- Elevance Health (Walnut Creek, CA)
- ** Medical Director - Medicare and Medicaid ** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... and skill development. Candidates must live in California. The ** Medical Director ** will be responsible for utilization...will be responsible for utilization review case management for Medicare and Medicaid in the California market… more
- Gilead Sciences, Inc. (Foster City, CA)
- …business, including the nuanced differences of different business segments, eg, Commercial, Medicare , Medicaid , and Federal. + Ensure brand access strategies are ... position is based in Foster City, CA and reports to the Sr. Director , Contracting and Pricing Strategy, Virology, Managed Markets. As **Associate** ** Director … more
- City and County of San Francisco (San Francisco, CA)
- …the DPH for the duration of the eligible list. Under general supervision of the Director of the Medical Staff Services Department (MSSD) Office of Compliance & ... and policies related to: credentialing, verification and provider enrollment processes for Medicaid , Medicare and other federal insurance programs The 2106 … more
- Stanford Health Care (Palo Alto, CA)
- …and coding systems, particularly the Outpatient Prospective Payment System (OPPS), DRG's, MediCal / Medicaid APG Grouper, HCPCS and CPT-4 coding schemas. + ... and quality measures outcomes. Acts a liaison with each Director of Finance and Administration (DFA), Clinical Chief, Division...Knowledge of Medicare , Medicaid and other third-party billing coverage… more
- City and County of San Francisco (San Francisco, CA)
- …may include, but are not limited to: + Disease Prevention and Control Senior Specialist/ Medical Director + Provides clinical oversight of a unit or clinic within ... to meet all of the following criteria: + Be eligible to participate in Medicare , Medicaid , and/or other federal healthcare programs + Possess a National Provider… more