- Humana (Sacramento, CA)
- …may require conflict resolution skills. The Behavioral Health Medical Director may speak with contracted external physicians, physician groups, facilities, ... our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations.… more
- Alameda Health System (San Leandro, CA)
- Medical Director , John George Psychiatric Hospital + San Leandro, CA + John George Psychiatric Hospital + Physicians JGP ER + Full Time - Day + Management + ... + FTE:1 + Posted:August 8, 2025 **Summary** **SUMMARY:** The Medical Director of John George Psychiatric Hospital...Director for John George Psychiatric Hospital by leading physician services specific to acute psychiatric care. 3. Liaison… more
- Evolent (Sacramento, CA)
- …timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a...Oncology, you will be a key member of the utilization management team. We can offer you a meaningful… more
- Evolent (Sacramento, CA)
- …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be...Surgery you will be a key member of the utilization management team. We can offer you a meaningful… more
- Evolent (Sacramento, CA)
- …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , Physical Medicine and Rehab you...Rehab you will be a key member of the utilization management team. We can offer you a meaningful… more
- Elevance Health (Walnut Creek, CA)
- **Clinical Operations Associate Medical Director ** **Orthopedic Spine Surgery** **Carelon Medical Benefit Management** **Schedule: 10:30 AM-7 PM Central** ... an accommodation is granted as required by law._ The **Clinical Operations Associate Medical Director - Orthopedic Spine Surgery** is responsible for performing… more
- Elevance Health (Costa Mesa, CA)
- …Operations Associate Medical Director ** **Carelon Medical Benefits Management** **Radiology Benefit** **Management/ Utilization ** **Review** **Virtual:** ... granted as required by law._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the...board certified specialty. + Makes physician to physician calls to gather medical appropriate information… more
- Alameda Health System (Oakland, CA)
- …AHS Utilization Review Committee. + Responsible for overseeing patient, physician and staff satisfaction based on quality outcomes and patient experience ... Director , Inpatient System Care Management + Oakland, CA...the collection, analysis and presentation data relevant to the utilization of healthcare resources, including but not limited to… more
- Highmark Health (Sacramento, CA)
- …Inc. **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in ... standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical...and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician… more
- Travelers Insurance Company (Sacramento, CA)
- … Consortiums and other medical resources as appropriate. Train and evaluate physician and non- physician medical review personnel and activities. + Stay ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical … more