- GRAIL (Menlo Park, CA)
- …in a regulated environment. + Deep familiarity with MLR processes and claims governance; experience with vendor management . + Exceptional cross-functional ... For more information, please visit grail.com . GRAIL is seeking an Associate Director , Clinical Marketing for the Provider Channel. The Associate Director ,… more
- Stanford Health Care (Palo Alto, CA)
- …and Privacy Officer in the Office of Compliance and Privacy, the Executive Director - Compliance and Privacy is responsible for implementing and managing the ... the Chief Risk Officer and Stanford University's Chief Privacy Officer. The Executive Director - Compliance and Privacy will supervise a team of compliance and… more
- BeOne Medicines (Emeryville, CA)
- …the regional strategic feasibility teams. Close partnership with global program & study management team for design and delivery of the studies, for early to ... competing trials, recent or upcoming approvals, prescribing data, insurance claims data, diversity, and recruitment capabilities. This includes intelligence… more
- Southland Industries (Garden Grove, CA)
- …the supporting our customer's need around case management , legal document management , compliance tracking, risk assessment tools, and claims systems. You ... support and continuous improvement of technology solutions for our **Legal and Risk Management ** departments. In this role, you will serve as the primary liaison… more
- Revelyst (San Diego, CA)
- …such as Bushnell, Bushnell Golf and Foresight Sports. This position reports to the Director of Product Compliance and is based out of one our Platform location in ... the regulatory environment to minimize the impact to the business. + Project management product changes required to remain in compliance with global laws and… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …that they support. Will monitor & report on work queue activity, encounter management , monitor electronic claims rejections & staff productivity reports. Compile ... & review monthly billing report packets for Director , Professional Billing. Analyze, track & trend any significant...to the Position 3 Years of Experience required in medical billing Working knowledge of MS applications and ability… more
- Zscaler (San Jose, CA)
- …Incentives** to join our channel and alliances team. Reporting to the Senior Director , Partner Programs, you will own the global partner incentive strategy and ... end-to-end lifecycle of incentive programs - from planning and launch through claims , validation, and payout - ensuring accuracy, compliance, and timely execution.… more
- Humana (Sacramento, CA)
- …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- CenterWell (Sacramento, CA)
- …us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary ... The Medical Director relies on medical background and reviews health claims . The...the Director of Physician Strategy at Utilization Management . The Medical Director conducts… more
- Humana (Sacramento, CA)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
- Humana (Sacramento, CA)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- WTW (San Francisco, CA)
- …clients of their claim related obligations under the policy and establish client-specific claims management procedures + Provide claims advocacy on behalf ... **Description** **The Role** This role provides value-added claims leadership and management service for the management liability lines of coverage, acts as… more
- Elevance Health (Los Angeles, CA)
- ** Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering ... considered if candidate resides within a commutable distance from an office._ The ** Director II, Digital Claims Operations** oversees a combined digital and… more
- City of Santa Monica (Santa Monica, CA)
- … Medical terminology, vocational rehabilitation requirements and procedures of claims management and control Claim reserving within statutory guidelines ... Worker's Compensation Claims Examiner Print (https://www.governmentjobs.com/careers/santamonica/jobs/newprint/5135858) Apply Worker's Compensation Claims … more
- HUB International (Newport Beach, CA)
- …aggressively for client interests + Monitor claim reserves, settlement negotiations, and medical management decisions + Coordinate with insurance carriers, TPAs, ... corporate risk managers + Collaborate closely with the dedicated claims director and account service teams to...interpret claim data and identify trends + Proficiency in claims management systems and Microsoft Office Suite… more
- Fluor (Fresno, CA)
- …skills. * Required Knowledge of; analysis methodologies for complex construction projects'; claims management and support; construction contracts. * Ability to ... High-Speed Rail Authority, to provide program delivery and program management services for one of the largest planned infrastructure...general direction of the Director and Deputy Director of the PMO/forensics & Claims , this… more
- J&J Family of Companies (Irvine, CA)
- …candidates from any location to apply. We are searching for the best talent for ** Medical Director , Structural Heart** . **Role Purpose** The Director will ... of evidence generation and dissemination activities that support product approvals, claims development, and product adoption and lifecycle management , and… more
- The County of Los Angeles (Los Angeles, CA)
- NURSING DIRECTOR , ADMINISTRATION ( Director , Workforce Management and Operations) Print ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3110377) Apply NURSING DIRECTOR , ADMINISTRATION ( Director , Workforce Management and Operations) Salary $163,996.80… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …the asset lifecycle. This role reports directly into the Executive Director , Medical Excellence and Operations. **Job Description** **Key Responsibilities ... The Director , Strategic Planning & Operations is a pivotal...multi-year strategic roadmaps tailored to each therapeutic area **Budget Management ** + Oversee budgets for global medical … more
- Providence (Santa Monica, CA)
- **Description** **The Role:** Under the direction of the Executive Director of Quality, you will provide day-to-day operational leadership for risk management . ... You will be responsible for developing and coordinating risk management programs, patient safety initiatives, and accreditation compliance, all aimed at reducing… more
