- Wellpath (Woodland, CA)
- …and local laws. Quick Apply (https://careers-wellpath.icims.com/jobs/175676/multi-site- medical - director physician ... care support. **How you make a difference** As a Medical Director , you will be responsible for...and procedures. **Additional Details** Must be licensed as an MD or DO in the state of California and… more
- CSL Plasma (Fairfield, CA)
- …the Quality Assurance Team. Acts as a liaison between the Corporate or Divisional Medical Director and the Center Medical Staff, which includes preparation ... Staff Associates. Usually serves as the primary center physician registered as the Laboratory Director with...are given. Submits monthly report to Divisional (or Corporate) Medical Director . + Determines donor suitability following… more
- Evolent (Sacramento, CA)
- …recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will...Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is… more
- Centene Corporation (Sacramento, CA)
- …state, corporate, and accreditation requirements. + Assists the Chief Medical Director in the functioning of the physician committees including committee ... including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical … more
- Elevance Health (Walnut Creek, CA)
- **Clinical Operations Medical Director ** ** Medical Oncology** **Carelon Medical Benefit Management** **Virtual:** This role enables associates to work ... of clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations Medical Director ** is responsible for supporting the medical … more
- Evolent (Sacramento, CA)
- …utilization management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:** + MD /DO/MBBS Degree + ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key...(NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD provider is… more
- Evolent (Sacramento, CA)
- …utilization management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:** + MD /DO/MBBS- Required + ... **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key...Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is… more
- Evolent (Sacramento, CA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of the utilization management ... Clinical Reviewers. . Ensures documentation of all communications with medical office staff and/or MD provider is...timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...Director may occasionally speak with contracted external physicians, physician groups, facilities, or community groups to support regional… more
- Humana (Sacramento, CA)
- …and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, ... caring community and help us put health first** The Medical Director relies on medical ...Goal) and community relations as directed. **Required Qualifications** + MD or DO degree + 5+ years of direct… more
- Humana (Sacramento, CA)
- …and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, ... caring community and help us put health first** The Medical Director relies on medical ...departmental expectations, and meets compliance timelines. **Required Qualifications** + MD or DO degree + **Valid Florida Medical… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation...other team members, other departments, Humana colleagues and the Director of Physician Leadership. After completion of… more
- Elevance Health (Walnut Creek, CA)
- **Clinical Operations Associate Medical Director ** **Orthopedic Spine Surgery** **Carelon Medical Benefit Management** **Virtual:** This role enables ... skill development. **Schedule: 10:30 AM-7 PM Central** The **Clinical Operations Associate Medical Director - Orthopedic Spine Surgery** is responsible for… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …while not essential, is an advantage. Education Requirements: + Required: Clinician ( MD , or DO) preferably a geneticist, metabolic physician , rare disease ... with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of...the maintenance of everyday health We are seeking a Director , Global Clinical Development (GCD) who will be responsible… more
- Highmark Health (Sacramento, CA)
- … subject matter expert. + Other duties as assigned. **EDUCATION** **Required** + Medical Doctor ( MD ) or Doctor of Osteopathic Medicine (DO) **Substitutions** + ... **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with… more
- Travelers Insurance Company (Sacramento, CA)
- … Consortiums and other medical resources as appropriate. Train and evaluate physician and non- physician medical review personnel and activities. + Stay ... **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical … more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- The Associate Director , TLL, Renal Rare Disease, is a field-based, customer facing, non-sales position on Otsuka's Rare Renal team focused on enhancing and improving ... practices. The TLL will work closely with cross-functional leaders from Marketing, Medical Affairs, Sales, Key Accounts, Market Access, Patient Access and the Renal… more
- Wolters Kluwer (Sacramento, CA)
- …and Midwest preferred **ABOUT THE ROLE** As a strategic accounts associate sales director , you will lead a team of strategic Account Managers, focused on advancing ... experience, including leadership of sales teams. + Proven track record managing strategic account teams, preferably selling Healthcare SaaS or Enterprise solutions.… more
- CSL Plasma (Fairfield, CA)
- …to determine suitability to donate plasma * In conjunction with the Center Medical Director , responds to medically related questions and provides information to ... routine care following Standard Operating Procedures (SOPs); escalates critical medical situations to Center Physician or local...NY: current state licensure or certification as an RN, MD or DO in the state you are applying… more
- Hospice Of San Joaquin (Stockton, CA)
- …8. Ensures HIPPA compliance. 9. Provide referral outcome information to the managing physician . 10. Provide educational and informational visits to referral ... team plan of care, under the supervision of the Director of Palliative Care and the direction of the... of Palliative Care and the direction of the physician according to the policies and procedures of Hospice… more