- Insmed Incorporated (San Francisco, CA)
- …and issue/problem solving.Provide medical and scientific support to payers, commercial managed markets, and related health care organizations to facilitate ... objective, scientific and evidence-based medical information, and education to health care customers within managed markets/healthcare/payor systems, in addition… more
- Stanford Health Care (Palo Alto, CA)
- …discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key ... of Health Care Access and Information (HCAI) In addition, the Director of Reimbursement oversees the organization's responses to government audits and inquiries,… more
- Stanford Health Care (Palo Alto, CA)
- …to create a comprehensive marketing database that drives performance insights ( managed by Director , Performance Reporting) while upholding compliance with ... Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** Directs and leads the strategic development and implementation… more
- Crane Aerospace & Electronics (Burbank, CA)
- …of your career with Crane Aerospace & Electronics!** **Job Summary:** The Director of Supply Chain is accountable and responsible for developing and implementing ... implement and manage alternate material replenishment methods (consignment, kanban, vendor managed ) that increase turns year over year while supporting 100% customer… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …Statement/Position Summary:** This position is responsible for directing and coordinating the managed care policies, goals, and objectives related to contract ... Group leadership in working with Physician Organizations in the market regarding managed care contracts, strategies for improving market share and opportunities… more
- Banc of California (Santa Ana, CA)
- …Confirm that risk rated assets and loan portfolios of the Bank are managed , evaluated, and risk-graded in a accordance with corporate policies and regulatory ... as paid parental leave and family support solutions including care options for your family. + **Paid Time Away:**...dress and grooming practices), denial of Family and Medical Care Leave, disability (mental and physical) including HIV and… more
- BeOne Medicines (Emeryville, CA)
- …regulatory advice on appropriate relationships with healthcare professionals, patients, managed care entities, advocacy organizations, and government entities, ... consistent with relevant regulations, guidance documents, and current enforcementtrends. + Review and advise on healthcare regulatory matters in BeOne's external communications, such as scientific journal articles, abstracts, presentations at medical… more
- Merck & Co. (Modesto, CA)
- …of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients' ... Management, Customer Strategy, Health Economics, Interpersonal Relationships, Lead Generation, Managed Care , Market Analysis, Medical Affairs, Product Knowledge,… more
- Dignity Health (Bakersfield, CA)
- …shared goals. Responsibilities include: - Collaborate with the Chief Medical Officer, Managed Care and executive leadership to develop, implement, and oversee ... Leadership to ensure consistent physician/APP interactions and experience with all internal Managed Care operations such as enrollment, claims operations and… more
- Fresenius Medical Center (Inglewood, CA)
- …POS, etc) in the state of California. Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate ... financial effect, cost benefit and utilization. + Negotiates contractual relationships with managed care organizations and other third party payors as needed.… more
- Dignity Health (Bakersfield, CA)
- …Customer Service, and Clinical Oversight functions. + Oversee and manage the medical director capacity to support Managed Care Services and approve ... Responsibilities** This role is the key clinical leader for Managed Care Services within the Population Health...This leader will have direct oversight of the Medical Director of Utilization Management (UM) and the Medical … more
- UCLA Health (Venice, CA)
- …the other 65%. The Chief Medical Officer directly supervises the Associate Medical Directors, the Director , Managed Care & Care Coordination, the ... Clinic is a leader in providing comprehensive, high-quality health care to people in need. The organization has more...productivity of the clinical staff and the quality of care delivered by staff and volunteer medical clinicians. +… more
- Hilton (Sacramento, CA)
- …team that's helping hotels consistently grow market share and outperform competitors\. On the Managed Team reporting to the Director , you will accomplish this by ... of a Revenue Management Consolidated Center \(RMCC\) that is offering owned, managed , and franchised Hilton hotels world\-class revenue management talent and tools\.… more
- Ventura County (Ventura, CA)
- …the current principles and techniques of diagnosis and treatment + Experience with managed care + Experience and current knowledge of Quality Assurance, ... Medical Director , Ventura County Health Care Plan...of Medicine and includes the following: + Experience with managed care + Experience and current knowledge… more
- LA Care Health Plan (Los Angeles, CA)
- …or cross-functional groups. Demonstrated experience managing complex investigations in a managed care or healthcare environment. Experience in coordinating with ... Director , Compliance on Special Investigations Unit and Fraud,...$175,676.00 (Mid.) - $216,218.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- Alameda Health System (Oakland, CA)
- …Title 22 and other regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case Management functions. + ... Director , Inpatient System Care Management +... Director , Inpatient System Care Management + Oakland, CA + Highland General...hiring! Under the direction of the Vice President of Care Management, the Director of Inpatient System… more
- Humana (Sacramento, CA)
- …services such as inpatient rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed ... help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care ...medical management review organization, such as Medicare Advantage and managed Medicaid + Experience with national guidelines such as… more
- Humana (Sacramento, CA)
- …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... management. The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions with external… more
- Humana (Sacramento, CA)
- …adapt and the courage to innovate. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid. ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- CenterWell (Sacramento, CA)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The Medical … more
