• Medical Director - OP Claims

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
    Humana (11/24/25)
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  • PCO Medical Director - UM - Full…

    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...is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description… 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 ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and… more
    Humana (10/25/25)
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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 ... resides within a commutable distance from an office._ The ** Director II, Digital Claims Operations **...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
    Elevance Health (10/10/25)
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  • Director Claims

    Ryder System (Sacramento, CA)
    …and senior management on all claims issues. + Primary backup for the Senior Director assisting with all aspects of the operations + Leads and directs ... clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Director Claims directs activities within the General and… 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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  • Executive Director , Medical Affairs…

    Otsuka America Pharmaceutical Inc. (Sacramento, CA)
    …with Otsuka's vision, direction, and growth strategy. The Executive Director , Medical Affairs Strategy, Excellence & Operations will lead five critical ... As a senior leader within Medical Affairs, the Executive Director will...application in order to communicate about a legitimate job opportunity . Scammers may also send offers or claims more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Director , Strategic Planning…

    Otsuka America Pharmaceutical Inc. (Sacramento, CA)
    …vision throughout the asset lifecycle. This role reports directly into the Executive Director , Medical Excellence and Operations . **Job Description** **Key ... to each therapeutic area **Budget Management** + Oversee budgets for global medical operations initiatives + Ensure cost-effective utilization of resources while… more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Education and Training Specialist - Claims

    Providence (Mission Hills, CA)
    **Description** Working under the general supervision of the Claims Director , provide an effective education program to advance the quality and production level ... valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused,...of acquired in-depth technical knowledge of functional area ie, claims operations , + HMO products, industry … more
    Providence (11/11/25)
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  • Associate Director of Outpatient…

    Horizon Services, Inc. (Hayward, CA)
    JOB TITLE: Associate Director of Outpatient & Prevention Program Operations LOCATION: Administration - Hayward CA Employment Type: Full-Time (Salary) POSITION ... where our collective experiences enrich each other's growth. The Associate Director of Outpatient & Prevention Programs (ADOPPO) position is instrumental in… more
    Horizon Services, Inc. (10/28/25)
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