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Keywords: Medical Director - Medicare (Medical Policy & Operations), Location: California

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Medical Director - Medicare (Medical Policy & Operations)

position and can be located anywhere in the United States. In this role as Medical Director MPO (Medical Policy & Operations... and Medicare environment with a focus Medicare policy., This Medical Director provides subject matter expertise in clinical...

Company: CVS Health
Location: California
Posted Date: 30 Oct 2025

Associate Medical Director

Medicare Advantage Plan (UHMAP). In this key leadership role, you'll work closely with the UHMAP Medical Director and play... Health is looking for a dedicated and forward-thinking Associate Medical Director to help shape the future of our UCLA Health...

Company: UCLA Health
Location: Los Angeles, CA
Posted Date: 19 Sep 2025

Medical Director, Utilization Management - FEP

Job Category: Healthcare Services and Operations Job Description: Your Role The Medical Director is a key member... utilization review, and collaboration with RN Case and disease managers. This director position will report to the Sr. Medical...

Posted Date: 13 Sep 2025

Operations Specialist

Requisition #: 208492 Location: San Jose, CA 95128 Category: Business Operations Salary: $21.00 per hour... Position Details Position Overview As an Operations Specialist, you will be an integral part of the team, contributing...

Location: San Jose, CA
Posted Date: 12 Oct 2025
Salary: $21 per hour

Director of Safety and Performance Improvement

is seeking a qualified individual for one (1) vacant Director of Safety and Performance Improvement position at Contra Costa..., but also the achievement of equitable health outcomes for all members. The Director of Safety and Performance Improvement...

Posted Date: 28 Oct 2025
Salary: $204791.08 - 248924.83 per year

Director of Managed Care Contracting

POSITION SUMMARY The Director of Managed Care leads and oversees the operational, financial, programmatic... and monitoring goals aligned with Beecan Health's strategic objectives while providing leadership in day-to-day operations, budgeting...

Location: Glendale, CA
Posted Date: 16 Oct 2025
Salary: $150000 - 220000 per year

CORP. DIRECTOR OF MATERIALS MANAGEMENT/SUPPLY CHAIN

Medical Center with 172 beds. The facilities are Medicare and Medi-Cal certified and accredited by The Joint Commission...Overview POSITION SUMMARY The primary responsibility of the Corporate Director of Materials Management/Supply Chain...

Company: AHMC Healthcare
Location: Alhambra, CA
Posted Date: 22 Aug 2025

CORP. DIRECTOR OF MATERIALS MANAGEMENT/SUPPLY CHAIN

Medical Center with 172 beds. The facilities are Medicare and Medi-Cal certified and accredited by The Joint Commission...Overview: POSITION SUMMARY The primary responsibility of the Corporate Director of Materials Management/Supply Chain...

Company: AHMC Healthcare
Location: Alhambra, CA
Posted Date: 22 Aug 2025

Assistant Director of Managed Care - Hybrid Sacramento, CA

, as is expertise in managed care operations, health policy, and the Medi-Cal and Medicare systems. Primary Responsibilities... system to improve the health status of their communities. Purpose of Position: The Assistant Director of Managed Care...

Posted Date: 15 Aug 2025
Salary: $95482 - 101099 per year

Senior Director, Investigator Budgets

. Develops technical and/or business solutions to complex problems. Expert knowledge of GCP, Medicare, medical service billing... and payments for Clinical Operations according to protocol specifications. Analyzes and negotiates investigator budgets...

Company: Exelixis
Location: Alameda, CA
Posted Date: 27 Sep 2025

Clinical Services Coordinator, Advanced

Job Category: Healthcare Services and Operations Job Description: Your Role The Specialty Services team... may also require Peer or Peer provider support and other duties within Medical Care Solutions. Responsibilities...

Posted Date: 02 Nov 2025

Sous Chef

development, training, and personal coaching through our Mentor, Buddy, and Executive Director in Training Programs -Education... Full-time benefits include: -Rich benefits package including Medical, Dental, Vision and 401k matching up to 4...

Posted Date: 31 Oct 2025
Salary: $25 - 26 per hour

RN Care Coordinator - Inpatient Specialty Program - 8-Hour Days - $5,000 Hiring Incentive

Medical Director, Employee Health Services, Risk Management, and TPA Attends all CSMPN clinical team meetings, and report... the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company's Workplace of the Year...

Company: Cedars-Sinai
Location: Beverly Hills, CA
Posted Date: 31 Oct 2025

Wellness Nurse

in accordance with MBK policy and procedure - Draft service plans under the direction of the department director - Ensure... -Professional development, training, and personal coaching through our Mentor, Buddy, and Executive Director in Training Programs...

Location: Dublin, CA
Posted Date: 26 Oct 2025
Salary: $39 - 41 per hour

Discharge Coordinator Full Time Days

Medical Center is a 385-bed acute-care hospital classified as a stroke receiving center and Level I Trauma Center...) communicate with patients, families and other members of the care team and d) other duties as assigned. Coordinates Medicare...

Company: Tenet Healthcare
Location: Palm Springs, CA
Posted Date: 25 Oct 2025

Quality Improvement, RN

and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Reporting to Director...-based practice integration, provider training/education, policy review/development, and regulatory/accreditation...

Posted Date: 25 Oct 2025
Salary: $91249.6 per year

Physician Reviewer (Part-Time, Telecommute)

and provide Medical Director support as needed and requested by IEHP, i.e., policy review, committee participation or ICT support... Director support. The Physician Reviewer shall perform determinations, communicate medical necessity reviews and support IEHP...

Posted Date: 24 Oct 2025

Clinical Services Coordinator, Intermediate

Job Category: Healthcare Services and Operations Job Description: Your Role The Specialty Services team... and Medi-Cal membership. This role may also require Peer or Peer provider support and other duties within Medical Care...

Posted Date: 24 Oct 2025

HEALTH PROFNS EDUC SPEC 2 CX

Clinical Operations Manager, Residency Site Director, and Medical Clerkship Director, this position is essential to maintaining... an Administrative Operations Coordinator to serve as the primary administrative coordinator for our dynamic academic medical environment...

Posted Date: 23 Oct 2025

QLTY IMPV HC SPEC 2

closely with the Medical Director and the leadership team to generate reports, evaluations, and metrics for various... for Medicare / Medicaid regulations. Knowledge of Medical Terminology. Strong knowledge of data collection, compilation...

Posted Date: 19 Oct 2025
Salary: $78900 - 167300 per year