
- …work experience. **Required Knowledge, Skills and Abilities** + Ability to contribute to health care policy formulation when working in partnership with a ... operational direction for assigned areas of responsibility. + Ability to contribute to health care policy formulation when working in partnership with a… more
- Stanford Health Care (Palo Alto, CA)
- …experience preferred. **Required Knowledge, Skills and Abilities** + Ability to contribute to health care policy formulation when working in partnership with a ... operational direction for assigned areas of responsibility. + Ability to contribute to health care policy formulation when working in partnership with a… more
- Banner Health (Susanville, CA)
- …certain facilities and/or departments in accordance with state scope of practice, regulatory requirements or facility/ department policy . Banner Registry and ... a drug-free work environment. **Privacy Policy :** Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy) EOE/Female/Minority/Disability/Veterans Banner Health supports a… more
- Highmark Health (Sacramento, CA)
- …and investigative purposes to comply with internal audit and regulatory requirements. **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and ... to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for completing all necessary field (externally)… more
- Humana (Sacramento, CA)
- …care management, provider relations, quality of care, audit, grievance and appeal and policy review. The Behavioral Health Medical Director will develop and ... part of our caring community and help us put health first** The Behavioral Health Medical Director...be authorized. All work occurs within a context of regulatory compliance and work is assisted by diverse resources… more
- The County of Los Angeles (Los Angeles, CA)
- CLINICAL NURSING DIRECTOR II, CORRECTIONAL HEALTH Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2372686) Apply CLINICAL NURSING DIRECTOR II, ... CORRECTIONAL HEALTH Salary $176,297.52 - $274,178.64 Annually Location Los Angeles...in assigned areas of responsibility by making and interpreting policy in the name of the chief nursing officer.… more
- Highmark Health (Sacramento, CA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job works collaboratively riskacross Highmark Health clinical areas to support clinical ... routine and non-routine audits of clinical information, assessing medical policy adherence and consistency in decision-making, identifying non-compliance issues, and… more
- Highmark Health (Sacramento, CA)
- …serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively identifying, assessing, and ... mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and...and investigations + 3 - 5 years in the Health Insurance Industry + 3 - 5 years the… more
- Sutter Health (Berkeley, CA)
- We are so glad you are interested in joining Sutter Health ! **Organization:** HVI-Comprehensive Cancer Center **Position Overview:** Provides timely and accurate ... and dispenses medication, IV admixture and solutions according to Sutter Health policies, state/ federal regulations, and The Joint Commission standards. Assists… more
- Elevance Health (Los Angeles, CA)
- **_CarelonRx_** , a proud member of the Elevance Health family of companies, leverages the power of new technologies and a strong, clinical-first lens to deliver ... Pharmacy Clinical Operations** **Location:** May be located in any Elevance Health PulsePoint office, preferably in Indianapolis, IN; Atlanta, GA; Mason, OH;… more