- Elevance Health (Los Angeles, CA)
- …experience providing health care is required. + Additional experience may be required by State contracts or regulations if the Medical Director is filing a role ... **Behavioral Health Medical** ** Director -Psychiatrist** **Appeals** **Location:** This role enables associates to...programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor… more
- Kelly Services (South San Francisco, CA)
- **Kelly(R) Science & Clinical ** is seeking a Medical Director of Pharmacovigilance for a fulltime, Direct Hire role with a pharmaceutical client based in the San ... in your career, trust **The Experts at Hiring Experts.** **Position:** Director , Pharmacovigilance **Operations Location:** Remote **Department:** Clinical R&D… more
- CVS Health (Sacramento, CA)
- …delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. This Medical Director provides subject matter expertise ... Medical Director role include support of the appeal process, clinical claim review process, pre-certification, and predetermination of covered benefits in the… more
- Humana (Sacramento, CA)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- Humana (Sacramento, CA)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests received by members ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- Wellpath (Woodland, CA)
- …or clinical settings. **Key Responsibilities** + The Multi-Site Medical Director / Physician provides clinical oversight to the multiple facility's ... are an Affirmative Action Employer in accordance with applicable state and local laws. Quick Apply (https://careers-wellpath.icims.com/jobs/181587/multi-site-medical- director … more
- Evolent (Sacramento, CA)
- …Medical Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical license in medicine or required specialty + Obtaining and maintaining ... make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a...Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional… more
- Cedars-Sinai (Los Angeles, CA)
- …**What will you be doing:** The Associate Director , Social Work is a Licensed Clinical Social Worker in the state of California and works with the Executive ... values of the organization. Maintains working knowledge of all applicable state and federal regulations, organizational policies, and national standards of practice.… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …care that is personal, convenient and empowering. Our scientists will work with clinical experts to take laboratory discoveries and create treatments that are a ... **It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Executive Director , IS Programs & Strategy is a leadership role responsible for… more
- Elevance Health (Walnut Creek, CA)
- …of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role ... **Behavioral Health Medical Director - Child Psychiatrist** Location: This role enables associates...**How you will make an impact:** + Conducts peer-to-peer clinical reviews with attending physicians or other providers to… more