- Elevance Health (Costa Mesa, CA)
- …to their supervisors attention, any case review decisions that require + Medical Director review or policy interpretation. **Minimum Requirements:** + ... **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management** **Radiology Benefit** **Management/ Utilization ** ** Review… more
- Humana (Sacramento, CA)
- …put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with… more
- The County of Los Angeles (Los Angeles, CA)
- …BOARD RELATIONS, HEALTH SERVICES ( DIRECTOR , GOVERNMENTAL RELATIONS) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4203260) Apply MANAGER, ... BOARD RELATIONS, HEALTH SERVICES ( DIRECTOR , GOVERNMENTAL RELATIONS) Salary $141,907.20 - $220,694.40 Annually Location...hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty… more
- Elevance Health (Walnut Creek, CA)
- **Clinical Operations Associate Medical Director ** **Orthopedic Spine Surgery** **Carelon Medical Benefit Management** **Schedule: 10:30 AM-7 PM Central** ... an accommodation is granted as required by law._ The **Clinical Operations Associate Medical Director - Orthopedic Spine Surgery** is responsible for performing… more
- Evolent (Sacramento, CA)
- …Stay for the culture. **What You'll Be Doing:** Evolent is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in ... improving healthcare quality.** + **Computer proficiency** and ability to navigate electronic medical review platforms. + No current exclusions, sanctions, or… more
- BeOne Medicines (Emeryville, CA)
- …We currently have an exciting opportunity available for an experienced Senior Director , Investigator-Initiated Trials (IIT) and Expanded Access Programs in Global ... Medical Affairs. The ideal candidate will be responsible for...EAPs, Phase IV studies and create the structure for review of post-hoc analysis requests. This is a Remote-based… more
- Alameda Health System (Oakland, CA)
- …contracted vendors. + Responsible for the coordination and support of the AHS Utilization Review Committee. + Responsible for overseeing patient, physician and ... Director , Inpatient System Care Management + Oakland, CA...the collection, analysis and presentation data relevant to the utilization of healthcare resources, including but not limited to… more
- Highmark Health (Sacramento, CA)
- …NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the ... and improve the care of our members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may… more
- Merck (Sacramento, CA)
- **Job Description** **Role Summary:** The Sr. Global Director Medical Affairs (GDMA) is responsible for supporting the execution of scientific & medical ... educational or risk management) to support appropriate and safe utilization of Our Company medicines or vaccines. **Required Qualifications,...Decision Making, Empathy, Market Access, Medical Affairs, Medical Research, Medical Review , … more
- Transdev (San Francisco, CA)
- Overview: We are seeking a strategic and operationally excellent Regional Director of Fleet Operations to lead and scale autonomous vehicle (AV) fleet operations ... across California. This leader will drive efficient fleet utilization , vehicle readiness, charging infrastructure, and yard management while embedding safety and… more