- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Sacramento, CA)
- …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 diverse scope and complexity...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Associate Director , Compliance ensures compliance with governmental requirements. The Associate ... Director , Compliance requires a solid understanding of how organization capabilities...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing ... home health, SNF, DME, dual Medicare /Medicaid and Waiver requests. The Medical Director ...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. All… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... requires an in-depth evaluation of variable factors. **Description** The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- MetroLink (Los Angeles, CA)
- Assistant Director , Public Affairs (Limited Term) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/5029155) Apply Assistant Director , Public ... + Description + Benefits + Questions SUMMARY PURPOSE OF POSITION The Assistant Director , Public Affairs, plays a pivotal role in developing and executing strategic… more
- Genesis Healthcare (Elk Grove, CA)
- …utilization, and patient identification is overseen by a licensed therapist. 17. Assists Director of Rehab in ensuring practice act compliance . 18. Attends ... in Action professional development program. Responsibilities The Assistant or In-Training (IT) Director of Rehab is responsible for assisting the Director of… more
- Sutter Health (Palo Alto, CA)
- …**Organization:** PAMF-Palo Alto Medical Foundation PAD **Position Overview:** The Senior Director plays an essential role in Sutter Health's ability to successfully ... achieve its ambitious donor engagement and fundraising goals. The Senior Director brings expertise in developing and executing effective, multichannel philanthropy… more