- 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
- 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
- LA Care Health Plan (Los Angeles, CA)
- …At least 5 years minimum working directly within a health plan or managed care organization; experience in Medicaid or government-sponsored health insurance ... Senior Director , Enterprise Portfolio Management Office Job Category: Management/Executive...$232,100.00 (Mid.) - $292,274.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- University of Southern California (Los Angeles, CA)
- …(MBA) or Health Administration (MHA) or related. . Knowledge and experience in managed health care . General understanding including but not limited to: claims ... Associate Director , Health PlansApply (https://usc.wd5.myworkdayjobs.com/ExternalUSCCareers/job/Los-Angeles-CA University-Park-Campus/Associate- Director --Health-Plans\_REQ20160798/apply) Keck… more
- Grifols Shared Services North America, Inc (Los Angeles, CA)
- …presentations to appropriate groups such as the following: key accounts, managed care organizations, integrated systems, national medical associations, and ... more than 110 countries and regions. The primary responsibility of the MSL Field Director is the management, performance, and coaching of a team of MSL direct… more
- Clay Lacy Aviation (Van Nuys, CA)
- …we're seeking an accomplished aviation professional to join our leadership team as Director of Technical Services. This is a highly visible role that requires ... maintaining the standards that define Clay Lacy Aviation. Position Summary The Director of Technical Services serves as Clay Lacy Aviation's FAA-designated … more
- Grifols Shared Services North America, Inc (Los Angeles, CA)
- …the industry trends * Understanding of US payer market dynamics and how managed care organizations make decisions across commercial and public channels * ... in more than 110 countries and regions. The Associate Director , Value Access Marketing & Reimbursement is responsible for...teams to expand key initiatives and strategies to the managed markets customer base, which consists of payers, GPOs,… more
- Envista Holdings Corporation (Brea, CA)
- **Job Description:** **JOB SUMMARY** : The **Senior Director , Corporate Functions-IT (G&A)** leads the strategic planning, delivery, and support of IT solutions ... with Envista's senior business leaders, internal/external IT resources, and managed service providers to ensure scalable, secure, and efficient technology… more
- The County of Los Angeles (Los Angeles, CA)
- …SERVICES MANAGER (Executive Director , Southern California Municipal Athletic Federation) Print ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4859404) Apply RECREATION SERVICES MANAGER (Executive Director , Southern California Municipal Athletic Federation) Salary $80,000.00 -… more
- Elevance Health (Los Angeles, CA)
- …+ 5+ years of clinical practice experience, with transition into payer, managed care , or healthcare leadership preferred. + Experience advising medical ... **Manager, Medical Director - Transformation Initiatives** Location: This role requires...+ **Real-time Decisioning & Analytics (RDA)** + **Cost of Care / Payment Integrity** + ** Care Management… more
- HCA Healthcare (Thousand Oaks, CA)
- …training. Our goal is to inspire the next generation of physicians to care for and improve human life by focusing on patient-centered approaches to practicing ... with the Division Vice President of GME, the Division Director of Graduate Medical Education (DDGME) is responsible for...as needed to ensure that faculty agreements/contracts are being managed timely by each hospital. + Assists Hospital to… 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
- UCLA Health (Los Angeles, CA)
- …for a medical group, IPA, or Health Plan, required + In-depth understanding of managed care , MSO functions, and population health services, required + Experience ... Description We are seeking a highly skilled and dynamic Director of Clinical Services to lead the development, evaluation, and implementation of multiple clinical… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …Join Kite and help create more tomorrows. **Job Description** The **Senior Director ,** **Head of** **US Trade,** **Pricing and Contract** **ing** reports to the ... and provider contracts, incl. ensuring that all contracts are managed in a compliant manner + Lead all contracting...of private and public payers, across all settings of care , to include the complexities of reimbursement in each… more
- Compass Group, North America (Los Angeles, CA)
- …CCL Hospitality Group has a philosophy rooted in caring for the individuals who care for our guests. Our most significant competitive advantage is our team members. ... how we drive mutual success that leaves lasting impressions. **Job Summary:** The Director of Dining Services is the strategic business leader of the community's… more
- Molina Healthcare (Los Angeles, CA)
- …new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified ... for both members and providers and ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide… 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
- LA Care Health Plan (Los Angeles, CA)
- …and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience ... and receives clinical supervision as needed from the Medical Director of Care Management. The position is...with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed … more
- LA Care Health Plan (Los Angeles, CA)
- …Required: Minimum of 6 years of recent care management experience in a managed care setting, such as a health insurance environment and/or experience as ... net required to achieve that purpose. Job Summary Reporting to the Director of Enhanced Care Management (ECM), the ECM Manager will be responsible for overseeing… more
- Elevance Health (Los Angeles, CA)
- …HS diploma or equivalent and a minimum of 2 years of experience in a managed care healthcare setting; or any combination of education and experience, which would ... director . + Prepares nurse summaries for Quality of Care cases and forwards to Medical Director ...of Care cases and forwards to Medical Director for review and determination. + Ensures grievances are… more