- CVS Health (Sacramento, CA)
- …can be located anywhere in the United States. In this role as Medical Director MPO ( Medical Policy & Operations) you will be responsible for providing ... focused medical care with a focus on clinical and payment policy . This Medical Director provides subject matter expertise to provide clinical support and… more
- Caris Life Sciences (Sacramento, CA)
- **Position Summary** The Director , Market Access Medical Policy is the expert in Caris Life Science Products and their clinical application for the Market ... at meetings and conferences. + Lead, develop, and execute outreach strategies to medical policy developers and medical directors at health plans to support… more
- Sharp HealthCare (San Diego, CA)
- …the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp ... care needs of the membership. Serves as a lead medical manager and policy advisor to SHP...+ 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons… more
- CVS Health (Sacramento, CA)
- …**Position Summary** CVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director - Medical Affairs. We need a Double Board ... clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director ( Medical Affairs) will report into… more
- Conviva (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...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Ventura County (Ventura, CA)
- Medical Director , Ventura County Health Care...Coordinates and communicates matters of VCHCP medical policy with the Health Care Agency Director ... Plan Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4527347) Apply Medical Director , Ventura County Health Care Plan...by the Credentials Committee as defined by the Plan's Policy . + Ensures that any actions taken by the… more
- Humana (Sacramento, CA)
- …our caring community and help us put health first** Job Description Summary The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... home health per diem, DME, and waiver requests. The Medical Director provides medical interpretation...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- 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...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… 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...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests ... for services. The Medical Director work assignments involve moderately complex...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… 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...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Microsoft Corporation (San Francisco, CA)
- …services by engaging with engineering and business groups We are seeking an outstanding Policy Director , Child Safety and Wellness to join our Digital Safety ... team. As a Policy Director , you will play a key...without regard to age, ancestry, citizenship, color, family or medical care leave, gender identity or expression, genetic information,… more
- LA Care Health Plan (Los Angeles, CA)
- Medical Director , Community Health Job Category: Clinical Department: Community Health Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... and to support the safety net required to achieve that purpose. Job Summary The Medical Director , Community Health, acts as key medical leaders in the… more
- AbbVie (Irvine, CA)
- …strategic leader in the GAMA organization. Working under the leadership of the Executive Medical Director , Global Body Contouring, GAMA in partnership with key ... You To Know The Associate Director / Director , Global Body Contouring, Global Aesthetics Medical ...community and embracing diversity and inclusion. It is AbbVie's policy to employ qualified persons of the greatest ability… more
- Magellan Health Services (San Diego, CA)
- …corporate and participates in management of activities. Develops, implements and interprets medical policy , technology assessments, and medical necessity ... improvement activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement staff. May participate in various committees… more
- BD (Becton, Dickinson and Company) (Milpitas, CA)
- …become your best self. Become a **maker of possible** with us. The Senior Director , Medical Affairs and Clinical Execution will have an extensive background in ... We are **the makers of possible!** BD is one of the largest global medical technology companies in the world. _Advancing the world of health_ (TM) is our… more
- Comcast (Universal City, CA)
- …of programs and business units. This position will report to the Corporate Medical Director . **Job Description** **Core Responsibilities** + Medical Degree ... variable schedule (nights, weekends, and holidays) as needed to + Partner with the Corporate Medical Director to act as a credible and authoritative medical … more
- CVS Health (Sacramento, CA)
- …In the Medical Director role, you will provide oversight for medical policy implementation. You will support the Medical Management staff ensuring ... timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied medical services.… 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. The ... Corporate Medical Director works on problems of diverse scope and complexity...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Merck (Sacramento, CA)
- **Job Description** The Regional Medical Scientific Associate Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages in ... and directs SL inquiries on issues outside of Regional Medical Scientific Director scope (eg, grants) to...publication **NOTICE FOR INTERNAL APPLICANTS** In accordance with Managers' Policy - Job Posting and Employee Placement, all employees… more