- Humana (Sacramento, CA)
- …their medical background, experience, and judgement to make determinations whether requested services , requested level of care, and/or requested site of service ... case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation **Preferred Qualifications** + Knowledge of… more
- Sharp HealthCare (San Diego, CA)
- …Chief Medical Officer, oversees medical care for Sharp Health Plan (SHP) products and services and oversees the health care needs of the membership. Serves as a ... functions that interface with medical management such as provider relations, member services , benefits and claims management, etc. Assists (as determined by the plan… more
- The County of Los Angeles (Los Angeles, CA)
- …116,000 employees in more than 38 Departments, we provide vital public services as diverse as law enforcement, property assessment, public health protection, water ... and safety, staff efficiency, and responsiveness of lifeguarding and boat patrol services in emergencies; and coordinates with other County departments, and public… more
- Dignity Health (Oxnard, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, ... entities to deliver contractual performance standards and ensure customer service objectives are continually met. **Qualifications** **Minimum Qualifications:** +… more
- Humana (Sacramento, CA)
- …Director provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review ... The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with… more
- Envista Holdings Corporation (Brea, CA)
- …collaboration with Envista's senior business leaders, internal/external IT resources, and managed service providers to ensure scalable, secure, and efficient ... assessments, continuous improvement and innovation, and solution delivery via application managed services . **PRIMARY DUTIES & RESPONSIBILITIES:** + **Strategic… more
- CommonSpirit Health (Rancho Cordova, CA)
- …for contracting and payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented for operational ... accountability for negotiation support include hospital, physician, and ancillary services . + As applicable, ensure standardized monthly, quarterly and ad-hoc… more
- Ricoh Americas Corporation (Sacramento, CA)
- …point of contact for ensuring the seamless operation and support of RICOH managed devices across a designated geographic area. Every day presents an opportunity to ... assistance with warmth and expertise, prioritizing an exceptional customer service experience. **Roles and Responsibilities:** + Engage proactively to uphold… more
- City of Carlsbad (Carlsbad, CA)
- … services using ArcGIS Server and ArcGIS Enterprise. Include: How you managed the feature services throughout their lifecycle (from publishing to updates ... has long set the standard for high-quality local government services . At 115,000 residents, the city is home to...percent open space. The City of Carlsbad is a full- service coastal city with its own police and fire… more
- Ventura County (Ventura, CA)
- …through division managers, a comprehensive system of integrated behavioral health services , managed care operations and administrative services ; ... mission of the organization; monitors, evaluates and reports on the efficiency and service quality of contracted services and communicates these findings to the… more