- 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
- 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 ... Sutter Health! **Organization:** SMCS-Valley Administration **Position Overview:** Responsible for Care Coordination and Care Transitions Planning throughout the… 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
- 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
- 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
- Southland Industries (Sacramento, CA)
- …passionate about safety, Southland has an opportunity for you as a Project Manager ! In this role, you will work on exciting, multi-million-dollar commercial MEP ... relations by providing project status updates to client and leadership. + Managed budget reports, cost and revenue projections, change orders, etc. for project.… more
- Centene Corporation (Sacramento, CA)
- …degree in related field or equivalent experience. Three or more years of managed care or medical group experience, provider relations, quality improvement, ... performance metrics, and identify opportunities for improvement in patient care and clinical practices. + Value-Based Care ...patient care and clinical practices. + Value-Based Care Model: Focuses on value-based care model… more