- Sharp HealthCare (San Diego, CA)
- …per year of supplies/services with categories of medium-to-high complexity and risk , and will provide strategic decision-support and recommendations to clinical and ... maximize and ensure the value of supplier performance at Sharp HealthCare . Delivers clinical improvement, cost savings, operational efficiencies, and/or added value… more
- Sharp HealthCare (San Diego, CA)
- …of an enterprise HDFS environment that will provide long-term support to Sharp HealthCare advanced analytics. Must have the ability to follow and/or develop a ... functional specifications into efficient and effective code development.Assists technical management in setting code standards to ensure efficient processing.Develops… more
- HCA Healthcare (San Jose, CA)
- …on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny ... an exciting time to be a nurse at HCA Healthcare ! Come unlock your career potential and see how...inpatients and community. + You will collaborate with nursing management and the Education Department to develop and implement… more
- WTW (San Francisco, CA)
- **Description** As a Healthcare Financial/Actuarial Lead Associate you will contribute to a wide variety of complex analyses and projects involving the design, ... your health and benefits business acumen as well as your financial, project management and communication skills by working on cutting edge projects alongside leaders… more
- Sharp HealthCare (San Diego, CA)
- …for risk stratification, pharmacy budgeting, contracts and formulary management decisions across Sharp HealthCare .Evaluates, tracks and presents savings ... and external constituents; promotes system collaboration.Representing department and Sharp HealthCare in a professional and competent manner.Seeking relevant opinions… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …system and treatment methods, with specific knowledge and skills in areas of risk management , infection control, and utilization review. + Current knowledge of ... of 144 acute psychiatric inpatient beds. Santa Rosa Behavioral Healthcare Hospital (SRBHH) is regarded as an integral part...met in a timely manner. + Acts to minimize risk and ensure safety of patients and staff in… more
- WTW (Irvine, CA)
- **Description** As a Healthcare Financial/Actuarial Senior Associate you will be a key member of the Financial Actuarial & Analytics (FAA) Community of Expertise. ... a region + Provides direction on benefit plan analysis, design, cost avoidance, risk and funding strategies + Reviews technical & consulting accuracy on client… more
- Prime Healthcare (Huntington Beach, CA)
- …the Director and/or House Supervisor of unanticipated patient care events and/or risk management activities within patient care unit(s); Utilizes nursing ... by The Joint Commission, and with nearly 200 physicians and more than 400 healthcare and other professionals on staff, our team is committed to providing outstanding… 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
- 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 , ... **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp Health Plan's (SHP) physicians (Medical Directors… more