- Fresenius Medical Center (Inglewood, CA)
- …POS, etc) in the state of California. Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate ... financial effect, cost benefit and utilization. + Negotiates contractual relationships with managed care organizations and other third party payors as needed.… more
- Providence (Mission Hills, CA)
- …Answers and screens phones. Schedules and coordinates all meetings attended by Administrative Director of Managed Care , Contract Manager, Case Managers and ... Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters… more
- LA Care Health Plan (Los Angeles, CA)
- …or cross-functional groups. Demonstrated experience managing complex investigations in a managed care or healthcare environment. Experience in coordinating with ... Director , Compliance on Special Investigations Unit and Fraud,...$175,676.00 (Mid.) - $216,218.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- Option Care Health (Los Angeles, CA)
- …sales teams and key supporting functions is a major focus. The Specialty Sales Director will work collaboratively with Option Care Health Operations to resolve ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...talent in healthcare. **Job Description Summary:** The Specialty Sales Director will develop and implement the Specialty business sales… more
- Sanofi Group (Los Angeles, CA)
- **Job Title:** Regional Business Director - Allergy- ENT - Pacific South **Location:** Remote/Field, **About the Job** Join the team transforming care for people ... immune challenges, rare diseases, cancers, and neurological conditions. In Specialty Care , you'll help deliver breakthrough treatments that bring hope to patients… more
- University of Southern California (Los Angeles, CA)
- …(MBA) or Health Administration (MHA) or related. . Knowledge and experience in managed health care . General understanding including but not limited to: claims ... of SVP for Health Affairs is seeking an Associate Director to join its Health Plans team! The Work...implements strategies to reduce costs and improve quality of care and services. . Develops strategies for communicating and… more
- Envista Holdings Corporation (Brea, CA)
- **Job Description:** **JOB SUMMARY** : The **Senior Director , Corporate Functions-IT (G&A)** leads the strategic planning, delivery, and support of IT solutions ... with Envista's senior business leaders, internal/external IT resources, and managed service providers to ensure scalable, secure, and efficient technology… more
- The County of Los Angeles (Los Angeles, CA)
- …SERVICES MANAGER (Executive Director , Southern California Municipal Athletic Federation) Print ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4859404) Apply RECREATION SERVICES MANAGER (Executive Director , Southern California Municipal Athletic Federation) Salary $80,000.00 -… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …Statement/Position Summary:** This position is responsible for directing and coordinating the managed care policies, goals, and objectives related to contract ... Group leadership in working with Physician Organizations in the market regarding managed care contracts, strategies for improving market share and opportunities… more
- Lundbeck (Los Angeles, CA)
- Regional Business Director - West Requisition ID: 7047 Location: Los Angeles, CA, US **Will consider candidates who live in region or state which shares a border, ... CO, NV, TX, OR and other western states)** **SUMMARY:** The Regional Business Director (RBD) is responsible for leading field-based Area Sales Managers (ASM) and… more
- UCLA Health (Los Angeles, CA)
- …experience in Utilization Management + 2 or more years of experience working managed care + Knowledge of Medicare Advantage experience with utilization ... Description Are you passionate about evidence-based medicine and improving care for Medicare Advantage members? UCLA Health Medicare Advantage Plan is looking for a… more
- Envista Holdings Corporation (Brea, CA)
- **Job Description:** The **Sr. Director of Commercial Operations** is a critical leadership role vital to the success of the global consumables business, partnering ... and project management, and implementing transformational commercial changes. The Sr. Director holds accountability for delivering key insights on the business,… more
- Compass Group, North America (Los Angeles, CA)
- Morrison Healthcare **Position Title:** RESIDENT REGIONAL DIRECTOR **Pay Grade:** 17 **Reports To: VPO** **Salary: 120 - 140K** **Other Forms of Compensation:** ... chefs, and 17,000 professional food service team members. **Job Summary** Regional Director of Operations (RDO) Location: Gainesville, FL | On-Site | 1,000+ Bed… more
- Crane Aerospace & Electronics (Burbank, CA)
- …of your career with Crane Aerospace & Electronics!** **Job Summary:** The Director of Supply Chain is accountable and responsible for developing and implementing ... implement and manage alternate material replenishment methods (consignment, kanban, vendor managed ) that increase turns year over year while supporting 100% customer… more
- Liberty Utilities (Downey, CA)
- Director , Vendor Performance Management LU Service Corp. Downey, CA, US, 90241Litchfield Park, AZ, US, 85340Joplin, MO, US, 64801Londonderry, NH, US, 03053Joplin, ... employee team.** **At Liberty, we hire passionate people who care about doing the right thing for our customers....goal outcome and how we achieve it.** **Purpose** The Director , Vendor Performance Management is accountable for the governance,… more
- University of Southern California (Los Angeles, CA)
- …reasonable business judgment throughout the Transplant Institute. In collaboration with Managed Care Contracting team, provides contract oversight, anticipates ... and forecasts the financial prospects for the Transplant Institute. The Director of Finance position will work with various fiscal and operational functions within… more
- Molina Healthcare (Los Angeles, CA)
- …new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified ... for both members and providers and ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide… more
- LA Care Health Plan (Los Angeles, CA)
- …of Utilization Management/Case Management experience in a hospital or HMO setting . Preferred: Managed Care experience performing UM and CM at a medical group or ... Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of… more
- University of Southern California (Alhambra, CA)
- …MCG reviews are completed within 24 hours of admission; Observation patients are effectively care managed on a daily basis; and Facilitate throughput and timely ... Hospital admissions, or Re-admissions. 4. Maintains awareness of current managed care contract requirements. 5. Coordinate the...Director of Health Services. 9. Collaborate with Medical Director , PCP/Primary Care Team and Director… more
- LA Care Health Plan (Los Angeles, CA)
- …Experience working in a cross functional work environment. Preferred: Experience in Medi-Cal managed care . 1 year of experience in UM/Prior Authorization. Skills ... Range: $47,840.00 (Min.) - $57,062.00 (Mid.) - $68,474.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of… more