- Molina Healthcare (Long Beach, CA)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... + 3+ years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… more
- Cordis (San Francisco, CA)
- …Business) through direct case support. Reports to National Clinical Sales Director . **Responsibilities** + Responsible for meeting revenue generation targets on ... Track sales and support activities as needed and directed by the National Director in coordination with additional sales support. + Completes training and manages… more
- Sharp HealthCare (San Diego, CA)
- …Medical Director . + California Physicians and Surgeons License - Medical Board of CA -REQUIRED **Other Qualification Requirements** + Unrestricted license ... Osteopathic Medicine (DO); California Physicians and Surgeons License - Medical Board of CA ; Doctor of Medicine...employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and… more
- MetroLink (Los Angeles, CA)
- Assistant Director , Finance (Grants) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4648818) Apply Assistant Director , Finance (Grants) ... Salary $126,185.00 - $195,588.00 Annually Location California 90017, CA Job Type At Will Full Time Remote Employment...OF POSITION Metrolink is seeking a highly skilled Assistant Director , Finance to join our Finance team. The Assistant… more
- CVS Health (Columbus, OH)
- …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... and consistent responses to members and providers. As a Medical Director you will focus primarily on...*Prior UM (Utilization Management) experience *Active and current state medical license in CA without encumbrances and… more
- Prime Healthcare (Ontario, CA)
- …(https://careers-primehealthcare.icims.com/jobs/175045/ director -of-government-reimbursement-and-reporting/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... seeking new members to join our corporate team! Responsibilities The Corporate Director Government Reimbursement and Reporting will serve as a lead in understanding… more
- Providence (Santa Monica, CA)
- …line through strategic plans/policies, in collaboration with CMO, Administrative Director , Safety and medical /program directors. Implements strategies that ... **Description** **THE ROLE** The Director , Case Management promotes and supports the mission,...in addition to providing education on continual changes in Medicare regulation and reimbursement. + Form positive relationships with… more
- Elevance Health (Los Angeles, CA)
- **Provider Contract Director - CA ** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of the ... posted Elevance Health locations. The **Provider Contract Director - CA ** leads key end to end contract...Based Care and fee for service. + Experience supporting Medicare , Medicaid and Commercial lines of business. For candidates… more
- LA Care Health Plan (Los Angeles, CA)
- …and motivating direct-reports. Duties General Essential functions: Collaborating with the Medical Director , responsible for the operations, programming and ... Job Category: Clinical Department: Care Management Location: Los Angeles, CA , US, 90017 Position Type: Full Time Requisition ID:...LA Care members healthy and access appropriate services. The Director will also work with the CM Medical… more
- LifeSteps (Sacramento, CA)
- Cal-AIM Services Director Job Details Job Location Sacramento Corporate Office - Sacramento, CA Position Type Full Time Education Level 4 Year Degree Salary ... a dynamic and experienced leader to join our team as theCal-AIM Services Director . This full-time, exempt position will be based at our LifeSTEPS Corporate Office… more
- LA Care Health Plan (Los Angeles, CA)
- Associate Counsel III Senior Director Health Care Legal Services Job Category: Management/Executive Department: Health Care Legal Services Location: Los Angeles, ... CA , US, 90017 Position Type: Full Time Requisition ID:...that purpose. Job Summary The Associate Counsel III Senior Director Health Legal Services is responsible for diverse legal… more
- Bayer (Los Angeles, CA)
- …minds to make a real difference, there's only one choice.** **Associate Director - Field Reimbursement - Oncology - Southern California** **Associate Director ... HCPs and Office staff in navigating therapy Prior Authorizations (PAs), Medical Necessity documentation and therapy PA denial appeals. Develop collaborative working… more
- Elevance Health (Los Angeles, CA)
- **Government Business Quality Management Health Plan Director -California** **Location** : This position will work a hybrid model (remote and office). The ideal ... candidate will live within 50 miles of the **Woodland Hills, CA ** Elevance Health PulsePoint location. The **GB Quality Management Health Plan Director ** is… more
- Brookdale Senior Living (Sarasota, FL)
- …and service focused team. Overview Voted by Newsweek in 2024 as one of America 's Greatest Workplaces for Diversity Early Access to Paycheck with Earned Wage Access ... is available for Hourly Associates (outside of CA ) Make Lives Better Including Your Own. If you...directs the social service programs to ensure that the medical -related emotional and social needs of the residents are… more
- MetroLink (Los Angeles, CA)
- …Engineer, Major Projects Salary $112,394.00 - $174,212.00 Annually Location California 91767, CA Job Type At Will Full Time Remote Employment Flexible/Hybrid Job ... job series. SUPERVISION EXERCISED AND RECEIVED + Receives general oversight from director or executive level roles. + Responsible for supervising and monitoring… more
- MetroLink (Los Angeles, CA)
- …& Compliance Administrator Salary $89,909.00 - $139,359.00 Annually Location California 90017, CA Job Type At Will Full Time Remote Employment Flexible/Hybrid Job ... duties. SUPERVISION EXERCISED AND RECEIVED + Receives supervision from Director , Senior Manager, and Manager II roles. + The...employer. The SCRRA is an Equal Opportunity Employer. EEO/ADA MEDICAL : SCRRA offers a choice of twelve (12) health… more
- LA Care Health Plan (Los Angeles, CA)
- … medical necessity reviews. Prepares authorizations, after approval by the Medical Director . When necessary, outreaches to providers, vendors, hospitals, and ... Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA , US, 90017 Position Type: Full Time Requisition ID:...in a manner consistent with LA Care, Centers of Medicare and Medicaid Services (CMS) and regulatory guidelines. Benefit… more
- Sharp HealthCare (San Diego, CA)
- …for medical necessity are issued under the direction of the Medical Director or designee.Assists with transfers, when necessary. + Demonstrates knowledge ... Start Time** **Shift End Time** California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians; Other **Hours** **:** **Shift… more
- Dignity Health (Carmichael, CA)
- …and practice standards. + Actively consulting with MHH/MH Operations Team, Hospice Medical Director , Interdisciplinary Team and the patient's primary physician ... and collaborative practice is achieved. Mercy Hospice is a Medicare -certified Joint Commission accredited program. We are also a...to ensure quality and continuity for the patient. The medical director meets with the team to… more
- Sharp HealthCare (San Diego, CA)
- …venues.Escalate and refers cases for consultation with Physician Advisor or Medical Director as appropriate.Oversee preparation, delivery and documentation of ... Bachelor's Degree in Nursing; California Registered Nurse (RN) - CA Board of Registered Nursing; Master's Degree **Hours** **:**...by community and professional standard as adopted by the medical staff.The RN CM I will assure that the… more