- Ankura (Los Angeles, CA)
- …to complex litigation, enforcement, and regulatory challenges. Role Overview The Senior Director will support the Healthcare Payer team within Ankura's Disputes ... investigations, and/or litigation/dispute matters generally focused on Medicare and Commercial Risk Adjustment. The Senior Director will also support practice… 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 ... industry conversations on emerging regulations and best practices related to prospective risk capture and concurrent review. **Compliance & Quality :** + Partner… more
- Sumitomo Pharma (Sacramento, CA)
- …highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will provide hands-on PVRM ... including signal detection, signal validation, signal escalation, development of risk mitigation strategies and authoring of signal evaluation reports according… 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
- Sharp HealthCare (San Diego, CA)
- …+ Responsible and accountable for implementing the Utilization/Cost Management Program and Quality Improvement Program, in conjunction with the Director of PHM/ ... Medical Management and Quality Improvement Director . + Oversees and mentors Medical Directors and Physician...UM reviews of all clinical reviewers. + Participates in risk management reviews. + Assists in pharmacy utilization management,… more
- HCA Healthcare (Thousand Oaks, CA)
- …months of hire. + Three to five years healthcare experience in patient safety, risk , and/or quality ( Healthcare experience should be recent and within a ... while giving to the community. We are seeking distinguished applicants for our Director of Patient Safety opening. Help HCA Healthcare create healthier tomorrows… more
- Grant Thornton (Los Angeles, CA)
- As a Healthcare Process Risk Senior Associate, you will get the opportunity to grow and contribute to our clients' business needs by helping them understand ... their business risks and assist in addressing risk in both proactive and responsive contexts for...ideal candidate will have exceptional expertise and experience in healthcare providers, specifically hospitals, academic medical centers, and … more
- Providence (Burbank, CA)
- **Description** **The Role:** As the Executive Director of Quality for our South Division, you will be a pivotal figure within our Ministry and Regional ... you'll establish strong connections between clinical and operational leadership, overseeing quality , performance improvement, analytics, risk and patient safety,… more
- Sharp HealthCare (San Diego, CA)
- …leadership and direction to the utilization/cost management and clinical quality management functions. Works collaboratively with other plan functions that ... plan Chief Medical Officer) in short and long range program planning, total quality management ( quality improvement), and external relationships. Works with all… more
- Dignity Health (Los Angeles, CA)
- … Management can be used in lieu of state license. + Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management ... exceed 10% of salary for this position.** As our Director of Quality and Patient Safety at...Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within… more