- Sharp HealthCare (San Diego, CA)
- …responsible for the medical direction of Authorization Review for Sharp Health Plan (SHP). The Physician Reviewer will perform all reasonably ... **Facility:** Health Plan **City** San Diego **Department** **Job Status**...$143.880 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The… more
- Sharp HealthCare (San Diego, CA)
- …claims, and practice management systems. + Requires up to 15% travel among Sharp Health Plan facilities, physician offices, hospitals, service ancillary ... **What You Will Do** Serves as a primary liaison between healthcare providers and the Sharp Health Plan to engage, educate, and serve the needs of the Plan's… more
- Sharp HealthCare (San Diego, CA)
- …for identifying Potential Quality Issues. + Supervises Physician Reviewer (s) and Medical Directors including Behavioral Health Medical Directors.Shares ... This Senior Medical Director position provides critical management and oversight for Sharp Health Plan's (SHP) physicians (Medical Directors (both medical and… more
- Sharp HealthCare (San Diego, CA)
- …Maximum):** $30.370 - $37.950 - $42.510 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay ... teams. **What You Will Do** The purpose of this job is to expand Sharp Specialty Pharmacy Services by offering services to all qualifying patients and to increase… more
- Sharp HealthCare (San Diego, CA)
- …data for SSPS QA pharmacist. + Medication adjudicationWorks collaboratively with the Sharp Health Plan pharmacy benefits manager (PBM) to ensure appropriate ... adjudication of medications that are authorized by Sharp Health Plan.Monitors the PBM adjudication system and identifies discrepancies.Communicates prior… more
- Sharp HealthCare (San Diego, CA)
- …**What You Will Do** Working with the Chief Medical Officer, oversees medical care for Sharp Health Plan (SHP) products and services and oversees the health ... **Facility:** Health Plan **City** San Diego **Department** **Job Status**...the process for identifying Potential Quality Issues. + Supervises Physician Reviewer (s) + Shares after-hours coverage responsibilities… more
- Sharp HealthCare (Coronado, CA)
- …Maximum):** $85.700 - $110.580 - $123.840 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay ... that supports the mission, values and philosophy of Pharmacy Services and Sharp HealthCare. **Required Qualifications** + Other : Education pursuant to licensure… more
- Sharp HealthCare (La Mesa, CA)
- …are not members of the ratified Bargaining Unit or External candidates to Sharp . **This position is eligible for the following hiring incentives:** + **$5,000 ... Referrals** **The following are not eligible for hiring incentives:** + Current Sharp employees + Rehires/Reinstates that are rejoining the organization less than 12… more
- Sharp HealthCare (San Diego, CA)
- **Facility:** Sharp Memorial Hospital **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** ... reflects the range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations… more
- Sharp HealthCare (La Mesa, CA)
- …reflects the range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations ... of California/Union of Health Care Professionals, NUHHCE, AFSME, AFL-CIO. Placement within the...of care for each patient/family in collaboration with the physician , social worker and all members of the interdisciplinary… more