Medical Director, Utilization & Quality Improvement
Molina Healthcare of Illinois
Molina Healthcare is seeking a medical professional to provide oversight and ensure quality care in Los Angeles, California. The role requires expertise in utilization management practices and a strong understanding of medical necessity and regulatory compliance. The ideal candidate will have at least 3 years of health care experience, including 2 years in medical practice, an active California MD or DO license, and strong analytical and decision-making skills. This position offers competitive compensation, reflective of experience and qualifications. #J-18808-Ljbffr Molina Healthcare
$250k - $410k
...Description Overview The Associate Medical Director, Physician Advisor supports Utilization Management by providing clinical... ...length of stay, and ensure high-quality, cost-effective care. As a key... ...with regulatory standards while improving clinical and operational...SuggestedFull timeContract workPart timeRelocation package$206.31k
...Medical Director, Utilization Management Job Category: Clinical Department: Utilization Management Location... ...'s mission is to provide access to quality health care for Los Angeles County's... ...teams, and external stakeholders to improve outcomes, support regulatory...SuggestedFull timeLocal area$275k - $325k
...Medical Director - Utilization Management As Medical Director - Utilization (UM) at Astrana Health,... ...operations to ensure members receive high-quality, medically appropriate, and cost-... ...teams in Care Management, Quality Improvement, Pharmacy, Behavioral Health, and Compliance...SuggestedWork at office- ...Talent-Connect-Now is seeking a Medical Director in Los Angeles, California, responsible for the delivery of participant care and clinical outcomes. The role involves leading quality improvement initiatives and collaborating with healthcare providers to ensure comprehensive...Suggested
- ...Medical Director for QualityUCLA Faculty Practice GroupThe Medical Director for Quality (MDQ) is responsible for the quality improvement initiatives of the UCLA Faculty Practice Group (FPG). Youll work with leadership and staff to develop quality measurements and strategies...SuggestedPermanent employment
$275k - $300k
...The Oncology Institute of Hope and Innovation is seeking a Utilization Management Medical Director Oncology to work remotely from California, Nevada, Arizona, Oregon, or Florida. This role involves conducting medical reviews of oncology treatment plans and collaborating...Remote work$67 - $87 per hour
...Director, Quality & Performance Improvement San Fernando Valley, CA | Full‑time | Day Shift | On‑site Compensation: $67 – $87 per hour ($139,360 – $180... ...safety culture; represent the PI function to the board and medical staff committees. Who You Are Required Minimum of 5...Hourly payFull timeTemporary workLocal areaImmediate startFlexible hoursDay shift$67 - $87 per hour
Bileddo Associates in San Fernando Valley, CA is seeking a Director of Quality & Performance Improvement to guide the organization’s performance improvement initiatives and quality programs. This full-time, on-site role offers a competitive compensation package of $67 -...Hourly payFull time$120k - $160k
...QC/QA Director - Health & Wellness #1510 job at Keller Executive Search International. Los... ...for a strategic leader to oversee quality and compliance operations during a period... ...management program. Initiate continuous improvement strategies and develop team enhancement...Contract workLocal area- ...Description: Manager of Clinical Utilization Management - Denial... ...with physician reviewers, medical directors, and other relevant departments... ...5. Monitor and enhance the quality of the denial process... ...policies and influence process improvements. 10. Handle other duties...Permanent employmentFull timeTemporary workRemote workFlexible hours
- ...Mohawk Alley Animal Hospital is seeking a Medical Director in Los Angeles, California. The ideal candidate will have a veterinarian degree and 3-5+ years of experience, overseeing medical quality and collaborating with a dedicated team. Responsibilities include maintaining...
- ...culturally competent, full life-cycle medical care, including prenatal care,... ...year. Position Summary The Quality Improvement (QI) Manager reports to the Director of Quality Operations and plays... ..., consistency, and timeliness. Utilizes EHR and population health platforms...Flexible hours
$250k - $410k
...Cedars-Sinai Medical Center in Beverly Hills is seeking an Associate Medical Director, Physician Advisor, to lead Utilization Management. This position involves ensuring compliance with... ...complex case reviews, and enhancing care quality. Candidates should be licensed...$124.18k - $138k
...Position Summary The Home Health Director of Quality Outcomes is responsible for modeling the... ...members and clinical teams to support improved OASIS documentation and optimal... ...communication between team members including medical records, business office, intake,...Work at officeFlexible hoursShift work- ...Position Purpose: The Behavioral Health Quality Assurance Manager is responsible for... ...The position upholds the JWCH mission to improve the health status and wellbeing of under-... ...trauma and substance abuse on behavioral and medical conditions # Knowledgeable of evidence-...Contract work
- ...patients in the home. We strive to improve the quality of your life with our team... .... As a leading provider of medical and non-medical home care... .... We are looking for a Director of Quality (RN) to join our... ...The Director of Quality utilizes their expertise in quality management...Work at office
- ...About the role: The Sr Director leads the Neuromodulation Quality Systems team to ensure... ...process quality systems utilizing standard performance metrics... ...quality systems SMEs to improve division quality system compliance... ...experience operating in medical device quality systems...Work experience placement
- Veterans in Healthcare is seeking a Utilization Management Assistant Director - RN in Los Angeles, CA. This role entails overseeing Intensive Case Management... ...high-risk patient populations. This position supports quality patient care and focuses on effective transition...
$110k
...denial process within the utilization management (UM) department,... ...discipline. Collaborate with medical directors, physician reviewers, and... ...work plans. Conduct internal quality audits for the denial... ...adjustments. Lead process improvement and compliance initiatives...Casual workRelocation package$200k - $250k
...Centers, our mission is to improve the lives of animals and people... ...compassionate and skilled Medical Director & Associate Veterinarian... ...passionate about providing high-quality veterinary care and possess... ...Education: Commitment to utilize available resources of continuing...Local areaRelocation$225k - $250k
...Centers, our mission is to improve the lives of animals and people... ...and Experienced Medical Director to join our team at Rancho... ...passionate about providing high-quality veterinary care and possess... ...Continuing Education: Commitment to utilize available resources of...Local areaRelocationRelocation package$325k - $380k
...Description Providence Cedars-Sinai Tarzana Medical Center is seeking a Physician Advisor/UM Medical Director to join a strong leadership team... ...medical center and its physicians to improve clinical quality, resource utilization and increase value while maintaining...Full timeMonday to FridayShift workWeekend work- ...Description Position Title: Psychiatric Medical Director Department: Consultants... ...psychiatric services, participates in quality improvement activities, helps oversee other psychiatric... ...in internal and external utilization review, as necessary 11.Work closely...Flexible hours
$247.84k
...Appeals Medical Director – Cardiology Location: This role enables associates to work virtually... ...and implementing programs to improve quality, cost, and outcomes. May provide clinical... ...of the United States when conducting utilization review or an appeals consideration...Full timeTemporary workWork experience placementLocal area1 day per week$231.9k
...Join to apply for the Remote Medical Director - California role at RemoteWorker US... ...coordinate the medical management, quality improvement and credentialing functions for the... ...Provides medical leadership of all for utilization management, cost containment, and medical...Full timeWork at officeRemote workFlexible hoursWeekend work$400k
...As a Veterinary Specialty Medical Director at ACCESS Los Angeles , in Culver... ...strategies, implement improvements, and guide our hospital towards... ...empowered to perform at your best. Utilize leadership training... ...financial options* make accessing quality care simpler- giving...Full timeTemporary workLocal areaRelocationRelocation packageFlexible hours- ...licenses/certifications: Medical Doctor (MD) in... ...experience as a Medical Director? (yes) Key Responsibilities... ...• Ensure high-quality, cost-effective care for... ...• Oversee Quality Improvement and Performance Improvement... ...Program • Monitor utilization management trends and...Shift work
$247.84k
...Appeals Medical Director - Dermatology Location: This role enables associates to work... ...developing and implementing programs to improve quality, cost, and outcomes. May provide... ...of the United States when conducting utilization review or an appeals consideration and...Full timeTemporary workWork experience placementLocal area1 day per week$26.01 - $56.14 per hour
...ourselves accountable and prioritize safety and quality in everything we do. Join us and be part... ...of healthcare services and benefit utilization./ppConsults and lends expertise to other... ...The benefits for this position include medical, dental, and vision coverage, paid time...Hourly payFull timeTemporary workRemote workMonday to Friday- ...POSITION SUMMARY The Medical Director is responsible for the delivery of participant... ..., as well as oversight, of the quality assessment and performance improvement (QAPI) program. The Medical... ...outcomes, performance improvement, and Utilization Management (UM); Designs and...Contract workRemote work
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