- Centene Corporation (Sacramento, CA)
- …management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality ... review of complex, controversial, or experimental medical services, ensuring timely and quality decision making. +...by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA… more
- Elevance Health (Los Angeles, CA)
- ** Medical Director-PSCCR** Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... employment, unless an accommodation is granted as required by law. The ** Medical Director-PSCCR** is responsible for the administration of physical and/or behavioral… more
- Humana (Sacramento, CA)
- …management, provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present ... health topics to the clinical operations team and healthcare organization. The Medical Director's work includes computer based review of moderately complex… more
- UCLA Fielding School of Public Health (Los Angeles, CA)
- Chief of General Surgery, UCLA West Valley Medical Center, UCLA Department of Surgery Apply now to Chief of General Surgery, UCLA West Valley Medical Center, ... Application Window Open date: February 5, 2025 Most recent review date: Monday, Jul 21, 2025 at 11:59pm (Pacific...Position description Chief of General Surgery, UCLA West Valley Medical Center, UCLA Department of Surgery The Department of… more
- The County of Los Angeles (Los Angeles, CA)
- …range of professional accounting and auditing work in the preparation, analysis, review , maintenance, reconciliation and control of financial records and fiscal ... grants for review . + Performs routine audits of the financial records of grant operated agencies, business firms, charitable and nonprofit organizations, other… more
- Cardinal Health (Sacramento, CA)
- Cardinal Health's Global Medical Products and Distribution ("GMPD") segment, focuses on US and International Products and Distribution businesses. We offer industry ... expertise and an expanding portfolio of safe, effective medical products that improve quality, manage costs and reduce complexity. With our trusted regulatory… more
- Elevance Health (Costa Mesa, CA)
- **Clinical Operations Associate Medical Director** **Carelon Medical Benefits Management** **Radiology Benefit Management/Utilization Review ** _A proud ... medical necessity decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy… more
- Humana (Sacramento, CA)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to ... complex clinical scenarios, review of all submitted clinical records , prioritization of daily work, communication of decisions to internal associates, and… more
- Humana (Sacramento, CA)
- …will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to ... complex clinical scenarios, review of all submitted clinical records , prioritization of daily work, communication of decisions to internal associates, and… more
- Elevance Health (Los Angeles, CA)
- …and external physicians. + Applies clinical knowledge and skills to utilization review processes. + Adheres to medical policies and clinical guidelines. ... **Behavioral Health Medical Director- Child Psychiatrist** Location: This role enables...or territory of the United States when conducting utilization review or an appeals consideration and cannot be located… more