- Centene Corporation (Sacramento, CA)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... implementation of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies… more
- Highmark Health (Sacramento, CA)
- …current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and ... RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- CenterWell (Sacramento, CA)
- …a part of our caring community and help us put health first** The National Medical Director for Home-Based Care Programs is a key clinical leadership position ... polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy… more
- BrightSpring Health Services (Sacramento, CA)
- … behavioral /mental health support, in-home pharmacy solutions, telecare and remote support, supported employment and training programs, and day programs. For ... personnel, and ensure care and services are coordinated with behavioral and programmatic staff in partnership with the Executive... and programmatic staff in partnership with the Executive Director . The Director of Nursing is accountable… more
- Highmark Health (Sacramento, CA)
- …anchor, including MAQCs and pharmacists, in collaboration with the partnership director who manages non-clinical workforce activity. + **Relationship Management & ... Experience working in provider partnerships + Experience with data analytics and medical economics **SKILLS** + Organizational skills and detail orientation +… more