- Sumitomo Pharma (Sacramento, CA)
- …event coding, concomitant medication coding, and causality statements. + Contributes to Risk Management Plans (RMPs)/ Risk Evaluation and Mitigation Strategy ... in oncology is highly desired + **Advanced understanding of pharmacovigilance and risk management regulations and guidelines, including pre- and post-marketing… more
- Datavant (Sacramento, CA)
- …to realize our bold vision for healthcare . **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the ... to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement....8+ years of product management experience in healthcare , including ownership of clinical, risk adjustment,… more
- Datavant (Sacramento, CA)
- …a diversity of professional, educational and life experiences to realize our bold vision for healthcare . The Director of Client Success will report to the VP of ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...delivery perspective working closely with Client Success Managers. The Director of Client Success will communicate regularly with customer… more
- US Bank (Irvine, CA)
- …discover what you excel at-all from Day One. **Job Description** The Business Banking Risk Director will partner with Senior to Executive Leaders in Consumer and ... the successful creation, implementation, and maintenance of an effective risk management framework. They will be accountable...may vary based on role, location or hours): + Healthcare (medical, dental, vision) + Basic term and optional… more
- Sharp HealthCare (San Diego, CA)
- …+ Oversees A/G and UM reviews of all clinical reviewers. + Participates in risk management reviews. + Assists in pharmacy utilization management , ... position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp Health… more
- Grant Thornton (Los Angeles, CA)
- …limited to co-sourced and outsourced internal audit, internal control assessments, enterprise risk management program assessments, tests of control design and ... As a Healthcare Process Risk Senior Associate, you...the design and operating effectiveness of enterprise or operational risk management programs, and/or entity-level and business… more
- Sharp HealthCare (San Diego, CA)
- …management , and concurrent and retrospective rev1ew process. + Participates in risk management , pharmacy utilization management , catastrophic case review, ... for and provides professional leadership and direction to the utilization/cost management and clinical quality management functions. Works collaboratively with… more
- Molina Healthcare (San Diego, CA)
- …experience in provider services or contract network development and management in a managed healthcare setting. **REQUIRED EXPERIENCE/KNOWLEDGE, ... network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance with… more
- Kyndryl (Sacramento, CA)
- …in contact center environments. + Excellent communication, presentation, and stakeholder management skills with C-Level. + Healthcare industry experience is ... leading healthcare -focused journey redesign from eligibility verification to care management . + Align contact center transformation with healthcare business… more
- WTW (Los Angeles, CA)
- **Description** As a Health and Benefits Financial/Actuarial Director , you will serve as the financial lead for large, complex client assignments. You'll leverage ... plan design and innovative financial solutions. You will apply your financial management and data analytics expertise to solve complex client problems and to… more