- Molina Healthcare (Sacramento, CA)
- …role. The Director of Healthcare Services position will be overseeing the Outpatient Utilization Management Team. Candidates must have an active ... of the following key Healthcare Services functions: case management /disease management /care transitions; utilization management (Position oversees PA… 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 ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … 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 ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
- Dignity Health (Woodland, CA)
- …range of health care services in Yolo County including inpatient and outpatient surgical services family birth center/labor and delivery emergency services home ... Empowers staff to create structures and processes that assures cost effective and safe utilization of drug supplies and pharmacy staff time. + Leads and creates the… more
- Merck (Sacramento, CA)
- …Regional Director : + Integrated Delivery Network (IDN, including hospital outpatient and home-infusion if IDN owned) + Federal accounts (including Veterans' ... conditions with the customer, as applicable. + Customer Account Planning and Management + Accountable for payer customer/portfolio P&L (revenue and expenses); works… more