- Ami Network (Pasadena, CA)
- …AMI Network is partnered with a large healthplan organization to find their next Utilization Management Director in Pasadena. Our client is a leading ... Plans like Anthem, SCAN, and Alignment Health. As the Utilization Review Director , you'll oversee 4 direct...time. Requirements: Healthplan Experience + Medicare Advantage 3-5 years Management Experience RN in CA Daily audits of UM… more
- ROWI (Downey, CA)
- …Director of Clinical Compliance. Effectively communicates with upper management , program participants, and families. Adheres to documentation standards, ... and professional growth. About the role Key Responsibilities of the Program Director Audits EMR and all clinical documentation and communicates with Director… more
- Ankura (Los Angeles, CA)
- …and implementation support services that include strategic planning, change management , and organizational transformation. Ankura's team collaborates closely with ... streamline processes, and foster sustainable growth.**Role Overview:**This Senior Managing Director will join the leadership team of Strategy & Performance,… more
- SCAN Group (Long Beach, CA)
- …fluency in Part D economics (specialty trend drivers, formulary impacts, utilization management levers, adherence-related measures where relevant) and Part ... Director , Medical Economics page is loaded## Director...medical economics analytics function supporting total cost of care management , with additional scope across pharmacy economics and clinical… more
- Disneyland Hong Kong (Burbank, CA)
- A global entertainment company is seeking a Director of Data Product Management in Burbank, California. The successful candidate will define and manage the ... enterprise consumer data, collaborating with various teams to enable effective data utilization . This role requires over 10 years of relevant experience, expertise… more
- ICON (Long Beach, CA)
- Director , FSA ICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to foster an inclusive environment driving ... predictability of delivery, and enhanced productivity Accountable for resourcing, utilization , forecasting and headcount control, to ensure staffing levels are… more
- MemorialCare (Long Beach, CA)
- Title: Executive Director of Administration & Operations Location: Long Beach, CA Department: Gifts Status: Fulltime Shift: Day Pay Range: $152,152 /annually - ... donor stewardship efforts. Combines expertise in administrative and financial management , operational efficiency, and the specialized functions of advancement… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves… more
- Prime Healthcare (Ontario, CA)
- …(LVN) license. + Minimum (2) two years of experience in acute hospital case management or equivalent. + Utilization Management experience required. + ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236094/ utilization -review-nurse-lvn/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare… more
- The County of Los Angeles (Los Angeles, CA)
- NURSING DIRECTOR , ADMINISTRATION ( Director , Workforce Management and Operations) Print ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3110377) Apply NURSING DIRECTOR , ADMINISTRATION ( Director , Workforce Management and Operations) Salary $163,996.80… more
- University of Southern California (Los Angeles, CA)
- The Senior Director , Integrated Risk Management , is responsible for designing and executing the Keck Medicine of USC Office of Integrated Risk Management at ... mitigate and monitor the Health System's Clinical Risk. Senior Director will facilitate the identification of risk management...the management of Health System Integrated Risk Management Budget. * Ensures resource utilization in… more
- University of Southern California (Los Angeles, CA)
- …for the strategic direction, operational oversight, and leadership for facilities management functions across Keck Medical Center of USC, ensuring the safety, ... executive advisor for facility issues, provides leadership and direction to subordinate management and organizes the activities of the facilities management … more
- The County of Los Angeles (Los Angeles, CA)
- …used to fill a vacancy in Department of Health Services, Harbor-UCLA Medical Center, Utilization Management Division. May also be used to fill other vacancies ... + Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT INFORMATION:… more
- The County of Los Angeles (Los Angeles, CA)
- …BOARD RELATIONS, HEALTH SERVICES ( DIRECTOR , GOVERNMENTAL RELATIONS) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4203260) Apply MANAGER, ... BOARD RELATIONS, HEALTH SERVICES ( DIRECTOR , GOVERNMENTAL RELATIONS) Salary $141,907.20 - $220,694.40 Annually Location Los Angeles County, CA Job Type Full time Job… more
- Molina Healthcare (Los Angeles, CA)
- …of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies ... the most appropriate care at the most effective setting. *Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and… more
- University of Southern California (Los Angeles, CA)
- …Operations Director (ROD) is responsible for overseeing the overall management of multiple facilities in designated areas including financial management , ... Management + Participate with Ambulatory CNO, Regional Medical Director , or USC Care CMO as indicated and local...and individual physicians to support compliance. + Facilitate room utilization and assuring exam rooms are assigned and rooms… more
- Elevance Health (Los Angeles, CA)
- …Capabilities and Experiences:** + Child and Adolescent experience preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) experience. ... **Behavioral Health Medical Director -Psychiatrist Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of required… more
- Elevance Health (Los Angeles, CA)
- **Clinical Operations Medical Director ** **Medical Oncology** **Carelon Medical Benefit Management ** **Virtual** : This role enables associates to work virtually ... domains, including radiology, cardiology and oncology._ The **Clinical Operations Medical Director ** is responsible for supporting the medical management staff… more
- The County of Los Angeles (Los Angeles, CA)
- CLINICAL NURSING DIRECTOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3136407) Apply CLINICAL NURSING DIRECTOR I Salary $152,555.76 ... PLAN (MAPP) : This position is subject to the provisions of the Management Appraisal of Performance Plan (MAPP). Initial salary placement and subsequent salary… more
- UCLA Health (Los Angeles, CA)
- …care experience post residency, required + Minimum of 2 years of experience in Utilization Management + 2 or more years of experience working managed care ... Plan is looking for a dedicated and forward-thinking Medical Director , Clinical Operations to help shape the future of...+ Knowledge of Medicare Advantage experience with utilization management , quality improvement, or case … more
