- 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
- 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
- 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)
- **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
- 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)
- …systems accounts + Serves as a resource for the HS MAD Team Lead, HS Executive Director Medical Affairs, and other members of Country Medical Affairs on ... **Job Description** **Role Summary** + The Health Systems Medical Affairs Director (HS MAD) is a therapeutic and disease expert who develops ongoing professional… more
- Sumitomo Pharma (Sacramento, CA)
- …website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. **Job Overview** The Director , Medical Affairs Strategy (Hematology/Oncology) will be a key ... member of the Medical Affairs team reporting to the Executive Director...in line with your work state. Our robust time-off policy includes unlimited paid time off, 11 paid holidays… more
- Sumitomo Pharma (Sacramento, CA)
- …. **Job Overview** The Sr. Director , Medical Strategy (Rare ... Disease) will be a key member of the Medical Affairs team reporting to the Executive Director...in line with your work state. Our robust time-off policy includes unlimited paid time off, 11 paid holidays… more
- Sumitomo Pharma (Sacramento, CA)
- …. **Job Overview** The ** Director , Medical Strategy ... (Prostate Cancer)** will be a key member of the Medical Affairs team reporting to the Executive Director...in line with your work state. Our robust time-off policy includes unlimited paid time off, 11 paid holidays… more
- Merck (Sacramento, CA)
- **Job Description** The Executive Director , Value & Implementation (V&I), Global Medical and Scientific Affairs (GMSA) is accountable for the development and ... execution of scientific & medical affairs plans for Ophthalmology). They build and lead...global and regional directors and associate directors. The Executive Director , Value & Implementation (referred to as EDMA) engages… more
- Merck (Sacramento, CA)
- **Job Description** The Oncology Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages in ... bidirectional exchange of scientific or medical information with Scientific Leaders (SLs). The role provides...publication **NOTICE FOR INTERNAL APPLICANTS** In accordance with Managers' Policy - Job Posting and Employee Placement, all employees… more
- Sumitomo Pharma (Sacramento, CA)
- …. **Job Overview** The **Executive Director Head of Medical ... Strategy** will be a key member of the Medical Affairs Leadership team reporting to the Vice President,...in line with your work state. Our robust time-off policy includes unlimited paid time off, 11 paid holidays… more
- CVS Health (Sacramento, CA)
- …remote based (work at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Regulated Medicare Appeals: * Direct daily ... Strategy support. * Develop subject matter expertise on Medicare policy for the enterprise. * Provide ongoing education regarding...System eg, Clinical Practice or Health Care Industry * Medical License (MD) or (DO) * An Active state… more
- CVS Health (Sacramento, CA)
- …**This is a remote based (work from home) role.** In this role has Medical Director (Behavioral Health) you will: * Provide comprehensive behavioral health care ... of care * Assist with the development, implementation and interpretation of medical policy including medical necessity criteria, clinical practice… more
- Highmark Health (Sacramento, CA)
- …most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical ... members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer… 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...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Highmark Health (Sacramento, CA)
- …as assigned or requested. . **Q** **UALIFICATIONS:** **Required** + Doctorate degree in Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) degree. + 10 years ... the Company's Handbook of Privacy Policies and Practices and Information Security Policy ._ _Furthermore, it is every employee's responsibility to comply with the… more
- AECOM (Sacramento, CA)
- …a better world. Join us. **Job Description** **AECOM** is seeking a **Deputy Director of Real Property** to be based in **Sacramento, CA** . **SUMMARY:** Under ... the direction of the Director of Real Property, the Deputy Director ...major capital infrastructure projects and the areas of scope, policy , strategy and procedures, property management, and negotiating utility… more