- Dignity Health (Bakersfield, CA)
- …shared goals. Responsibilities include: - Collaborate with the Chief Medical Officer, Managed Care and executive leadership to develop, implement, and oversee ... Leadership to ensure consistent physician/APP interactions and experience with all internal Managed Care operations such as enrollment, claims operations and… more
- Fresenius Medical Center (Inglewood, CA)
- …POS, etc) in the state of California. Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate ... financial effect, cost benefit and utilization. + Negotiates contractual relationships with managed care organizations and other third party payors as needed.… more
- Dignity Health (Bakersfield, CA)
- …Customer Service, and Clinical Oversight functions. + Oversee and manage the medical director capacity to support Managed Care Services and approve ... Responsibilities** This role is the key clinical leader for Managed Care Services within the Population Health...This leader will have direct oversight of the Medical Director of Utilization Management (UM) and the Medical … more
- UCLA Health (Venice, CA)
- …the other 65%. The Chief Medical Officer directly supervises the Associate Medical Directors, the Director , Managed Care & Care Coordination, the ... Clinic is a leader in providing comprehensive, high-quality health care to people in need. The organization has more...productivity of the clinical staff and the quality of care delivered by staff and volunteer medical clinicians. +… more
- Ventura County (Ventura, CA)
- …the current principles and techniques of diagnosis and treatment + Experience with managed care + Experience and current knowledge of Quality Assurance, ... Medical Director , Ventura County Health Care Plan...of Medicine and includes the following: + Experience with managed care + Experience and current knowledge… more
- LA Care Health Plan (Los Angeles, CA)
- …At least 5 years minimum working directly within a health plan or managed care organization; experience in Medicaid or government-sponsored health insurance ... Senior Director , Enterprise Portfolio Management Office Job Category: Management/Executive...$232,100.00 (Mid.) - $292,274.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- Alameda Health System (Oakland, CA)
- …Title 22 and other regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case Management functions. + ... Director , Inpatient System Care Management +... Director , Inpatient System Care Management + Oakland, CA + Highland General...hiring! Under the direction of the Vice President of Care Management, the Director of Inpatient System… more
- Humana (Sacramento, CA)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- Sharp HealthCare (San Diego, CA)
- …a system that gives feedback to providers individually and collectively regarding managed care effectiveness of individual providers and networks. + Assists ... business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp...plans to address issues and improve plan and network managed care performance. + Collaborates with Chief… more
- Stanford Health Care (Palo Alto, CA)
- …to create a comprehensive marketing database that drives performance insights ( managed by Director , Performance Reporting) while upholding compliance with ... Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** Directs and leads the strategic development and implementation… more