- Highmark Health (Sacramento, CA)
- …drug utilization reports, and write drug monographs for Committee review to develop the Organization's Drug formulary and/OR provide recommendations for NDC ... dose and duration edits, quantity limits, step-care edits, generic sampling medical policy review and development, member facing outreach initiatives… more
- Cedars-Sinai (Beverly Hills, CA)
- **Job Description** The Case Management Coordinator provides support to the utilization review process. The coordinator works collaboratively with all team ... and communication skills and the ability to interact with Medical Directors, Providers, CSMNS members, Medical Group...Processes Extensions and Denial Letters, when needed. + Prepares Utilization Review Reports as needed. + Assists… more
- Cedars-Sinai (Beverly Hills, CA)
- …You Will be Doing** The Case Management Coordinator provides support to the utilization review process. The coordinator works collaboratively with all team ... 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded...Processes Extensions and Denial Letters, when needed. + Prepares Utilization Review Reports as necessary. + Assists… more
- Novo Nordisk (San Diego, CA)
- About the Department The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk is one of the most diverse and collaborative groups within the ... and developing and implementing regulatory strategies with the FDA to providing medical education and collecting data to support efficacy and new product… more
- Alameda Health System (San Leandro, CA)
- …staff, visitors, and volunteers. 8. Assures that the facility complies with all utilization review and case management requirements of Alameda County, AHS, and ... Medical Director, John George Psychiatric Hospital + San...+ FTE:1 + Posted:August 8, 2025 **Summary** **SUMMARY:** The Medical Director of John George Psychiatric Hospital is responsible… more
- Humana (Sacramento, CA)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health ... health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical … more
- Cedars-Sinai (Beverly Hills, CA)
- …demographics and insurance information. + Greets patients, take appropriate vital signs, review current medications and record in medical record + Coordinates, ... Job Responsibilities** As a member of the patient care team, the Medical Assistant is responsible for positive patient relations, proper telephone communication,… more
- Merck (Sacramento, CA)
- …Trial Planning, Communication, Decision Making, Empathy, Market Access, Medical Affairs, Medical Research, Medical Review , Medical Writing, Patient ... **Job Description** **Role Summary:** The Sr. Global Director Medical Affairs (GDMA) is responsible for supporting the execution of scientific & medical affairs… more
- Cedars-Sinai (Santa Monica, CA)
- **Job Description** **Cedars-Sinai Medical Center has been ranked the #1 hospital in California and #2 hospital in the nation by US News & World Report, 2022‑23** ... Little More About What You Will be Doing The Medical Assistant, Lead functions as a clinical team lead...standard work. This position also assists with providing a review of clinical and administrative skills, assessing the workflow… more
- Cedars-Sinai (Beverly Hills, CA)
- …**Job Duties and Responsibilities:** + Greets patients, take appropriate vital signs, review current medications and record in medical record + Coordinates, ... **Job Description** **Join Cedars-Sinai!** **Cedars-Sinai Medical Center has been ranked the #1 hospital in California and #2 hospital in the nation by US** **News**… more