• Corporate Director…

    Prime Healthcare (Ontario, CA)
    …Responsibilities The Corporate Director of Clinical ... to individual and Company performance. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/172723/ corporate - director -of- clinical - utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime… more
    Prime Healthcare (04/17/25)
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  • Regional Medical Director - SCMG Admin…

    Sharp HealthCare (San Diego, CA)
    …medical directors on utilization function. + Identifies physicians whose utilization and/or clinical practices are aberrant and recommends and participates ... **Facility:** Corporate Offices **City** San Diego **Department** **Job Status**...of private practice physicians. **Required Qualifications** + 5 Years clinical practice experience. + California Physicians and Surgeons License… more
    Sharp HealthCare (04/17/25)
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  • Corporate Medical Director…

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us 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...represents Humana at Administrative Law Judge hearings; exercises independent clinical judgment and decision making on complex issues regarding… more
    Humana (04/24/25)
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  • Medical Director - Medicare Grievances…

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of...+ Excellent communication skills + 5 years of established clinical experience + Knowledge of the managed care industry… more
    Humana (05/14/25)
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  • Senior Director Clinical Trials…

    e CancerCare (Fresno, CA)
    Purpose: The Director , Clinical Trials & Research, for CCARE Physicians, PC, is responsible and accountable for the daily operations and management of staff, of ... in the department. Promote clinical excellence through applied clinical knowledge, leadership, team recommendations and research utilization . Ensure… more
    e CancerCare (05/16/25)
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  • Medical Director - Pacific SW Region

    Humana (Sacramento, CA)
    …hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management experience ... a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
    Humana (05/10/25)
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  • Medical Director - Care Plus - Florida

    Humana (Sacramento, CA)
    …hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management experience ... a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
    Humana (04/24/25)
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  • Remote Medical Director - California

    Centene Corporation (Sacramento, CA)
    …and utilization management programs in accordance with regulatory, state, corporate , and accreditation requirements. + Assists the Chief Medical Director ... Assists in the development and implementation of physician education with respect to clinical issues and policies. + Identifies utilization review studies and… more
    Centene Corporation (04/09/25)
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  • Field Medical Director , UM Physical…

    Evolent (Sacramento, CA)
    …for a Field Medical Director to be a member of the Evolent clinical team. As a collaborative member of a team of clinicians, physicians, pharmacists, health ... outreach programs, + Assists with execution of Evolent Health's benchmarked Utilization /Cost Management Program and relevant Clinical Quality Improvement… more
    Evolent (05/13/25)
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  • Director , Marketing

    Envista Holdings Corporation (Brea, CA)
    …program development inclusive of product introduction, upsell/cross-sell opportunities, education and utilization . The Director must have a proven track record ... to help lead and contribute to our success. The Director of Marketing at Ormco will be responsible for...achieve the company objectives of sales growth, profitability, product utilization , and customer loyalty. The successful candidate will lead… more
    Envista Holdings Corporation (04/23/25)
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