Medical Director: Population Health & Utilization Leader
6AM City, LLC
6AM City, LLC in California is seeking a dedicated professional to focus on prior authorization and utilization management with a competitive salary of $500,000. This full-time position, part of a leadership team in a renowned organization, offers flexibility as there are no direct clinical responsibilities and requires onsite presence about 3 days a week. The role supports an award-winning work environment in the scenic Palm Springs area. Engage with a team-oriented approach, backed by a comprehensive benefits package. #J-18808-Ljbffr 6AM City, LLC
$186.2k - $363.09k
A healthcare organization in California seeks a Medical Director to oversee the appropriateness and necessity of services provided to members... ...regulatory standards. Responsibilities include evaluating utilization management practices, developing medical policies, and...Suggested$75.3k - $135.4k
...Centene Corporation is seeking a Clinical Supervisor to oversee the utilization management team ensuring appropriate care for members. The ideal candidate will supervise day-to-day activities, collaborate on complex member care issues, and maintain compliance with healthcare...SuggestedRemote work- A healthcare organization is seeking a Medical Director in California, Missouri, to lead operations and improve healthcare quality. Responsibilities include managing staff, ensuring compliance with health regulations, and overseeing budgets. The ideal candidate holds a...Suggested
- ...responsibilities, ensuring quality improvements in a supportive family-oriented environment. New graduates are welcome to apply. Work for a leader in the workplace health industry with monthly and quarterly incentives to maximize your earnings. #J-18808-Ljbffr Concentra, Inc.Suggested
- A rapidly growing healthcare organization is seeking a Medical Director to lead quality improvement initiatives across multiple locations. The role requires a doctorate degree and extensive experience, along with strong leadership and analytical skills to oversee operations...Suggested
$192.4k - $302.39k
Join Takeda as a Director, Field Medical - Rheumatology, West, leading a team of Medical Science Liaisons to drive scientific engagement with KOLs and HCPs. You will manage, coach, and ensure effective collaboration, reporting to the Senior Director, Field Medical. A Doctoral...Full time$200k - $235k
Evolving Solution Services in California is seeking a Utilization Management Director to build and lead the first internal clinical utilization management... ...from $200,000 to $235,000 annually with benefits including health insurance. #J-18808-Ljbffr Evolving Solution Services$225k - $250k
A veterinary care center in California is seeking a Medical Director to lead and manage veterinary operations. The role includes mentoring staff, ensuring compliance with veterinary regulations, and directly caring for patients. Ideal candidates will have a DVM and 3-5...Relocation package- 6AM City, LLC is hiring a Clinical Supervisor located in Pasadena, California, to lead and oversee therapists in residential and outpatient programs. The ideal candidate will possess a Master’s degree in Social Welfare or counseling and be licensed with the BBS. This position...
- Capacity Path seeks a Board Certified Psychiatrist for a remote full-time position as a clinical liaison. Responsibilities include supporting healthcare fraud investigations and providing clinical expertise in data analyses. The ideal candidate will have over five years...Remote jobFull time
- ...CMO/Medical Director Opportunity - West Coast Join to apply for the... ...role at UHS Universal Health Services (UHS), a leading provider... ..., as well as adult populations. Collaborate with clinical... ...Fractional CMO – Strategic Growth Leader (Wellness / CPG / Beauty E-...Full timeTemporary workWork at officeRelocation package
$75.3k - $135.4k
...our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization... ...care to members. Supervises day-to-day activities of utilization management team. Monitors and tracks UM resources to ensure...Full timePart timeWork at officeRemote workFlexible hours- ...Centene Corp. is seeking a Supervisor, Utilization Management (RN) to lead and supervise our Clinical Review team. This role focuses on... ...position offers competitive pay and comprehensive benefits including health insurance, 401K, and flexible work arrangements. #J-18808-...Remote workFlexible hours
$130k - $170k
...to revolutionize community health. Not your typical briefcase... ..., hospitals, health plans, medical groups, academic programs,... ...senior management and boards of directors. Analyze healthcare utilization, costs, reimbursement/billing, and population health to identify...Full timeInterim roleSummer workWork at officeLocal areaRemote work$146k - $277k
Job Responsibilities Provides medical oversight of assigned clinical studies in the duty... ...assigned Medical Scientist staff and Medical Director colleagues to review clinical data.... ...Benefits Company car or car allowance Health benefits: Medical, Dental and Vision Company...Contract workWork at officeWorldwideFlexible hours$75.92k - $113.88k
Behavioral Health Community Partnership Manager (Behavioral Health Provider Quality Manager) Sign on Bonus: $2,500 License Requirement... ...programs and resources. Analyze provider reports on cost, utilization, and outcomes; present data and highlight trends. Identify...Local areaRelocation package- HD Supply Canada, Inc. is seeking a Sales Manager for Southern California to lead and coach a team of sales representatives. This role requires a strong sales background and the ability to balance direction with collaboration in a dynamic environment. Key responsibilities...
$137.07k - $205.61k
...Primary Care - Behavioral Health, Tuolumne, CA 95379... ...package includes medical, dental, vision, and a... ...community and broader population within our service area... ...Title: Behavioral Health Director Reports To: Chief Medical... ...quality. Develop and utilize individual risk...Full time$186.2k - $363.09k
Job Summary Provides medical oversight and expertise related to behavioral health and chemical dependency services, and assists... ...plan and/or market specific utilization management and care management... ...closely with regional medical directors to standardize behavioral health...Work experience placementWork at officeLocal area$101.8k - $154.3k
...strategies to enhance customer satisfaction. The role requires a minimum of 7 years experience and a BS/BA in a related field. The position comes with a competitive salary range of $101,800.00 - $154,300.00 annually and comprehensive health benefits. #J-18808-Ljbffr HD Supply$108.4k - $119.7k
...Mission Neighborhood Health Center (MNHC) is... ...for our Director of Clinical Operations... ...management across all medical sites. This includes... ...Improvement and Population Health to lead process... ...the organization. Utilize data-driven... ...with organization leaders, establish and implement...Full timeWork at officeLocal areaFlexible hours$85k - $95k
...matter expert for Pacific Health Group's CalAIM... ...members with complex medical, behavioral health, and... ...outcomes, reduce avoidable utilization, and support... ...serves as the clinical leader for field-based care management... ..., quality, and population health management. Reporting...Temporary workWork at officeLocal areaRemote workFlexible hoursAfternoon shift- Oliver James is partnering with a leading consultancy to find an Actuarial Manager or Senior Manager in California. This role focuses on valuations and reserving in healthcare, partnering with top-tier insurers and healthcare systems. This consultancy offers a progressive...
$70k - $85k
...are looking for a Behavioral Health Care Manager (BHCM) to join... ...accurately and timely in Care Director in compliance with IEHP ECM... ...trust quickly with diverse populations and navigate difficult conversations... ...high emergency department utilization. Bilingual English/Spanish...Flexible hours$95.4k - $208.3k
...to ensure high-quality, patient-centered care across diverse populations. This role provides direct supervision to dietitians, diet technicians... ...also support Patient Services, the Nutrition Lab, Behavioral Health, and/or other specialty or unit-based areas. *This is a...- ...largest specialized provider of HIV/AIDS medical care globally. Their mission is to provide... ...their healthcare centers, pharmacies, health plan, research and other activities, the... ...CONTRIBUTION TO OUR SUCCESS! TheMedical Director contributes to the mission and core values...
$93k - $97k
...sick leave. Comprehensive Benefits: Access medical, dental, and vision insurance within 30... ...(TM) is primarily responsible for utilizing evidence-based ABA assessment techniques... ...Working under the supervision of the Area Director, essential job responsibilities include,...Work from homeWorldwideRelocation package$7,500 - $9,166.66 per month
...TODAY AND MAKE A DIFFERENCE IN THE MENTAL HEALTH FIELD! **Relocation Assistance Available... ...and incentives including: Affordable Medical/Dental/Vision plans Flexible Spending Account... ..., case management and coordination, utilization of community resources, group, family and...Full timeRelocation packageMonday to FridayFlexible hours$225k - $250k
...first You care for pets. We care for you. Position Overview The Medical Director (MD) is responsible for providing strong leadership for the... ...team, the MD holds shared responsibility for the financial health of the hospital—directing staff and overall management of practice...Temporary workLocumLocal areaRelocation packageWeekend work$410k
...About Us: Caminar is a leading behavioral health organization that supports youth and... ...please visit Position Summary: The Medical Director provides clinical leadership and... ...training of staff psychiatrists and nursing leaders. Conduct quality and peer quality reviews...Full timeWork at office
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