- Humana (Sacramento, CA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
- Humana (Sacramento, CA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... with prior experience participating in teams focusing on quality management , utilization management , case ...management operational improvements, including those within the medical director area + Participate in call rotation + Develop… more
- Dignity Health (Rancho Cordova, CA)
- …home.** **Position Summary:** Under the guidance and supervision of the department Manager/ Director , the Supervisor of Utilization Management is responsible ... (Medicare Guidelines, InterQual, Health Plan Benefit Interpretation Guidelines and Medical Management Policies, and DHMF Utilization Management guidelines… more
- CenterWell (Sacramento, CA)
- …a part of our caring community and help us put health first** **National** ** Director of Transitional Care and High-Risk Patient Management ** The Director ... Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as… more
- GoTo (Sacramento, CA)
- …plenty of opportunities for growth and learning, blaze your own trail with us. As the Director of Product Management for the Data Team at GoTo.com, you will be ... drive business growth. **Your Day to Day** **As the Director , Product Management , you would be working...and customer success teams to ensure successful adoption and utilization . **Customer Focus:** + Engage with customers to understand… more
- CVS Health (Sacramento, CA)
- …Position Summary Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Pain Management ) that can be remote based, work from home. This ... be remote based anywhere in the US. The Medical Director (Pain Management ) will be a Subject...members and providers. You will lead all aspects of utilization review/quality assurance, directing case management . In… more
- Humana (Sacramento, CA)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Sacramento Municipal Utility District (Sacramento, CA)
- Title: Director , Customer Experience Planning and Integration Department: Customer & Community Services Location: Sacramento, CA, US, 95817-1899 Category: Customer ... **Posting Type:** Open Customer and Community Services (CCS) is seeking a director to provide leadership for the Customer Experience (CX) Planning & Integration… more
- BrightSpring Health Services (Sacramento, CA)
- …of death and submit to State Health Services Director and Assigned Director , Clinical Practice* Review utilization report at least monthly to ensure adequate ... are coordinated with behavioral and programmatic staff in partnership with the Executive Director . The Director of Nursing is accountable for overseeing the… more
- CenterWell (Sacramento, CA)
- …under the PCO's Chief Medical Officer. This role reports to the National Director , High Risk Patient Management . Responsibilities will include: + Lead ... community and help us put health first** The National Director , Clinical Pharmacy is a strategic pharmacy leader responsible...care, high quality health outcomes, and improved cost and utilization in pharmacy-related care, and serve as a national… more
- KPMG (Sacramento, CA)
- **Business Title:** Executive Director , KPMG Delivery Network (KDN) Chief Financial Officer **Requisition Number:** 112450 - 9 **Function:** Business Support ... future as we are, join our team. KPMG is currently seeking an Executive Director , KPMG Delivery Network (KDN) Chief Financial Officer to join our KDN organization.… more
- Rocket Software (Sacramento, CA)
- …programs, and strategies to ensure effective, repeatable, and scalable project management , resource utilization practices, and reporting. + Foster global ... BELIEVE in what they're doing!** **Job Description Summary:** The Senior Director , Customer Solutions Engineering (CSE) is responsible for managing CSE Delivery… more
- CVS Health (Sacramento, CA)
- …consistent responses to members and providers. In addition you will oversee utilization review/quality assurance, directing case management In this role you'll ... **This is a remote based (work from home) role.** In the Medical Director role you will provide oversight for medical policy implementation. You'll participate in… more
- Sutter Health (Sacramento, CA)
- …care units for cardiac and neurological patients. The Oncology Nursing Director provides administrative and nursing leadership in an assigned inpatient setting ... patient care. Establishes overall operating and capital budget with input from management team, ensuring financial targets are achieved and variances are addressed… more
- Wolters Kluwer (Sacramento, CA)
- …units - Clinical Surveillance & Compliance ("CSC") and Health Language ("HL"). As Director Strategy CSCD Partnerships and Business Development you will play a key ... this will include establishment of KPIs related to expected performance including utilization , penetration of target markets and others, as appropriate to the… more
- Acxiom (Sacramento, CA)
- As a Senior Director , Data, you will be responsible for the growth, development, and implementation of Data Strategy services across Acxiom's business in North ... as an internal marketing, business/customer insights on the client side** **Project management experience using data to solve complex business questions and drive… more
- Dignity Health (Woodland, CA)
- …Empowers staff to create structures and processes that assures cost effective and safe utilization of drug supplies and pharmacy staff time. + Leads and creates the ... limited to new services/programs revenue enhancement expense reduction managed care utilization systems and inpatient and ambulatory strategies for pharmacy care +… more
- Marriott (Sacramento, CA)
- …**Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** Marriott's Security Engineering team is seeking an ... guide/mentor the security experts on this front. + Provide recommendations to management team to increase effectiveness of organization and technology solutions. +… more
- Teradata (Sacramento, CA)
- …all indirect procurement categories across Teradata globally. You will report to the Director of Strategic Sourcing & Category Management , within our global IT ... Do in this Role** The Strategic Sourcing Manager, Marketing & HR Category Management builds strong relationships with internal and external partners to develop and… more
- Dignity Health (Sacramento, CA)
- …accreditation and laws applicable tohospital and department operations. + Supports the Sr. Director of Facilities and Operations in the management of Engineering ... Safety & Operations Support Coordinator will be responsible for supporting management of the following operational departments: Engineering Environment of Care… more