- Elevance Health (Cerritos, CA)
- ** Medical Director - Utilization Management ** **Location: This is a hybrid position with the expectation to go into the office at least 1 day a week, ... within 50 miles of an Elevance Health location.** The Medical Director is responsible for the administration...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… 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 ... net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates,...requests by Providers. Acts as a department resource for medical service requests /referral management and processes.… more
- Molina Healthcare (Long Beach, CA)
- …, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk ... resource management . + Develops and implements a Utilization Management program and action plan, which...activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. +… more
- LA Care Health Plan (Los Angeles, CA)
- …operational systems and tools while also performing utilization review of cases. The Medical Director reports to the Senior Medical Director , ... Medical Director , Community Health Job Category:... review of cases and participates in our care management programs periodically. Provide utilization review and… more
- Providence (Santa Monica, CA)
- **Description** **THE ROLE** The Director , Case Management promotes and supports the mission, vision and objectives of Saint John's Health Center and is ... line through strategic plans/policies, in collaboration with CMO, Administrative Director , Safety and medical /program directors. Implements strategies that… more
- Cedars-Sinai (Los Angeles, CA)
- … Director collaborates with other CSMN providers of Population Health services, the Medical Director of Pain Management , and Population Health leadership, ... Management & ISP, Contracting, and Quality. The MH Medical Director provides direct supervision to licensed...community MH provider as needed. + Supports and advises Utilization Management , CS 360, and population health… more
- Elevance Health (Cerritos, CA)
- …of applicable clinical criteria and relevant Carelon Medical Benefits Management policies pertaining to utilization review. + Demonstrate and maintain ... necessity of requests using clinical appropriateness guidelines. The **Associate Medical Director , Clinical Operations (Surgery)** is responsible for supporting… more
- Elevance Health (Los Angeles, CA)
- **Clinical Ops Associate Medical Director - Ortho** **Location:** **This is a virtual position. Candidates must reside within 50 miles of an Elevance Health ... analytics to improve the delivery of care. The **Clinical Ops Associate Medical Director - Ortho** is responsible for performing pre-authorizations and… more
- Elevance Health (Cerritos, CA)
- … Medical Director , Clinical Operations** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions ... testing. + Determine medical necessity of requests using Carelon Medical Benefits Management Medical Necessity Guidelines, client-specific health… more
- The County of Los Angeles (Los Angeles, CA)
- …will be primarily used to fill a vacancy in Department of Health Services, Harbor-UCLA Medical Center, Utilization Management Division. May also be used to ... + Additional experience in clinical nursing. + Supervisory** experience in Utilization Review and/or Case Management . SPECIAL REQUIREMENT INFORMATION:… more
- Elevance Health (Cerritos, CA)
- … Medical Director , Sleep Medicine** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to ... to work in a dynamic, fast-paced environment. + Preferred interest in Sleep management utilization review. For candidates working in person or remotely in… more
- Grant Thornton (Los Angeles, CA)
- As a Transaction Management Director , you'll focus on buy-side and sell-side transaction management engagements, serving dynamic organizations with ... teams + Provide expertise in the following: + Deal Management Office support + Standalone, one-time, and stranded cost...professional development + Meeting or exceeding targeted billing hours ( utilization ) + Other duties as assigned You have the… more
- The Walt Disney Company (Burbank, CA)
- …and manages the work from concept stage through implementation and measurement. The Director , Talent Management - Talent Planning & Intelligence is responsible ... The Talent Management and Internal Mobility team as a part...strategy, including the development of a skills infrastructure and utilization of technology, that addresses current and future skill… more
- Jacobs (Los Angeles, CA)
- As a Market Growth Director you report to your assigned Executive Director of Sales (EDS). You are responsible for the development of a water market strategy ... include input and create alignment with the Lead Account Strategist (LAS), the Director of Operations (DO) aligned to your market, and Market Solutions Leadership… more
- University of Southern California (Los Angeles, CA)
- …(https://usc.wd5.myworkdayjobs.com/ExternalUSCCareers/job/Los-Angeles-CA Downtown/Art- Director \_REQ20156518/apply) Communications Los Angeles, California Art ... to the Special Advisor/Associate Vice President, Advancement Communications, the Art Director will oversee the visual identity and branding of all marketing… more
- Providence (Torrance, CA)
- **Description** **THE ROLE** The Torrance Imaging Services Director provides strategic leadership and business development, as well as financial and operational ... management and direction for Diagnostic Imaging Services. Accountable for...components to achieve the desired outcomes in Torrance. The director is responsible for managing the delivery of all… more
- Cedars-Sinai (Los Angeles, CA)
- … medical center + Maintains division fiscal affairs, including expense reduction, utilization management and budget control + Oversees the division compliance ... in order to provide quality, individualized patient care and support of Medical Center philosophies. The Associate Director assumes fiscal responsibility through… more
- Publicis Groupe (El Segundo, CA)
- …As the PMO Director , you will provide thought leadership, inspiration, and management of the agency's PMO to optimize the agency's output. You will seek to ... the best work. You will champion silo-busting transparency & utilization visibility across the Agency through the core pillars...the core pillars of project management , workflow management , tooling, and governance. The PMO Director … more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …even bigger advances in cancer therapies, and help shape where our business and medical science goes next. We believe every employee deserves a great leader. People ... We are seeking a highly motivated individual to join us as an Associate Director , Global Health Economics & Outcomes Research (HEOR) Center of Excellence to support… more
- ADP (Pasadena, CA)
- **ADP is hiring a Sr. Director , Operations -** **Smart Compliance Solutions (SCS)** The Senior Director , Operations will play a pivotal role in driving seamless ... with strategic goals. + Develop and implement strategic plans to optimize the management of strategic initiatives within the software development team. + Act as a… more