- Centene Corporation (Sacramento, CA)
- …the Chief Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions for the business unit. + ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a...performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals… more
- Sharp HealthCare (San Diego, CA)
- … functions. Works collaboratively with other plan functions that interface with medical management such as provider relations, member services, benefits and ... claims management , etc. Assists (as determined by... claims management , etc. Assists (as...in a managed care environment, preferably as an HMO Medical Director . + California Physicians and Surgeons… more
- Humana (Sacramento, CA)
- …put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with… more
- Sedgwick (Sacramento, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. VP Medical Director **PRIMARY PURPOSE** **:** To evaluate medical reports ... service requirements and assure efficient, cost effective, quality program delivery for medical and disability management . + Coordinating and evaluating the… more
- Alameda Health System (Oakland, CA)
- Director , Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + ... paid time off plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational… more
- Humana (Sacramento, CA)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- University of Southern California (Los Angeles, CA)
- …will include plan administration, oversight of operations and strategy of wellness and medical management programs, manage health plan member services and in ... Associate Director , Health PlansApply (https://usc.wd5.myworkdayjobs.com/ExternalUSCCareers/job/Los-Angeles-CA University-Park-Campus/Associate- Director --Health-Plans\_REQ20160798/apply) Keck… more
- Genesis Healthcare (Elk Grove, CA)
- …or In-Training (IT) Director of Rehab is responsible for assisting the Director of Rehab in the efficient management of rehabilitation services in his/her ... place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time and Part-Time...rehabilitation services in all settings. The Assistant or IT Director of Rehab supports the delivery of the highest… more
- Ross Stores, Inc. (Dublin, CA)
- …Other rewards vary by position and location\. **ESSENTIAL FUNCTIONS:** * Claims management : Deliver effective, business\-focused agency charge, attorney demand ... with continuous learning opportunities and development for our teams\. **GENERAL PURPOSE:** This Director level attorney position will work on the Ross Legal team as… more
- Oura (San Francisco, CA)
- …York) occasionally gather informally at local co-working locations. The AGC, Senior Director of Regulatory Compliance & Privacy will provide strategic legal guidance ... this role will be responsible for advising on regulatory risk, marketing claims , product labeling, corporate compliance initiatives, and will oversee the privacy… more