- Option Care Health (Santa Fe Springs, CA)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... administrator and or alternate director of nursing.Job Description: Job Responsibilities (listed in order... of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of… more
- Molina Healthcare (Long Beach, CA)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
- UCLA Health (Los Angeles, CA)
- … Director of Pharmacy Benefits Management! Reporting directly to the Chief Medical Officer of Medicare Advantage, you'll spearhead the development and ... desired + Two or more years of experience in Medicare programs, preferred + Degree from an accredited school...throughout Southern California. We're also home to the world-class medical research and clinical education capabilities of the David… more
- UCLA Health (Los Angeles, CA)
- …do all this and more at UCLA Health. As an important member of our Medicare Advantage team, you will provide strategic oversight and leadership for our Member and ... locations throughout metro Los Angeles. We're also home to the world-class medical research and clinical education capabilities of the David Geffen School of… more
- CVS Health (Santa Ana, CA)
- …business. CVS Health/Aetna is working to transform the way California Medicare beneficiaries experience health care - improving quality, emphasizing whole-person ... Manager to support the growth of our industry leading Medicare business. This is a highly collaborative role in...the United States and will report to the Sales Director for Southern California. This is a career position… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** The Medical Director of Mental Health is a psychiatrist who oversees mental health services in the Medical Network and provides support ... mental health needs of patients cared for across the Medical Network. The Medical Director ...including maintaining the network of providers for the CSMN Medicare Advantage plan(s). + Assists Contracting with identification, engagement,… more
- Elevance Health (Los Angeles, CA)
- …reviews within our Medicaid and Medicare programs.** The **Behavioral Health Medical Director ** is responsible for the administration of behavioral health ... of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative...opportunities. May serve as a resource to staff including Medical Director Associates. How you will make… more
- MetroLink (Los Angeles, CA)
- Director , Design (Limited Term) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4458277) Apply Director , Design (Limited Term) Salary ... + Description + Benefits SUMMARY PURPOSE OF POSITION The Director , Design will provide leadership and oversight for the...to full-time employees, including but not limited to retirement, medical , dental, vision, and life. TO APPLY: This is… more
- Elevance Health (Woodland Hills, CA)
- …disability plans, and are flexible enough to fit any size business. The ** Medical Director ** is responsible for the administration of physical and/or behavioral ... member of the Elevance Health's family of companies offering Medicare plans, Medicaid, individual and family plans, and group...be required by State contracts or regulations if the Medical Director is filing a role required… more
- Elevance Health (Woodland Hills, CA)
- … Benefits Management Clinical Operations team is looking to hire a **Senior Medical Director ** to manage a team of physicians performing clinical coverage ... for our Musculoskeletal (MSK) Solution. (internal title: Manager Clinical Operations Medical Director ) Responsible for providing day-to-day guidance, support,… more
- Medtronic (Northridge, CA)
- …with diabetes. We're seeking a highly motivated and experienced US Reimbursement Director who shares our passion for shaping the healthcare landscape and securing ... to the care they need. As our US Reimbursement Director , you'll have a unique opportunity to make a...serve as the primary spokesperson for our business with Medicare . You'll also provide critical input to product and… more
- Elevance Health (Woodland Hills, CA)
- **Health Benefits Executive Director ** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of an ... Elevance Health location. The **Health Benefits Executive Director ** is responsible for leading the development and implementation of complex product strategies for… more
- Aveanna (Torrance, CA)
- Home Health RN Director of Nursing ApplyRefer a FriendBack Job Details Requisition #: 194541 Location: Torrance, CA 90502 Category: Nursing Salary: $90,000 - $95,000 ... per year Position Details Position Overview TheRN Clinical Director is responsible and accountable for the planning, organizing, directing and evaluating nursing… more
- Elevance Health (Woodland Hills, CA)
- **Government Business Quality Management Health Plan Director -California** **Location** : This position will work a hybrid model (remote and office). The ideal ... Elevance Health PulsePoint location. The **GB Quality Management Health Plan Director ** is responsible for driving the development, coordination, communication, and… more
- Bristol Myers Squibb (Los Angeles, CA)
- …and in their personal lives. Read more: careers.bms.com/working-with-us . Reporting into the Medical Value Liaison Field Director , the Senior Medical Value ... and clinical data, to support formulary decision making. Collaborating closely with the Medical Team and the Market Access team, the MVL engages in scientific… more
- MetroLink (Los Angeles, CA)
- …to apply immediately. SUPERVISION EXERCISED AND RECEIVED + Receives oversight from Director or Executive roles + This position is responsible for managing and ... of protests and make protest recommendations. + Assist the Director on matters necessary to recommend award, termination for...employer. The SCRRA is an Equal Opportunity Employer. EEO/ADA MEDICAL : SCRRA offers a choice of twelve (12) health… more
- Option Care Health (Santa Fe Springs, CA)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... administrator and or alternate director of nursing. **Job Description:** **Job Responsibilities** (listed... of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of… more
- MetroLink (Los Angeles, CA)
- …Adhere to guidelines, SCRRA's standard operating procedures and all Board of Director 's approved Policies and Procedures for inventory control. + Perform inventory ... employer. The SCRRA is an Equal Opportunity Employer. EEO/ADA MEDICAL : SCRRA offers a choice of twelve (12) health...exceeds $50,000, be added to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is… more
- LA Care Health Plan (Los Angeles, CA)
- …on medical necessity reviews. Prepares authorizations, after approval by the Medical Director . Perform other duties as assigned. Duties Continued Education ... member's satisfaction in a manner consistent with LA Care, Centers of Medicare and Medicaid Services (CMS) and regulatory guidelines. Benefit coordination may… more
- LA Care Health Plan (Los Angeles, CA)
- …Managed Long Term Supportive Services (MLTSS) teams alongside a clinical dyad partner (Senior Medical Director II). The role extends to all lines of business ... its members. This individual reports directly to the Chief Medical Officer (CMO) and is responsible for operational and...including Medi-Cal, Medicare , and Commercial. This position holds profit and loss… more
