• Director Medical Staff Services

    Dignity Health (Merced, CA)
    **Job Summary and Responsibilities** Ensures a high quality medical staff by thoroughly investigating and verifying the credentials of all applicants to the ... medical staff including Allied Health Professionals. Ensures a high...of time agreed upon by supervisor. Licensure: Certified Provider Credentialing Specialist (CPCS) achieved within one (1) year of… more
    Dignity Health (12/18/25)
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  • Medical Director - IP Claims Management

    Humana (Sacramento, CA)
    …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicare Advantage, and Medicaid requirements… more
    Humana (12/11/25)
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  • Medical Director-Payment Integrity

    Humana (Sacramento, CA)
    …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more
    Humana (12/11/25)
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  • OneHome - Medical Director - Part Time

    Humana (Sacramento, CA)
    …a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided… more
    Humana (11/27/25)
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  • Medical Director - Nat'l IP UM Team

    Humana (Sacramento, CA)
    …Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and… more
    Humana (11/15/25)
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  • Account Specialist, AI

    AbbVie (Covina, CA)
    …medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's ... networking, client services, and a thorough understanding of institutional and medical practices. Responsibilities: + Advances hospital and specialty customers along… more
    AbbVie (12/17/25)
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  • Director Medical Staff Services

    Dignity Health (Woodland, CA)
    **Job Summary and Responsibilities** Ensures a high quality medical staff by thoroughly investigating and verifying the credentials of all applicants to the ... medical staff including Allied Health Professionals + Evaluates the...combination of education and experience. **Licensure:** + Certified Provider Credentialing Specialist (CPCS) achieved within one (1) year of… more
    Dignity Health (12/13/25)
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  • Neonatologist - Torrance Memorial Medical

    Cedars-Sinai (Torrance, CA)
    …3. Unrestricted California license as Physician. 4. Ability to meet eligibility and credentialing requirements of Torrance Memorial Medical Center Medical ... **Job Description** Torrance Memorial Medical Center in Torrance, CA is seeking a...Will provide education to physicians, nurses, and other ancillary medical personnel. _This position will be on an Independent… more
    Cedars-Sinai (01/02/26)
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  • Neonatologist - Providence Saint Joseph…

    Cedars-Sinai (Los Angeles, CA)
    …Unrestricted California license as Physician. 4. Ability to meet eligibility and credentialing requirements of Providence Saint Joseph Medical Center Medical ... **Job Description** Providence Saint Joseph Medical Center in Burbank, CA is seeking a...Will provide education to physicians, nurses, and other ancillary medical personnel. _This position will be on an Independent… more
    Cedars-Sinai (01/02/26)
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  • Medical Director - Pharmacy Appeals

    Humana (Sacramento, CA)
    …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D ... & B). The Medical director work assignments involve moderately complex to complex...Federal or State Governmental organizations, and able to pass credentialing requirements + Excellent verbal and written communication skills… more
    Humana (12/03/25)
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