- American Water (Sacramento, CA)
- …business partner providing advice for California and Hawaii ensuring coordination of rates and regulatory strategy with state operations, functional groups ... diverse pipeline of talent to enable long-term high performance of the rates and regulatory function. Oversees complex rate and regulatory proceedings for… more
- Ventura County (Ventura, CA)
- Medical Director , Ventura County Health Care Plan Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4924113) Apply Medical Director , Ventura ... Click here (http://tiny.cc/6vwi001) to view the Brochure for Medical Director , Ventura County Health Care Plan What We Offer...Plan, VCHCP is required to be compliant with all regulatory requirements of any other large insurance plan. The… more
- Humana (Sacramento, CA)
- …and overseeing audit activities to ensure compliance with internal policies, regulatory requirements, and industry standards. The Director Internal Audit ... part of our caring community and help us put health first** The Director , Internal Audit develops, plans and evaluates internal audit programs for the organization's… more
- CenterWell (Sacramento, CA)
- …our caring community and help us put health first** The National Medical Director for Home-Based Care Programs is a key clinical leadership position responsible for ... and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy Advancement and… more
- Coast Guard Community Services Command (Alameda, CA)
- …2025 Work Schedule: Temp FT (30-40 hrs/wk) NTE 1 Year Position: CDC Assistant Director Salary: Negotiable Who May Apply: All Sources Location: Alameda, CA - Child ... Development Center DUTIES : This position serves as the assistant director of a US Coast Guard Child Development (CDC) and assists the director as the focal… more
- Datavant (Sacramento, CA)
- …experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the ... suite. + Define multi-year plans aligned to customer outcomes, regulatory drivers, and market trends in risk adjustment, care...risk score impact, and concurrent coding capture and correction rates . + Establish and track KPIs that measure both… more
- Datavant (Sacramento, CA)
- …experiences to realize our bold vision for healthcare. **Role Summary:** The ** Director of Internal Audit** will design, implement, and oversee Datavant's legal and ... audit standards. Reporting to the Chief Compliance and Privacy Officer, the Director of Internal Audit will evaluate the effectiveness of internal controls, risk… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Sacramento, CA)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national… more
- PSI Services (Sacramento, CA)
- **Description** **Title:** Sr. Director , Federal Program Management **Location:** Remote-US **Salary:** $175K / annually + STIP **About PSI** Join Us at PSI - Where ... why we've benchmarked all our roles against local market rates and why you'll always see salary details in...aligns with your expectations. **About the Role** The Senior Director , Federal Program Management is a critical leadership role… more
- CenterWell (San Diego, CA)
- …of our caring community and help us put health first** The **Branch Director ** is accountable for managing the day-to-day branch operations to ensure the following: ... operational efficiencies, quality of patient care, regulatory compliance, support of business development & patient base growth, achievement of key performance… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Associate Director of Enterprise Print Management will report to the Director of Enterprise ... requests, ensuring consistent execution against organizational standards. The Associate Director will foster strong relationships across internal and external… more
- Baylor Scott & White Health (Sacramento, CA)
- …implementing policies, procedures and performance metrics to improve appeal success rates , ensure regulatory compliance and optimize reimbursement outcomes. Will ... **Job Summary** The Director , Denial Resource Center is responsible for the...Strong understanding of payer denial codes, appeal strategies and regulatory frameworks. + Familiarity with RAC audit processes preferred… more
- Mixlab (Los Angeles, CA)
- Mixlab is seeking a mission-driven and operationally-minded Regional Director of Pharmacy Operations to oversee pharmacy operations across multiple sites and ensure ... best-in-class care for pets and their parents. The Regional Director of Pharmacy Operations will partner closely with senior...Site Script and revenue goal: 100% + On-time delivery rates : 92%+ for standard and expedited shipping. + Monitor… more
- Humana (Sacramento, CA)
- …satisfaction, engagement, and business value. We're looking for a customer-obsessed, results-driven Director of Product Design to lead the evolution of our digital ... focused on solving customer needs while enabling strategic and operational goals. As Director of Product Design, you'll lead a team of product designers while… 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
- Robert Half-Robert Half Corporate (San Diego County, CA)
- **JOB REQUISITION** Talent Director (Management Resources) **LOCATION** CA LA JOLLA **JOB DESCRIPTION** **Job Summary** **Robert Half** is looking for professionals ... to join our Full-Time Engagement Professional **Talent Director ** team. As a **Talent Director and core revenue driver** in the Finance & Accounting Practice,… more
- The County of Los Angeles (Los Angeles, CA)
- ASSISTANT NURSING DIRECTOR , ADMINISTRATION (INFECTION PREVENTION & CONTROL) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2853902) Apply ... ASSISTANT NURSING DIRECTOR , ADMINISTRATION (INFECTION PREVENTION & CONTROL) Salary $154,559.04 -...control. + Monitors operational compliance with licensure, accreditation and regulatory standards, and recommends changes as needed. + Plans,… more