- Genesis Healthcare (Elk Grove, CA)
- …of Rehab with conducting or coordinating the timely completion of the annual merit review for therapy staff. 6. Assists in management of therapy staff. 7. Assists in ... daily staffing and utilization in cooperation with input from treating therapists, consideration...of the highest standard of rehabilitation services through appropriate utilization of resources, the promotion of clinical programs, and… more
- Humana (Sacramento, CA)
- …Delivery Systems, health insurance, or clinical group practice management + Utilization management experience in a medical management review organization ... us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments… more
- Humana (Sacramento, CA)
- …health insurance, other healthcare providers, clinical group practice management + Utilization management experience in a medical management review organization, ... provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present educational… more
- Sharp HealthCare (La Mesa, CA)
- …required within 90 days of hire. **Essential Functions** + Verification and review of medication ordersReviews all medication orders for appropriate dose, duration, ... protocols and consultation with the interdisciplinary team.-Completion of a daily profile review for each patient consisting of the following elements:* Age, sex,… more
- Dignity Health (Bakersfield, CA)
- …to senior leadership. - Analyzes network performance, including cost, quality, and utilization data to identify trends, opportunities, and areas for improvement. - ... health plan negotiations. - Coordinate the implementation of contracts including review of fee sets, division of financial responsibilities, and provider… more
- Sevita (Hayward, CA)
- …funds and property; assure security and accuracy; audit, monitor, and review individual's financial accounts + Implement proactive strategies to reduce or ... safety concerns and limit the potential for continued concern or incident; review all incidents and direct appropriate response; ensure timely incident reporting +… more
- Fujifilm (Sacramento, CA)
- …identifying activities, sponsorships, and equipment needed to ensure success. + Review and consideration of event participation levels and requirements, involving ... key stakeholders as needed, and share with review committee for consideration. + Timely, proactive sharing and...data monitoring, analysis, summary, and report generation for sales utilization of Showpad materials and platform, including areas of… more
- The County of Los Angeles (Los Angeles, CA)
- …solicitations and contracts are developed pursuant to best practices. Review contracting opportunities with applicability to Community-Based Organizations (CBOs), ... and advertisements are provided and facilitate opportunities for competition. Review Department solicitation practices to provide strategic recommendations and… more
- Datavant (Sacramento, CA)
- …benchmarking, goal setting, timely execution, and superior leadership. + Strong utilization of SalesForce to include monitoring and documenting member information. + ... Understanding and utilization of P&Ls to assist in reducing cost while...protected status. To learn more about our commitment, please review our EEO Commitment Statement here (https://www.datavant.com/eeo-commitment-statement) . Know… more
- AON (Los Angeles, CA)
- …client service for assigned book of business including billing, policy collection, review and transmittal in accordance with established service standards. + Liaise ... recognize when more information is needed to make a decision. + Drive utilization of available technology, portals and resources. + Demonstrate ability with all… more