- Humana (Sacramento, CA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an ... caring community and help us put health first** The Medical Director relies on medical ...healthcare providers, clinical group practice management . + Utilization management experience in a medical… more
- Humana (Sacramento, CA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an ... caring community and help us put health first** The Medical Director relies on medical ...healthcare providers, clinical group practice management . + Utilization management experience in a medical… more
- Humana (Sacramento, CA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an ... healthcare providers, clinical group practice management . + Utilization management experience in a medical... management operational improvements, including those within the medical director area + Participate in call… more
- Universal Health Services (Sacramento, CA)
- Responsibilities Sierra Vista Hospital is seeking a talented and dynamic Director of Utilization Management to join our team of dedicated healthcare ... inpatient alcohol detox and outpatient chemical dependency services. Position Summary: The Clinical Director of Utilization Management is responsible for the… more
- Dignity Health (Rancho Cordova, CA)
- …home.** **Position Summary:** Under the guidance and supervision of the department Manager/ Director , the Supervisor of Utilization Management is responsible ... criteria sets (Medicare Guidelines, InterQual, Health Plan Benefit Interpretation Guidelines and Medical Management Policies, and DHMF Utilization … more
- Humana (Sacramento, CA)
- …health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a medical management ... and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Elevance Health (Sacramento, CA)
- …or ask you for payment as part of consideration for employment. **Orthopedic Surgery Associate Medical Director - Sign on Bonus $7,500** + Job Family: MED > ... + West Virginia, Charleston + Oklahoma **Description** **Clinical Operations Associate Medical Director ** **General Orthopedic Surgery** Full Time **_Sign on… more
- CVS Health (Sacramento, CA)
- …health care resources. **This is a remote based (work from home) role.** In the Medical Director role you will provide oversight for medical policy ... evaluation of clinical/ medical programs and expand Aetna's medical management programs to address member needs...to members and providers. In addition you will oversee utilization review/quality assurance, directing case management In… more
- Humana (Sacramento, CA)
- …committed value and measure and ensure growth of the program. As the Director of Interoperability Performance Management , the ideal candidate will be comfortable ... and members. In this role, you will be directing the interoperability performance management function. You and the team you lead will be Interoperability's liaison… more
- BrightSpring Health Services (Sacramento, CA)
- …of death and submit to State Health Services Director and Assigned Director , Clinical Practice* Review utilization report at least monthly to ensure adequate ... are coordinated with behavioral and programmatic staff in partnership with the Executive Director . The Director of Nursing is accountable for overseeing the… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Associate Director , Value-Based Solutions will be responsible for leading the operational performance of ... Humana Healthy Horizon's specialty value-based payment (VBP) model portfolio. The Associate Director will oversee a team of direct reports to implement operational… more
- Elevance Health (Rancho Cordova, CA)
- …related field, including prior management experience and clinical, quality, and/or utilization management experience in a managed care setting; or any ... you for payment as part of consideration for employment. ** Director GBD Special Programs Services - CalAIM** + Job...program operations in support of corporate and health plan management in execution of clinical service delivery. + Monitors… more
- Sutter Health (Sacramento, CA)
- **Organization:** SMCS-Sutter Med Center - Sacramento **Position Overview:** Sutter Medical Center, Sacramento is the foundation of Sutter Health, Northern ... home health, occupational health, psychiatric care and more. The downtown Sacramento medical center is made up of several facilities that include Ose Adams… more
- Marriott (Sacramento, CA)
- …States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Senior Director , The Ritz-Carlton Yacht ... with the yacht product and experience, (4) responsible for complex account management and agreements to build long-term, value based relationships between Marriott… more
- Avnet (Sacramento, CA)
- …marcom teams and across all Avnet businesses + Provides leadership and management direction for ideation, development and execution of initiatives across Hackster's ... and emerging opportunities for potential growth areas + Work closely with Director of Engineering to ensure website strategy alignment and creating a roadmap… more
- Marriott (Sacramento, CA)
- …States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Senior Director , Brand & Marketing, ... maintain marketing calendar and budget, supervise content creation; + Agency Management : manage one or more agencies overseeing the website, branded content,… more
- Sutter Health (Roseville, CA)
- …to the Roseville community, Sutter Health approved plans to build a new medical center for the continuously growing population. Sutter Roseville Medical Center ... we provide integrated healthcare services through the growing Sutter Roseville Medical Center, Sutter Medical Foundation and Sutter Rehabilitation Institute.… more
- Citigroup (Sacramento, CA)
- The Market Leader is a senior-level management position responsible for providing leadership and direction to senior business leaders (Area Directors) and their ... teams in the broader US Personal Banking and Wealth Management teams. The overall objective of this role is...the client experience. Manages escalated client complaints. + Drives utilization of enablers and leads key initiatives of the… more
- Sutter Health (Sacramento, CA)
- …include annual budget projections, project planning, analysis of product/service utilization , setting value goals with Sutter executives throughout the contracting ... process, price management and supplier performance. Is the subject matter experts...present proof of authorized presence in the US), age, medical condition, physical or mental disability, military or protected… more
- Evolent Health (Sacramento, CA)
- …for utilization management while working in conjunction with the Senior Medical Director . May assist the Senior Medical Director in ... Oncology you will be a key member of the utilization management team. We can offer you...process. + On a requested basis, may function as Medical Director for selecting health plans or… more