- Elevance Health (Costa Mesa, CA)
- **Medical Director- Medicare and Medicaid ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... responsible for utilization review case management for Medicare and Medicaid in the California market while also assisting in...discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May… more
- Molina Healthcare (Muscoy, CA)
- …Health Interpreter, Public Health Aide, Connector, Sales, Marketing, Insurance Agent, Insurance Consultant , etc This role is community/ external facing and is in ... "choice" rate. Works collaboratively with other key departments to increase Medicaid assignment percentage for Molina. + Responsible for achieving monthly,… more
- City and County of San Francisco (San Francisco, CA)
- …and substance use treatment services. Duties Include + Experienced Specialist Representative/ Consultant of the specialty program or service including, but not ... cases, and institutes treatments as appropriate; serves as a consultant to physician specialists on difficult and complex cases....Board of California* AND + Possession of valid Board Certification in the appropriate medical specialty area for the… more
- Humana (Sacramento, CA)
- …that provides the required knowledge, skills, and abilities + Scaled Agile (SAFe) certification (s): RTE and/or Safe Program Consultant (SPC0 + Advanced knowledge ... Azure DevOps or JIRA Align + Advanced Scrum Master certification like CSP-SM, A-CSM, or PSM III + Agile...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Sutter Health (Emeryville, CA)
- …needs of patient's and alternative levels of care. The PA acts as consultant to and resource for attending physicians regarding their decisions relative to ... Description** : **EDUCATION:** Doctorate: Graduate of an accredited medical school ** CERTIFICATION & LICENSURE:** MD-Doctor of Medicine OR DO-Doctor of Osteopathy… more
- Sutter Health (San Francisco, CA)
- …needs of patient's and alternative levels of care. The PA acts as consultant to and resource for attending physicians regarding their decisions relative to ... : **EDUCATION:** + Doctorate: Graduate of an accredited medical school ** CERTIFICATION & LICENSURE:** + MD-Doctor of Medicine OR DO-Doctor of Osteopathy… more
- City and County of San Francisco (San Francisco, CA)
- …complex cases, and institutes treatments as appropriate. May serve as a consultant to other physicians, including specialists in other fields. + Surgical specialist ... cancellation of an employment offer: + Be eligible to participate in Medicare, Medicaid and/or other federal health care programs; + Possess a National Provider… more