- Humana (Sacramento, CA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
- Humana (Sacramento, CA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
- CenterWell (Sacramento, CA)
- …a part of our caring community and help us put health first** **National** ** Director of Transitional Care and High-Risk Patient Management ** The Director ... Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as… more
- CVS Health (Sacramento, CA)
- …Position Summary Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Pain Management ) that can be remote based, work from home. This ... be remote based anywhere in the US. The Medical Director (Pain Management ) will be a Subject...members and providers. You will lead all aspects of utilization review/quality assurance, directing case management . In… more
- Humana (Sacramento, CA)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Sacramento Municipal Utility District (Sacramento, CA)
- Title: Director , Customer Experience Planning and Integration Department: Customer & Community Services Location: Sacramento, CA, US, 95817-1899 Category: Customer ... **Posting Type:** Open Customer and Community Services (CCS) is seeking a director to provide leadership for the Customer Experience (CX) Planning & Integration… more
- CenterWell (Sacramento, CA)
- …under the PCO's Chief Medical Officer. This role reports to the National Director , High Risk Patient Management . Responsibilities will include: + Lead ... community and help us put health first** The National Director , Clinical Pharmacy is a strategic pharmacy leader responsible...care, high quality health outcomes, and improved cost and utilization in pharmacy-related care, and serve as a national… more
- Humana (Sacramento, CA)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health insurance ... and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims...reviews health claims and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity… more
- Envista Holdings Corporation (Sacramento, CA)
- …marketing to achieve the company objectives of sales growth, profitability, product utilization , and customer loyalty. The Sr. Director of Marketing will ... **Job Description:** **JOB SUMMARY** : The **Ormco** **Sr. Director of Marketing** will be responsible for developing and executing a clearly defined marketing… more
- Marriott (Sacramento, CA)
- …States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** Marriott has an exciting opportunity for a ... Director , Database Analytics and Architecture - Corporate Systems. This...+ 8+ years of experience in data strategy, data management , data preparation supporting Oracle on premise or cloud… more
- CBRE (Sacramento, CA)
- Quality & Compliance Director (Facilities) - Remote Job ID 170283 Posted 11-Jun-2024 Service line GWS Segment Role type Full-time Areas of Interest Facilities ... Management Location(s) Minneapolis - Minnesota - United States of...and approval. Monitors appropriate staffing levels and reports on utilization and deployment of human resources. Leads and supports… more
- CVS Health (Sacramento, CA)
- …consistent responses to members and providers. In addition you will oversee utilization review/quality assurance, directing case management In this role you'll ... **This is a remote based (work from home) role.** In the Medical Director role you will provide oversight for medical policy implementation. You'll participate in… more
- Wolters Kluwer (Sacramento, CA)
- …units - Clinical Surveillance & Compliance ("CSC") and Health Language ("HL"). As Director Strategy CSCD Partnerships and Business Development you will play a key ... this will include establishment of KPIs related to expected performance including utilization , penetration of target markets and others, as appropriate to the… more
- Acxiom (Sacramento, CA)
- Acxiom is searching for a Sr. Director , Analytics Practice Lead to run both analytics strategy and delivery. *This role can be located almost anywhere in the US What ... + 15+ years of experience in analytics or strategy with an advertising agency, management consulting company, or ad tech company + Ability to lead a team of… more
- Verint Systems, Inc. (Sacramento, CA)
- …enrollment processes, including obtaining and analyzing benchmark data and utilization data, identifying trends, preparing recommendations with impact assessments ... covering the four pillars. + Responsible for all aspects of leave management , 401(k), tuition reimbursement, paid time off, annual holiday schedules and worker's… more
- Dignity Health (Woodland, CA)
- …Empowers staff to create structures and processes that assures cost effective and safe utilization of drug supplies and pharmacy staff time. + Leads and creates the ... limited to new services/programs revenue enhancement expense reduction managed care utilization systems and inpatient and ambulatory strategies for pharmacy care +… more
- Sunrun (Sacramento, CA)
- …that the individual branches focus on Safety, Quality, Productivity, Capacity Utilization , Customer Service, and Profitability + Identify and Drive "Best Practices" ... is required. + Excellent skills in complex analytic problem solving, project management , change management , & group process. Must exhibit efficiency,… more
- Marriott (Sacramento, CA)
- …**Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** Marriott's Security Engineering team is seeking an ... guide/mentor the security experts on this front. + Provide recommendations to management team to increase effectiveness of organization and technology solutions. +… more
- Evolent Health (Sacramento, CA)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... Reviewer you will be a key member of the utilization management team. We can offer you...On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall… more
- Highmark Health (Sacramento, CA)
- …account, and member educational initiatives that promote the Organization's Formularies, utilization management programs, and case/ disease management ... Therapeutics Committee review. + Assist in the development and implementation of utilization management programs including but not limited to: prior… more