- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...Goal) and community relations as directed. **Required Qualifications** + MD or DO degree + 5+ years of direct… more
- Humana (Sacramento, CA)
- …of Business. + Support Home Solutions as needed Other activities as assigned by the managing Medical Director **Scheduled Weekly Hours** 40 **Pay Range** The ... caring community and help us put health first** The Medical Director relies on fundamentals of CMS...your skills to make an impact** Required Qualifications + MD or DO degree + Current and ongoing board… more
- Wellpath (Woodland, CA)
- …training, education, and point of care support. **How you make a difference** As a Medical Director , you will be responsible for providing medical oversight ... of services is provided to the Regional or Corporate Medical Director or designee to monitor services...the State. **Additional Details** Must be licensed as an MD or DO in the State of California. This… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...your skills to make an impact** **Required Qualifications** + MD or DO degree + 5+ years of direct… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...your skills to make an impact** **Required Qualifications** + MD or DO degree + 5+ years of direct… more
- Highmark Health (Sacramento, CA)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse...your skills to make an impact** **Required Qualifications** + MD or DO degree + A current and unrestricted… more
- CVS Health (Sacramento, CA)
- …Position Summary Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home. This ... can be remote based anywhere in the US. The Medical Director (Cardiology) will be a Subject...and Health Care Industry. * Active and current state medical license without encumbrances * MD or… more
- Evolent Health (Sacramento, CA)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Medical Director , RBM you will be a key member of the utilization management ... discussion of utilization management decisions. + May function as Medical Director for select health plans or...duties as assigned. Qualifications - Required and Preferred: + MD /DO/MBBS- **Required** + Minimum of five (5) years' experience… 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 ... implementation. You'll participate in the development, implementation, and evaluation of clinical/ medical programs and expand Aetna's medical management programs… more
- Lilly (Sacramento, CA)
- …who are determined to make life better for people around the world. Associate Director - Medical Science Liaison (Rheumatology: CA, NV, OR, WA, AK, HI) Purpose: ... design and implement novel research, and educate colleagues and students. The Medical Science Liaison (MSL) program is specifically designed to meet these needs… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Medical Director 's primary responsibility is the review of medical authorizations ... necessity of a given service, level of care, or medical item/supply. The Medical Director 's...your skills to make an impact** **Required Qualifications** + MD or DO degree + 5+ years of clinical… more
- Highmark Health (Sacramento, CA)
- …subject matter expert. + Other duties as assigned. **EDUCATION** **Required** + Medical Doctor ( MD ) or Doctor of Osteopathic Medicine (DO) **Substitutions** ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- FranklinCovey (Sacramento, CA)
- …schools and institutions. To learn more, visit franklincovey.com . **Title:** Senior Managing Director , Retention and Inside Sales **Division & Department:** ... US **Job Summary** The major function of the Senior Managing Director of Retention role is leading...to ongoing coaching and mentoring of ESP's. The Retention MD will be expected to create a positive culture… more
- FranklinCovey (Sacramento, CA)
- …schools and institutions. To learn more, visit franklincovey.com . **Title:** Managing Director **Division & Department:** Education Sales **Status:** Full-Time ... **Location:** Remote - Contiguous United States; TX preferred **Job Summary** Major functions of the Managing Director role is leading a sales team of 10 or more… more
- KPMG (Sacramento, CA)
- **Business Title:** Managing Director **Requisition Number:** 107608 - 9 **Function:** Tax Services **Area of Interest:** **State:** CA **City:** Sacramento ... are, join our team. KPMG is currently seeking a Managing Director to join our Closely Held...eligibility. Our Total Rewards package includes a variety of medical and dental plans, vision coverage, disability and life… more
- Evolent Health (Sacramento, CA)
- …management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:** + MD /DO/MBBS- **Required** + ... (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD provider is...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
- Takeda Pharmaceuticals (Sacramento, CA)
- …Takeda to advance medical strategy and improve patient outcomes. As part of the US Medical team, you will report to the Director , Field Medical . This is ... to the best of my knowledge. **Job Description** Join Takeda as a Senior Medical Science Liaison - Gastroenterology / Immunology where you will be responsible for… more
- Takeda Pharmaceuticals (Sacramento, CA)
- …to advance medical strategy and improve patient outcomes. As part of the US Medical team, you will report to the Director , Field Medical . The territory ... the best of my knowledge. **Job Description** About the role: The Senior Medical Science Liaison is a remote, field-based, external customer-facing member of the US… more
- Evolent Health (Sacramento, CA)
- …recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests...Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is… more