- 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
- 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
- Actalent (Sacramento, CA)
- Utilization Review Nurse (LVN) - InpatientPrimary Responsibilities + Perform timely utilization reviews for Medicare inpatient admissions, continued stays, ... CMS regulations and evidence-based criteria (MCG, InterQual) to evaluate medical necessity. + Collaborate with hospital teams, providers, IPA...ICU). + At least 1 year of experience in utilization review , case management, or hospital discharge… more
- Stantec (Roseville, CA)
- …to enhance our reputation and drive revenue. + Establish an effective Go/No Go Review process with Principals and tracks compliance of Go/No Go Process + Partners ... maintained and monitor to optimize business development plans and employee utilization rates + Ensure local marketplace reputation through established relationships… more
- Transdev (San Francisco, CA)
- …operations across California. This leader will drive efficient fleet utilization , vehicle readiness, charging infrastructure, and yard management while embedding ... Holidays: 6 days * Other standard benefits: 401(k) retirement plan, medical , dental and vision, life insurance, short-termdisability, voluntary long-term disability.… more
- Fresenius Medical Center (Rancho Cucamonga, CA)
- …address barriers to quality improvement. This includes promoting the adoption and utilization of Corporate Medical Advisory Board Recommended Algorithms and ... Remote role with up to 60% travel **PURPOSE AND SCOPE:** Develops, implements, maintains and...quality improvement tools and electronic applications. + Performs desk review of facility Quality Assessment and Performance Improvement (QAPI)… more
- Ventura County (Ventura, CA)
- …that establish, expand, and maintain the pool of eligible service providers. + Utilization review : + Uses professional skills in quality management activities ... - $80,267.20 Annually Location and may be required to travel throughout Ventura County, CA Job Type Full-Time Regular...such as utilization review , monitoring and evaluation procedures, and… more
- Highmark Health (Sacramento, CA)
- …The Senior Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal ... insights and guidance to internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and Case Management (CM) processes… more
- Humana (Sacramento, CA)
- …Medicare and Medicaid LOB - Medicare Clinical Criteria Review (MCCR), Utilization Management Committee (UMC), Medical Coverage Policy Adoption (MCPA) + ... and maintain medical coverage policies utilizing an evidence based medicine review process. **Location:** work at home anywhere Humana is seeking a Senior… more
- Teleflex (Los Angeles, CA)
- …Aug 12, 2025 **Location:** Los Angeles, CA, US **Company:** Teleflex **Expected Travel ** : More than 50% **Requisition ID** :12404 **About Teleflex Incorporated** As ... a global provider of medical technologies, Teleflex is driven by our purpose to...an ongoing responsibility and administrative duties include expense report review to assure compliance with company policies and regular… more