- Wolters Kluwer (Sacramento, CA)
- …including: + Conducting regular account review meetings and reviewing account utilization management reporting to provide recommendations + Overseeing contract ... front lines of clinical care. Our talented team of physician editors, technologists, and product visionaries collaborate to provide...+ Closely managing the deal through closure and keeping management informed of any risks or delays + Retaining… more
- CommonSpirit Health (Rancho Cordova, CA)
- …within multiple markets in a region. Oversees the centralized functions of Utilization Management Services, including but not limited to medical necessity ... reviews and denials management . Oversees Clinical Care Coordination functions within the facilities in the multiple assigned markets including but not limited to… more
- Cedars-Sinai (Santa Monica, CA)
- …and clinical (based on scope of practice) support activities including facilities management , patient billing, utilization management , quality management ... team lead for the Medical Assistants in the office. This position supports the physician and clinical staff in the delivery of health care by performing a variety… more
- UCLA Health (Los Angeles, CA)
- …informatics results and provide sophisticated metrics and analytics to support management 's decision-making processes. + Provide operational analysis and calculate ... physician productivity; produce the PSRA Summary Report. + Produce...leakage, KPI metrics, new patient lag days, exam room utilization , and financial and operational trends. + Assist in… more
- GE HealthCare (CA)
- …and pharmacy partners).** Understand and leverage the value of providing referring physician education and office-based resources and how this impacts referrals into ... commercial talents to execute on Zone Go-to-market strategy; drive performance management within the team, providing a regular operating mechanism of feedback,… more
- Veterans Affairs, Veterans Health Administration (Eureka, CA)
- …and co- management of appropriate patients with ophthalmologists and other physician subspecialists as outlined by the specific care coordination agreements of ... Optometry is the healthcare profession that specializes in the diagnosis and nonsurgical management of disorders of the eye, ocular adnexa, and visual system. Duties… more
- Stanford Health Care (Menlo Park, CA)
- …and construction projects-from consultant selection, budget development, scope management , and stakeholder coordination to infection control planning, furnishings, ... qualifications include 7 years of relevant industry experience; 3 years of people management experience is a plus. If you are ready to lead transformative projects… more
- Stanford Health Care (Menlo Park, CA)
- …teams, operational partners, and senior leadership, demonstrating strong program management expertise with a focus on delivering actionable, strategic solutions ... qualifications include 7 years of relevant industry experience; 3 years of people management experience is a plus. If you are ready to lead transformative projects… more
- Sedgwick (Orange, CA)
- …lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization ... college or university preferred. **Experience** Four (4) years of claims management experience or equivalent combination of education and experience required.… more
- Sedgwick (Sacramento, CA)
- …lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization ... college or university preferred. **Experience** Four (4) years of claims management experience or equivalent combination of education and experience required.… more