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30 Jobs

  • Business Change Director

    WOODLAND HILLS, California
    ... . Business Change Director Job Family: BSP > Business Support Type: Full time Date ... :** CA, WOODLAND HILLS Description **Business Change Director ...
  • Payment Innovation Director

    Woodland Hills, California
    ... behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and ... . Payment Innovation Director Job Family: PND > Value Based Solutions Type: Full time ...
  • Clinical Pharmacy Account Director - Pharmacy Benefit Management

    Woodland Hills, California
    ... behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and ... . Clinical Pharmacy Account Director - Pharmacy Benefit Management Job Family: SLS > Sales ...
  • Director of Client Management, Health Plans

    WOODLAND HILLS, California
    ... behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and ... . Director of Client Management, Health Plans Job Family: SLS > Sales Operations Type: Full ...
  • Medicare Duals Management Director - CA

    WOODLAND HILLS, California
    ... . Medicare Duals Management Director - CA Job Family: BUS > Strategy, Planning & Execution ... strategy for the Health Plan and lead coordinating and facilitating enterprise product/process innovation ...
  • Director Proposal Development

    WOODLAND HILLS, California
    ... . Director Proposal Development Job Family: MKT > Proposal Mgmt Type: Full time Date ... Description Director Proposal Development Location: This position will work a ...
  • Government Business Quality Management Health Plan Director-CA

    WOODLAND HILLS, California
    ... . Government Business Quality Management Health Plan Director-CA Job Family: QLT > Quality Mgmt ... ** Government Business Quality Management Health Plan Director-California Location : This ...
  • Senior Medical Director, Clinical UM Operations

    WOODLAND HILLS, California
    ... clinical operations business inside a health plan or a UM/benefits management firm ... our culture. They are how we achieve our strategy, power our business outcomes and drive our shared ...
  • Associate Medical Director - Interventional Pain

    Woodland Hills, California
    ... behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and ... . Associate Medical Director - Interventional Pain Job Family: MED > Licensed Physician/Doctor ...
  • Nurse Appeals CA (US)

    WOODLAND HILLS, California
    ... 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. Ensures that ...
  • Nurse Appeals CA (US)

    WOODLAND HILLS, California
    ... 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. Ensures that ...
  • Nurse Appeals CA (US)

    WOODLAND HILLS, California
    ... 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. Ensures that ...
  • Nurse Appeals CA (US)

    WOODLAND HILLS, California
    ... 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. Ensures that ...
  • Nurse Appeals CA (US)

    WOODLAND HILLS, California
    ... 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. Ensures that ...
  • Nurse Appeals CA (US)

    WOODLAND HILLS, California
    ... 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. Ensures that ...
  • Utilization Manager Correspond Representative Sr (US)

    WOODLAND HILLS, California
    ... our culture. They are how we achieve our strategy, power our business outcomes and drive our shared ... ) Medical Director within established Centers for Medicare and Medicaid Services (CMS) guidelines ...
  • National Solution Medical Director, Vascular Surgery

    WOODLAND HILLS, California
    ... years of experience preferred. MBA and/or experience in Administrative Medicine, Business Strategy ... behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and ...
  • Director of Medical Mgmt, Post Acute Care UM

    WOODLAND HILLS, California
    ... experience in a utilization management clinical operations business inside a health plan or a UM/benefits ... . Director of Medical Mgmt, Post Acute Care UM Job Family: MED > Licensed Nurse Type: Full ...
  • National Medical Director, Post Acute Solutions

    WOODLAND HILLS, California
    ... preferred. MBA and/or experience in Administrative Medicine, Business Strategy, Product Strategy ... behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and ...
  • Director Portfolio Execution

    Woodland Hills, California
    ... . Director Portfolio Execution Job Family: BUS > Strategy, Planning & Execution Type: Full ... behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and ...
  • UM Medical Director - Pediatrician or Family Practitioner

    WOODLAND HILLS, California
    ... business. The Medical Director is responsible for the administration of physical and/or ... . UM Medical Director - Pediatrician or Family Practitioner Job Family: MED > Licensed ...
  • Associate Medical Director - Post Acute Care

    WOODLAND HILLS, California
    ... achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our ... . Associate Medical Director - Post Acute Care Job Family: MED > Licensed Physician/Doctor/Dentist ...
  • Director of Medical Mgmt - Home Health, DME UM

    WOODLAND HILLS, California
    ... . Director of Medical Mgmt - Home Health, DME UM Job Family: MED > Licensed Nurse Type: Full ... looking to hire a Director of Medical Management . This people leader will manage and develop a team ...
  • Orthopedic Surgery Associate Medical Director - Sign on Bonus $7,500

    Woodland Hills, California
    ... and behaviors are the root of our culture. They are how we achieve our strategy, power our business ... Associate Medical Director - Sign on Bonus $7,500** Job Family: MED > Licensed Physician/Doctor/Dentist ...
  • Medical Oncology Medical Director - Utilization Review

    Woodland Hills, California
    ... . Medical Oncology Medical Director - Utilization Review Job Family: MED > Licensed Physician ... Operations Medical Director** **Utilization Management of Medical Oncology Benefits ...
  • Nurse Appeals Ld (US)- CA

    WOODLAND HILLS, California
    ... behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and ... necessity. Extrapolates and summarizes medical information for medical director, consultants and other ...
  • Nurse Appeals-CA

    WOODLAND HILLS, California
    ... medical necessity. Extrapolates and summarizes medical information for medical director, consultants ... to Medical Director for approval. Ensures that appeals and grievances are resolved timely to ...
  • Nurse Medical Management II

    WOODLAND HILLS, California
    ... achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our ... care transition through the healthcare continuum and refers treatment plans/plan of care to clinical ...
  • Reviewer - Therapy Services

    WOODLAND HILLS, California
    ... behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and ... above factors as well as market/business considerations. No amount is considered to be wages or ...
  • Reviewer - Therapy Services

    WOODLAND HILLS, California
    ... /business considerations. No amount is considered to be wages or compensation until such amount is earned ... designed to advance our strategy but will also lead to personal and professional growth for our associates ...
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