- Insmed Incorporated (San Francisco, CA)
- …issue/problem solving.Provide medical and scientific support to payers, commercial managed markets, and related health care organizations to facilitate ... scientific and evidence-based medical information, and education to health care customers within managed markets/healthcare/payor systems, in addition to… 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 ... years of progressively responsible and directly related work experience + Academic Medical Center (AMC) and/or health care experience preferred **Required… more
- Crane Aerospace & Electronics (Burbank, CA)
- …of the toughest environments: from engines to landing gear; from satellites to medical implants and from missiles to unmanned aerial systems (UAS). Every 1.2 ... of your career with Crane Aerospace & Electronics!** **Job Summary:** The Director of Supply Chain is accountable and responsible for developing and implementing… 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 ... and payor relationship management on behalf of CHLA, CHLA Medical Group, CHLA Health Network and their subsidiaries as...in working with Physician Organizations in the market regarding managed care contracts, strategies for improving market… more
- Banc of California (Santa Ana, CA)
- …religious creed (including religious dress and grooming practices), denial of Family and Medical Care Leave, disability (mental and physical) including HIV and ... 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… more
- BeOne Medicines (Emeryville, CA)
- …regulatory advice on appropriate relationships with healthcare professionals, patients, managed care entities, advocacy organizations, and government entities, ... North America with some activity globally. This role supports our commercial, medical affairs, legal, healthcare compliance and other business functions primarily in… more
- Merck & Co. (Modesto, CA)
- …Service Management, Customer Strategy, Health Economics, Interpersonal Relationships, Lead Generation, Managed Care , Market Analysis, Medical Affairs, ... (VKCL), Vaccine Medical Affairs Leader (VMAL), Region Medical Director (RMD) as well as other...their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and… more
- Dignity Health (Bakersfield, CA)
- …and drive toward shared goals. Responsibilities include: - Collaborate with the Chief Medical Officer, Managed Care and executive leadership to develop, ... primarily in the Bakersfield/Central CA region.** **Position Summary:** The Medical Director of Physician Engagement is responsible...MSO is dedicated to providing quality managed care administrative and clinical services to medical … 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 all ... populations. This leader will have direct oversight of the Medical Director of Utilization Management (UM) and...MSO is dedicated to providing quality managed care administrative and clinical services to medical … more
- UCLA Health (Venice, CA)
- …The Chief Medical Officer directly supervises the Associate Medical Directors, the Director , Managed Care & Care Coordination, the Director ... productivity of the clinical staff and the quality of care delivered by staff and volunteer medical ...of care delivered by staff and volunteer medical clinicians. + Participates in clinical risk management, compliance,… 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
- 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)
- Medical Director , Ventura County Health Care Plan Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4924113) Apply Medical ... Description Click here (http://tiny.cc/6vwi001) to view the Brochure for Medical Director , Ventura County Health Care...and techniques of diagnosis and treatment + Experience with managed care + Experience and current knowledge… more
- Humana (Sacramento, CA)
- …community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The ... disease or care management. The Behavioral Health Medical Director may develop procedures, processes, productivity... care industry including Medicare Advantage and Managed Medicaid products, or other Medical management… more
- Humana (Sacramento, CA)
- … care management. The clinical scenarios arise from outpatient, inpatient or post-acute care environments. The Medical Director will have discussions with ... managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical...- North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care … more
- Humana (Sacramento, CA)
- …, depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned ... caring community and help us put health first** The Medical Director relies on medical ...courage to innovate. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and… more
- CenterWell (Sacramento, CA)
- **Become a part 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 Director , Primary Care work assignments involve moderately...managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other medical… more
- Humana (Sacramento, CA)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other medical management organizations, ... caring community and help us put health first** The Medical Director actively uses their medical...value-based care , population health, or disease or care management. Medical Directors support Humana values… more
- Humana (Sacramento, CA)
- …of the managed care industry including Medicare Advantage, Managed Medicaid, or other Medical management organizations, hospitals/ Integrated Delivery ... management review organization, such as Medicare Advantage and managed Medicaid. + Physical Medicine and Rehabilitation, Internal Medicine,...region or line of business. The Medical Director conducts Utilization Management of the care … more
