• Medical Director - Claims

    Humana (Sacramento, CA)
    …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (11/01/25)
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  • PCO Medical Director - UM - Part…

    CenterWell (Sacramento, CA)
    …us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary ... The Medical Director relies on medical background and reviews health claims . The...the Director of Physician Strategy at Utilization Management . The Medical Director conducts… more
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N.…

    Humana (Sacramento, CA)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
    Humana (10/25/25)
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  • Medical Director - Nat'l UM IP (4x10…

    Humana (Sacramento, CA)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (11/07/25)
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  • Director Claims

    Ryder System (Sacramento, CA)
    …clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and ... Auto Liability Claims , Physical Damage Repairs and Property and Cargo Claims including the management of loss control activities and third-party provider… more
    Ryder System (11/22/25)
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  • Medical Director , Medicare…

    Humana (Sacramento, CA)
    …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
    Humana (11/19/25)
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  • Director II, Digital Claims

    Elevance Health (Los Angeles, CA)
    ** Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering ... considered if candidate resides within a commutable distance from an office._ The ** Director II, Digital Claims Operations** oversees a combined digital and… more
    Elevance Health (10/10/25)
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  • Senior Forensic Claims Analyst

    Fluor (Fresno, CA)
    …skills. * Required Knowledge of; analysis methodologies for complex construction projects'; claims management and support; construction contracts. * Ability to ... High-Speed Rail Authority, to provide program delivery and program management services for one of the largest planned infrastructure...general direction of the Director and Deputy Director of the PMO/forensics & Claims , this… more
    Fluor (08/30/25)
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  • Director Risk Management

    Providence (Anaheim, CA)
    …you! **The Role:** Providence Clinical Network (PCN) is seeking an experienced and collaborative Director of Medical Group Risk Management & Malpractice for ... support necessary to manage medical malpractice risk, claims , and patient safety interface functions. The Director...across LA, Orange County, and High Desert markets. + ** Claims Management & Financial Stewardship** * Oversee… more
    Providence (11/22/25)
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  • Executive Director , Medical Affairs…

    Otsuka America Pharmaceutical Inc. (Sacramento, CA)
    As a senior leader within Medical Affairs, the Executive Director will serve as a strategic thought partner and Chief of Staff to the Vice President of ... capabilities aligned with Otsuka's vision, direction, and growth strategy. The Executive Director , Medical Affairs Strategy, Excellence & Operations will lead… more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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