• Director , Physician Leadership - Medical…

    Humana (Sacramento, CA)
    …The Director , Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations training medical director ... role, you will be a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus… more
    Humana (08/21/25)
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  • Regional Field Director , RNS Program…

    United Therapeutics (Sacramento, CA)
    …is innovative and inspiring where you can truly make a difference. The Regional Field Director , RNS Program Management serves as a director of all clinical ... the commercial non-promotional team. In addition, the Regional Field Director , RNS Program Management will: + Serve...initiation of a UT product, adverse effect mitigation, device utilization , and dosing upon request + Support the Clinical… more
    United Therapeutics (08/10/25)
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  • Field Medical Director , MSK (spine)

    Evolent (Sacramento, CA)
    …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... cases. you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National … more
    Evolent (08/19/25)
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  • Field Medical Director , Cardiology

    Evolent (Sacramento, CA)
    …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National … more
    Evolent (08/15/25)
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  • Behavioral Health Medical Director…

    Humana (Sacramento, CA)
    …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management + Utilization management experience in a… more
    Humana (08/09/25)
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  • Associate Director , Correspondence Project…

    Evolent (Sacramento, CA)
    …initiatives. **What You Will Be Doing:** + Responsible for oversight of utilization management (UM)/care management (CM) correspondence development, internal ... for the mission. Stay for the culture. **What You'll Be Doing:** **Associate Director , Correspondence Project and Program Management ** This position serves a key… more
    Evolent (08/14/25)
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  • Director , Accounting Lease and Asset…

    Ross Stores, Inc. (Dublin, CA)
    …contracts, identifies embedded leases and applies proper accounting treatment for management utilization in decision making process\. * Drive cross\-functional ... with continuous learning opportunities and development for our teams\. **GENERAL PURPOSE:** The Director of Accounting \- Lease and Asset Management is primarily… more
    Ross Stores, Inc. (06/26/25)
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  • Medical Director - NorthEast Region

    Humana (Sacramento, CA)
    … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (07/25/25)
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  • Associate Director , Digital Quality…

    BeOne Medicines (San Mateo, CA)
    **General Description:** The Associate Director , Digital Quality Management Systems (QMS) Operations and User Experience, is responsible for ensuring the ... streamlining processes, and delivering comprehensive support and training. The Associate Director works closely with business users, IT teams, and quality… more
    BeOne Medicines (06/14/25)
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  • Assistant Nursing Director , Administration

    The County of Los Angeles (Los Angeles, CA)
    …used to fill a vacancy in Department of Health Services, Harbor-UCLA Medical Center, Utilization Management Division. May also be used to fill other vacancies ... + Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT INFORMATION:… more
    The County of Los Angeles (07/19/25)
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