- Cardinal Health (Sacramento, CA)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- Sutter Health (Roseville, CA)
- …knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of ... Sutter Health! **Organization:** SMCS-Valley Administration **Position Overview:** Responsible for Care Coordination and Care Transitions Planning throughout the… more
- Highmark Health (Sacramento, CA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… more
- Sutter Health (Roseville, CA)
- …knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of ... confirm medical necessity is met and at the appropriate level of care . Coordinates the utilization management, resource management, discharge planning, post-acute … more
- J&J Family of Companies (Sacramento, CA)
- …to address critical access and affordability issues for patients + Partner with managed care colleagues to understand current policies and potential future ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position in the...across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). + Execute business in… more
- Humana (Sacramento, CA)
- …the (appropriate state) with no disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance,...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… more
- CDM Smith (Sacramento, CA)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- Elevance Health (Rancho Cordova, CA)
- …preferred. + Minimum 2 years' experience in acute care setting is preferred. + Managed Care experience is preferred. + Ability to talk and type at the same ... Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management...Nurse Case Manager II** is responsible for care management within the scope of licensure for members… more
- Dignity Health (Carmichael, CA)
- …management experience + Previous management experience in a union environment + Prior managed care or integrated delivery systems experience + Registered Nurse: ... **Job Summary and Responsibilities** The Manager , Clinic Operations is expected to provide visionary...delivery systems, financial performance. Engages staff and cultivatea a care center culture that prioritizes humankindness and patient-centric … more
- CVS Health (Sacramento, CA)
- …utilizing and navigating multiple software programs concurrently. **Preferred Qualifications** - Managed care experience -Advanced training (ie, Board-certified ... requests pharmacist attendance for an onsite visit/assessment/audit. The Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary care … more
- Elevance Health (Sacramento, CA)
- …+ Travels to the worksite and other locations as necessary preferred. + Managed care experience preferred. For candidates working in person or virtually ... depression, and insightful analytics to improve the delivery of care . The **Provider Quality Manager ** is responsible...the delivery of care . The **Provider Quality Manager ** is responsible for leading Behavioral Health (BH) provider… more
- AbbVie (Sacramento, CA)
- …and disease state information, as well as relevant market dynamics, including the managed care landscape. + Coach, mentor, educate, and develop direct and ... key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan...Montana + Oregon + Washington + Northern California District Manager - Buy & Bill Environment Join a high-performing… more
- CVS Health (Sacramento, CA)
- …and with relevant external constituents** + **At least 3 years of experience in managed care which may include PBM, Pharma, market access, account management, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Dignity Health (Sacramento, CA)
- **Job Summary and Responsibilities** **Full Time Day Neurosciences Program Manager ** **Primary Onsite Location: Methodist Hospital, Sacramento CA** **Position ... of standardized evidence based best practices to advance neuro disease specific care . . Develop and oversee the creation classes including the coordination of… more
- CVS Health (Sacramento, CA)
- …C- SNP plans. **Preferred Qualifications** Strategic thinker with knowledge of managed care , value-based models and integrated delivery systems **Education** ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Pacific Northwest National Laboratory (Sacramento, CA)
- …and opportunities of tomorrow. **Responsibilities** As a Senior Digital Project Manager , you are involved in leading strategic initiatives for the laboratory ... and oversee the quality of deliverables and products. The Senior Digital Project Manager takes a holistic project approach by collaborating with users, business, and… more
- HD Supply (Sacramento, CA)
- **Preferred Qualifications** **As a** **Field Account Manager (FAM)** **you will be responsible for selling MRO (maintenance, repair and operations) supplies along ... + Identifies, develops, and maintains a pipeline of qualified, managed accounts to meet or exceed total sales and...and margin plan using a company designated customer relationship manager tool. + Focuses on new account opportunities by… more
- UMB Bank (Sacramento, CA)
- As the **Portfolio Manager - BBBLC** **,** you will be responsible for assisting Business Banking and Practice Finance officers in the portfolio management ... activities (generally loans over $500,000) that are reviewed, decisioned and managed by the BBLC (Business Banking Loan Center). You will partner with and support… more
- Edwards Lifesciences (Sacramento, CA)
- …targeted therapeutic intervention. Our innovative solutions are not just transforming patient care but also creating a unique and exciting environment for our team ... healthcare providers with proactive tools that set new standards in patient care . From early detection to personalized treatment strategies, the Cordella PA Sensor… more
- HD Supply (Sacramento, CA)
- …objections, and adversities. + Identifies, develops, and maintains a pipeline of qualified, managed accounts to meet or exceed total sales and margin plan using a ... company designated customer relationship manager tool. + Focuses on new account opportunities by...Prescription drug coverage), dental, and vision plans + Health care and Dependent Care FSA (as applicable)… more