• Senior Medical Director - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    …to accrediting and regulatory agency feedback. + Supports pre-admission review, utilization management , and concurrent and retrospective review Process. Performs ... risk management reviews. + Assists in pharmacy utilization management , catastrophic case review, outreach programs,...CMO CPTAC and Peer Review Committees. + Partners with Senior Management including CMO and COO to… more
    Sharp HealthCare (07/19/25)
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  • Senior Social Worker- Active…

    Veterans Affairs, Veterans Health Administration (Fresno, CA)
    …https://youtube.com/embed/enRhz\_ua\_UU Total Rewards of a Allied Health Professional Duties: -Active Management of Pain Senior Social Worker will practice the ... team members to develop and implement an integrated pain management approach that maximizes the utilization of...of the degree can be made by going to http://www.cswe.org/ Accreditation to verify that the social work degree meets… more
    Veterans Affairs, Veterans Health Administration (08/02/25)
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  • Medical Director, Ventura County Health Care Plan

    Ventura County (Ventura, CA)
    …medical policy with the Health Care Agency Director and Insurance Administrator, Utilization Management staff and Quality Assurance Staff. + Participates, as ... a member of the Senior Management Team, in developing goals, plans...procedures, referrals, tests, medication approvals requiring authorization.) + Develops utilization management standards and guidelines for approval… more
    Ventura County (08/04/25)
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  • Medical Director - Sharp Health Plan - Hybrid…

    Sharp HealthCare (San Diego, CA)
    …to accrediting and regulatory agency feedback. + Supports pre-admission review, utilization management , and concurrent and retrospective rev1ew process. + ... Participates in risk management , pharmacy utilization management , catastrophic...the ability to interface effectively with employees, members, physicians, senior management , and the public at large.… more
    Sharp HealthCare (05/18/25)
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  • Predictive Data Analyst / Emergency Appointment…

    The County of Los Angeles (Los Angeles, CA)
    …predictive and prescriptive analytics, to support data-driven program design and management ; and produces dashboards, reports, and other advanced data visualization ... to larger, more complex projects overseen by a Data Scientist or Senior Data Scientist. Predictive Data Analyst is distinguished from the higher-level Data… more
    The County of Los Angeles (07/16/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Sacramento, CA)
    …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to… more
    Evolent (07/30/25)
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  • Chief Medical Officer

    HCA Healthcare (Riverside, CA)
    …will assemble regional physician advisory panels to provide ongoing feedback to HCA senior management , and serves as a liaison between committees and ... review/ management + You will consult with facility-level staff regarding delegated utilization management and disease management operations under managed… more
    HCA Healthcare (06/21/25)
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  • Field Medical Director-Vascular Surgery

    Evolent (Sacramento, CA)
    …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... Director 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 (08/03/25)
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  • Field Medical Director, MSK (Spine) Surgery

    Evolent (Sacramento, CA)
    …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... 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 (07/02/25)
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  • Field Medical Director, Cardiology

    Evolent (Sacramento, CA)
    …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... Director 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 (07/02/25)
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