- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
- Humana (Sacramento, CA)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Sacramento, CA)
- …the Medicare Line of Business. **Additional Information** Typically reports to Lead or Corporate Medical Director , depending on size of region or line of ... caring community and help us put health first** The Medical Director actively uses their medical...reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and … more
- Humana (Sacramento, CA)
- …adapt and the courage to innovate **Additional Information** Typically reports to a Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...group practice management. + Utilization management experience in a medical management review organization, such as Medicare … more
- Centene Corporation (Sacramento, CA)
- …regulatory, state, corporate , and accreditation requirements. + Assists the Chief Medical Director in the functioning of the physician committees including ... + Managed Care and Medi-Cal experience, preferred **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management,… more
- J&J Family of Companies (Santa Clara, CA)
- …to interface cross-functionally across Commercial, Market Access, Sales, Clinical, Legal, and Medical Affairs teams. The Director will play a pivotal role ... Johnson is currently seeking the best talent for a ** Director of Health Economics and Field Reimbursement - Shockwave**...process, and a legacy of strategy development within the medical device market. The role will also incorporate communication… more
- Grifols Shared Services North America, Inc (Lancaster, CA)
- …and services in more than 110 countries and regions. The Associate Director , Value Access Marketing & Reimbursement is responsible for developing and executing ... access customer segment . Support reimbursement, coding, and coverage-related responsibilities for Medicare Part B, Centers for Medicare and Medicaid (CMS)… more
- Humana (Sacramento, CA)
- …caring community and help us put health first** The Associate Director ; Software Renewals establishes and implements hardware and software acquisition, protection, ... procedures that are aligned with IT standards and strategy. The Associate Director ; Software Renewals requires a solid understanding of how organization capabilities… more
- Banner Health (CA)
- …Banner Health the best place to work and receive care. Banner - University Medical Center Phoenix has been recognized on the Becker's Hospital Review 2025 "Great ... part of your Total Rewards package. Within Banner Health Corporate , you will have the opportunity to apply your...to achieve objectives such as Annual Initiatives, Centers for Medicare and Medicaid Services (CMS) and The Joint Commission… more
- Providence (Irvine, CA)
- …HIPAA and EMTALA. + Draft and review physician agreements, including medical director agreements, on-call agreements, and professional services agreements. ... the future? Join Providence St. Joseph Health as our Corporate Counsel and become a key player in shaping...401(k) Savings Plan with employer matching, health care benefits ( medical , dental, vision), life insurance, disability insurance, time off… more
- Humana (Sacramento, CA)
- …caring community and help us put health first** **Clinical Business Lead, Humana Medicare Advantage** As Regional Clinical Business Lead, you serve as a key member ... clinical strategy, performance monitoring, and continuous quality improvement within the Medicare Advantage program to support improving the health of members. The… more
- Dignity Health (Santa Maria, CA)
- …support the branch's business plan. This position will work with the Director , Business Development; Regional Vice President, Market Development; or Vice President, ... Sales and branch Director , Operations to develop and execute specific strategies and...and procedures of the organization. 2. Adheres to the Corporate Compliance Program, including confidentiality of HIPAA health protected… more
- Humana (Sacramento, CA)
- …clinical strategy, performance monitoring, and continuous quality improvement within the Medicare Advantage program to support improving the health of members. The ... the Regional Vice President of Health Services (RVP) and Health Services Director (HSD) . This position focuses on enabling connections with providers, supporting… more
- Cedars-Sinai (Beverly Hills, CA)
- …Express) no later than date of discharge. + Communicates regularly with CSMPN Medical Director , Employee Health Services, Risk Management, and TPA + Attends ... 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded...grievances and appeals in accordance with contractual requirements and corporate policy. + Begins discharge planning and care assessment… more