- Cardinal Health (Sacramento, CA)
- …systems, pharmacies, ambulatory surgery centers, clinical laboratories and physician offices worldwide. The company provides clinically-proven medical products ... We are seeking a highly skilled and business-savvy cybersecurity professional to lead and support all cybersecurity aspects of Mergers & Acquisitions (M&A)… more
- The County of Los Angeles (Los Angeles, CA)
- …pertaining to Medicare and Medi-Cal reimbursement. + Analyzes cases for referral to the physician advisor to ensure that the admission or continued stay is being ... criteria and standards; serves as the liaison with the physician advisor for the referral of unusual...so may result in an incomplete application and may lead to disqualification. We will send notifications to the… more
- AbbVie (Irvine, CA)
- …a trusted advisor and single point of leadership engagement. + Lead strategic collaboration across Market Access, APEX, Compliance, Legal, and other internal ... Executives to drive superior engagement, growth, and partnership with physician groups, alliances, and ASCs. The Director serves as...key decision makers and positioning AbbVie as a trusted advisor to C-suite leaders and key opinion leaders. This… more
- Sharp HealthCare (San Diego, CA)
- …POS/PPO) services, and oversees the health care needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its' Chief ... physicians (Medical Directors (both medical and behavioral health) and the Physician Reviewers) to coordinate the necessary co-management of our members related… more
- Dignity Health (Bakersfield, CA)
- …Health strategy and Value Based Care goals. - Serves as clinical advisor and leader in interactions with health plans, employers, and network participating ... staff and leadership to ensure alignment and address concerns. Operations - Lead clinical strategy and initiatives in partnership with the National PHSO, interacting… more
- Sutter Health (Los Altos, CA)
- …Strategy has overall responsibility for growth, delivery system and physician development initiatives related directly to growth-oriented strategic initiatives, ... service line strategic planning and business development, physician network development and strategy, and strategic partnerships within the Sutter Health Silicon… more
- Sedgwick (West Hills, CA)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan....physician and employer. + Refers cases to team lead and clinical case management for additional review when… more
- Sedgwick (West Hills, CA)
- …external support and arranges referrals to vendors for services such as physician advisor reviews, surveillance, independent medical evaluations, and functional ... on received documentation, or recommends denial to the team lead in alignment with the disability plan.** **Carefully reviews...physician and employer.** **Escalates cases to the team lead or clinical case management for further review when… more
- CommonSpirit Health (Rancho Cordova, CA)
- **Job Summary and Responsibilities** **Location - This position will support the Physician Enterprise in the National office so you can reside anywhere in the ... Delivery Consulting, this role serves as a strategic partner and trusted advisor to regional and market leaders. The consultant will design, implement, and… more
- Sedgwick (West Hills, CA)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... routine disability claims or makes a recommendation to team lead to deny claims based on the disability plan....work with or without job accommodations via the claimant's physician and employer. + Refers cases as appropriate to… more