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16 Jobs in Woodland Hills, CA

  • Associate Medical Director - Sleep Medicine

    WOODLAND HILLS, 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

    Woodland Hills, California
    ... Clinical Operations Associate Medical Director Neurosurgery **Carelon ... clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations ...
  • National Medical Director - Physiatry, Post Acute Solutions

    WOODLAND HILLS, California
    ... responsible for serving as a National Solution Medical Director for our Post Acute Solutions Clinical Product ... development of Medical Management and Quality Management strategies. Develops and enhances relevant clinical ...
  • National Medical Director - Total Cost of Care, Post Acute

    WOODLAND HILLS, 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 ...
  • Government Business Quality Management Health Plan Director-CA

    WOODLAND HILLS, California
    ... Government Business Quality Management Health Plan Director-California Location ... Quality Management Health Plan Director is responsible for driving the development, coordination ...
  • UM Medical Director - Pediatrician or Family Practitioner

    Woodland Hills, 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 ...
  • UM Medical Director - Pediatrician or Family Practitioner

    WOODLAND HILLS, California
    ... enough to fit any size business. The Medical Director is responsible for the ... clinical operational aspects of a program. Conducts peer-to-peer clinical reviews with attending ...
  • Nurse Appeals-CA

    WOODLAND HILLS, 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

    WOODLAND HILLS, 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 CA

    WOODLAND HILLS, 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

    WOODLAND HILLS, 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

    WOODLAND HILLS, 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

    WOODLAND HILLS, 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 Medical Management I

    WOODLAND HILLS, California
    ... , quality healthcare in a cost effective setting according to contract ยท Consult with clinical ... :** Responsible to collaborate with healthcare providers and members to promote quality member outcomes, to ...
  • Nurse Medical Management II

    WOODLAND HILLS, 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

    WOODLAND HILLS, 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 ...
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