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14 Jobs in Costa Mesa, CA

  • National Medical Director - Total Cost of Care, Post Acute

    COSTA MESA, California
    ... development of Medical Management and Quality Management strategies. Develops and enhances relevant clinical ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ...
  • Associate Medical Director - Sleep Medicine

    COSTA MESA, California
    ... Clinical Operations Associate Medical Director Sleep Medicine **Carelon ... platform delivers significant cost-of-care savings across an expanding set of clinical domains, including ...
  • Associate Medical Director - Neurosurgery

    Costa Mesa, California
    ... Clinical Operations Associate Medical Director Neurosurgery **Carelon ... clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations ...
  • National Solution Medical Director - Surgery

    COSTA MESA, California
    ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... Director. This high-performing individual contributor will be responsible for serving as a **National ...
  • UM Medical Director - Pediatrician or Family Practitioner

    Costa Mesa, California
    ... , develops, directs, and implements clinical and non-clinical activities that impact health care quality cost ... enough to fit any size business. The Medical Director is responsible for the administration ...
  • Nurse Appeals-CA

    COSTA MESA, California
    ... . Extrapolates and summarizes medical information for medical director, consultants and other external review. Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval ...
  • Nurse Appeals (RN) CA

    COSTA MESA, California
    ... subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non ... medical information for medical director, consultants and other external review. Prepares ...
  • Nurse Appeals CA

    COSTA MESA, California
    ... subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non ... medical information for medical director, consultants and other external review. Prepares ...
  • Nurse Appeals (RN) CA

    COSTA MESA, California
    ... subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non ... medical information for medical director, consultants and other external review. Prepares ...
  • Nurse Appeals CA

    COSTA MESA, California
    ... subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non ... medical information for medical director, consultants and other external review. Prepares ...
  • Nurse Appeals (RN) CA

    COSTA MESA, California
    ... . Extrapolates and summarizes medical information for medical director, consultants and other external review. Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval ...
  • Reviewer - Therapy Services

    COSTA MESA, California
    ... additional data, consults with clinical reviewers and medical directors, when necessary. Acts as a ... , and initiatives. Maintains quality and productivity standards and ensures reviews are conducted ...
  • Nurse Medical Management II

    COSTA MESA, California
    ... members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources for more complex medical issues. Ensures medically appropriate, high-quality, cost-effective care ...
  • Reviewer - Therapy Services

    COSTA MESA, California
    ... additional data, consults with clinical reviewers and medical directors, when necessary. Acts as a ... , and initiatives. Maintains quality and productivity standards and ensures reviews are conducted ...