• Medical Director- Medicare and Medicaid

    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
    Elevance Health (07/18/25)
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  • Community Engagement & Growth Specialist (Hesperia…

    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
    Molina Healthcare (07/23/25)
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  • Senior Physician Specialist - All Specialties

    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
    City and County of San Francisco (05/21/25)
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  • Lead Release Train Engineer

    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
    Humana (08/08/25)
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  • CDI Physician Advisor

    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 (08/02/25)
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  • Clinical Documentation Integrity (CDI) Physician…

    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
    Sutter Health (07/26/25)
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  • Physician Specialist - All Specialties

    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
    City and County of San Francisco (05/21/25)
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