- Elevance Health (CA)
- …Washington Medicaid operations by providing clinical leadership and oversight across utilization management , appeals, and program innovation. This position ... and/or independently performs clinical reviews. + Typically has program management responsibilities including clinical policy development, improvement of quality,… more
- Elevance Health (Walnut Creek, CA)
- …Capabilities and Experiences:** + Child and Adolescent experience preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) experience. ... and/or independently performs clinical reviews. + Typically has program management responsibilities including clinical policy development, improvement of quality,… more
- Amergis (Orange, CA)
- …to help support a health insurance agency! The Medical Case Manager (BHI Utilization Management ) will be responsible for reviewing and processing requests for ... as those listed above may also be qualifying. Preferred Qualifications: + Utilization management reviewer experience. + Managed care experience. + Behavioral… more
- Elevance Health (CA)
- …a State agency.*_ **Preferred Skills, Capabilities and Experiences:** + 1-2 years Utilization Management experience strongly preferred. + Strong oral, written, ... performs clinical reviews. The Medical Director typically has program management responsibilities including clinical policy development, program development/implementation, and… more
- CommonSpirit Health (Rancho Cordova, CA)
- …responsibilities leading up to or including supervisory role + Experience in Utilization Management , Case Management or Care Coordination, Managed ... assessment to prioritize patient transfers based on urgency of patient's condition, utilization of available beds. + Communicate effectively with hospital staff to… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …of pediatric rehabilitation clinical experience and knowledge of managed care, utilization management , healthcare continuum planning, and performance improvement ... of care for the Rehab population related to clinical, finance, or resource utilization components. Acts as an advocate for the patient and caregiver by collaborating… more
- Amazon (East Palo Alto, CA)
- …to process massive data, scale machine learning models while optimizing GPU utilization , memory management , and the training workflows (like kernel fusion, ... to support multi-modal foundation models for autonomous retailing. Optimize GPU utilization for efficient model training and fine-tuning on massive datasets. -… more
- Sharp HealthCare (San Diego, CA)
- …determinations for those requests that meet medical necessity criteria, appropriate utilization management and Sharp Health Plan criteria.For requests that ... issues as and directs daily workload to achieve efficiency and maximize resource utilization as business needs require; Attends and participates in staff meetings or… more
- Celonis (Redwood City, CA)
- …optimization (eg, instance right-sizing, auto-scaling strategies, storage tiering, lifecycle management ). + ** Utilization & Optimization Drive:** Lead and ... to join us. **About the job** Celonis is the global leader in execution management and process mining technology, and one of the 50 most valuable private companies… more
- Sevita (Roseville, CA)
- …strategy to manage census, maintain occupancy, improve daily attendance, and/or maximize utilization + Financial Management + When applicable, approve purchase ... day. Join us today, and experience a career well lived. **$68,640.00** **Program Management - Program Director IDD Services Host Home** Are you an experienced QIDP… more