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14 Jobs

  • Medical Oncology Medical Director - Utilization Review

    Palo Alto, California
    ... Clinical Operations Medical Director Utilization Management of Medical Oncology ... Medical Director supporting our Medical Oncology team is responsible for supporting the medical ...
  • Associate Medical Director - Neurosurgery

    Palo Alto, California
    ... Clinical Operations Associate Medical Director Neurosurgery Carelon ... Associate Medical Director of Neurosurgery responsible for performing pre-authorizations and providing ...
  • Associate Medical Director - Sleep Medicine

    Palo Alto, California
    ... Clinical Operations Associate Medical Director Sleep Medicine Carelon Medical Benefits Management Location : This position will work a hybrid model (remote and ...
  • National Solution Medical Director - Surgery

    Palo Alto, California
    ... A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management ... and oncology. Carelon Medical Benefits Management is looking to hire a National Medical ...
  • UM Medical Director - Pediatrician or Family Practitioner

    Palo Alto, California
    ... enough to fit any size business. The Medical Director is responsible for the administration ... required by State contracts or regulations if the Medical Director is filing a role required by a State ...
  • UM Medical Director - Pediatrician or Family Practitioner

    PALO ALTO, California
    ... enough to fit any size business. The Medical Director is responsible for the ... experience may be required by State contracts or regulations if the Medical Director is filing a role ...
  • National Medical Director - Total Cost of Care, Post Acute

    PALO ALTO, California
    ... Medical Director for a set of Post Acute Care Solutions.** This high-performing individual contributor will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions ...
  • Associate Medical Director - Post Acute Solutions - Rehab, SNF, LTACH

    Palo Alto, California
    ... Clinical Operations Associate Medical Director Carelon Insights **Post Acute Care ... we serve. The Clinical Operations Associate Medical Director is responsible for ...
  • Health Benefits Executive Director

    Palo Alto, California
    ... Health Benefits Executive Director Location: This position will work a hybrid ... . The Health Benefits Executive Director is responsible for leading the development and ...
  • Nurse Appeals-CA

    PALO ALTO, 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 ...
  • Payment Innovation Director II

    PALO ALTO, California
    ... :** 1-2 days in office per week The Payment Innovation Director II is responsible for ... Plan Leadership, e.g. Presidents, Medical Directors, Finance Directors, etc. Responsible for ...
  • Reviewer - Therapy Services

    PALO ALTO, California
    ... ** is responsible for the review of medical records to determine if requests for therapy services ... additional data, consults with clinical reviewers and medical directors, when necessary. Acts as a ...
  • Nurse Medical Management II

    PALO ALTO, California
    ... resources for more complex medical issues. Ensures medically appropriate, high-quality, cost-effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and ...
  • Reviewer - Therapy Services

    PALO ALTO, California
    ... ** is responsible for the review of medical records to determine if requests for therapy services ... additional data, consults with clinical reviewers and medical directors, when necessary. Acts as a ...