- 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
- 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 (Costa Mesa, CA)
- **Clinical Ops Associate Medical Director ** **Orthopedic Surgery** **Location:** This is a virtual position. Candidates must reside within 50 miles of an ... 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
- 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
- Jacobs (Irvine, 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
- 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
- MicroVention, Inc. (Aliso Viejo, CA)
- …capabilities. + Stay current with industry trends, regulations, and best practices in medical device project management , and apply them to improve project ... **12579BR** **Title:** Director , Quality Engineering (Transfers) **Job Description:** Create, lead,...relevant field of study. 2. Strong knowledge of Quality Management Systems, medical device development, regulatory requirements,… more
- Skyworks (Irvine, CA)
- Sr. Director , EDA Engineering Apply now " Date:Dec 28, 2024 Location: Irvine, CA, US Company: Skyworks If you are looking for a challenging and exciting career in ... a strong focus on global collaboration, minimal layers of management , and the freedom to make meaningful contributions in...Requisition ID: 72376 Job Summary Skyworks seeks a Senior Director of EDA Engineering to lead advanced EDA engineering… more
- WM (Sun Valley, CA)
- …age, national origin, disability, or veteran status. We are seeking an experienced Director of Disposal for our Landfill Operations to lead the Landfill Disposal ... California, preferably near Los Angeles or Riverside County. Relocation also available. ** Director of Disposal Job Summary** This key leadership role will lead the… more
- AbbVie (Irvine, CA)
- …medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's ... Facebook, Instagram, YouTube and LinkedIn. Job Description The Creative Director , Copy is known as a leader in the...closely with Editorial, Art, and Account, along with Creative Management , to ensure that clients are satisfied with the… more
- WSP USA (Irvine, CA)
- This Opportunity WSP is looking for a **Senior Vice President Transportation Director /Local Business Lead (LBL)** for **Orange County** , based in our Irvine office. ... efforts in coordination with Region, District, National Business Lines, and Pursuit Management . + Integrates as the "face of the company" locally and across… more
- Elevance Health (Costa Mesa, CA)
- …in process improvement initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses ... **Be Part of an Extraordinary Team** ** Medical Management Clinician Senior** **Location: Remote-**... medical necessity denial determination made by a Medical Director . + Develops and fosters ongoing… more
- Fresenius Medical Center (Costa Mesa, CA)
- …+ Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible for strong Director and physician ... communicated to and implemented by the facility staff. + Maintains integrity of medical records and other FMS administrative and operational records. + Complies with… more
- Dignity Health (Northridge, CA)
- **Overview** Founded in 1955 Dignity Health - Northridge Hospital Medical Center is a 394-bed acute care nonprofit community hospital located in Northridge ... cardiovascular center stroke center the Center for Assault Treatment Services a pediatric medical center and the only pediatric trauma center in the San Fernando… more
- City of Long Beach (Long Beach, CA)
- …The Department has six bureaus: Business Operations, Transportation Project Management , Engineering, Environmental Services, Public Services and Project ... THE POSITION The Superintendent of Traffic Operations is an unclassified, at-will management position that reports to the General Superintendent of Parking &… more
- Illumination Foundation (Anaheim, CA)
- …The Associate Manager of RRH will work closely with the Program Manager/ Director to ensure contract compliance and outcomes are met. Additionally, they will ... principles Updated On: 09/14/2022 + Adept levels of awareness and utilization of Illumination Foundation's EMR system + Professional and discreet interpersonal… more
- Molina Healthcare (Long Beach, CA)
- …education, outreach and resolving provider inquiries. * In conjunction with the Director , Provider Network Management & Operations, develops health plan-specific ... quality initiatives. * Engages contracted network providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization , and CAHPS to… more
- City of Long Beach (Long Beach, CA)
- …and hearings; screens requests for appointments to ensure efficient and prudent utilization of executive availability. + Arranges domestic and foreign travel; create ... + Basic knowledge of customer service to employees and management is required. + A general understanding of maritime...contributing to the 457(b) plan. + Group Health Insurance- Medical and dental options (HMO and PPO). Free vision… more
- Grant Thornton (Newport Beach, CA)
- …design and implement internal controls + Support engagement Manager and/or Senior Manager/ Director in project management activities, such as preparing and ... exceptional expertise and experience in healthcare providers, specifically hospitals, academic medical centers, and healthcare systems. This includes areas such as… more