Director Jobs in Rancho Cordova
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Search Results - Director Jobs in Rancho Cordova
Blue Shield of California-Rancho Cordova
Your Role
Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals...
FPI Management, Inc.-Rancho Cordova
duties as assigned by the Community Director....
resume-library.com -
Blue Shield of California-Rancho Cordova
Prepare and present cases to Medical Director (MD) for medical director oversight and necessity determination and communicate determinations to providers and/or members to in compliance with state, federal and accreditation requirements
• Develop...
Rancho Cordova
manner utilizing all critical resources within the organization to expedite this process. Primary responsibility for completing quality assurance reviews of work performed and communicating with department manager and director the outcomes of the review...
icims.com -
Blue Shield of California-Rancho Cordova
including levels of care, durable medical equipment, and post service needs to ensure quality and cost-appropriate DC planning
• Prepare and present cases to Medical Director (MD) for medical director oversight and necessity determination and communicate...
Rancho Cordova
and directs all employee and labor relations matters and activities with the Service Area. Provides prompt advice to supervisors, managers and directors on the full range of labor and employee relations matters. Utilizes influence skills to effectively...
icims.com -
Blue Shield of California-Rancho Cordova
to the Director, Strategic Planning & Performance Management. In this role you will play a critical role in supporting strategies with our business partners in support of IFP growth, affordability, access to care and quality goals. Additionally, you will lead...
Rancho Cordova
regional team. This role will be reporting to the Market Director of marketing and will be instrumental in shaping and executing marketing strategies within the market. The Marketing Manager provides leadership and support for marketing efforts in support...
icims.com -
Blue Shield of California-Rancho Cordova
necessity, coding accuracy and medical policy compliance. In this role you will also perform Clinical oversight of all Medi-Cal grievances. In this process, the candidate will work with the medical directors and coordinators to identify any Potential...
Rancho Cordova
than 40% of the total work hours. Ensure a balance between management and operational responsibilities to maintain effective team leadership and oversight. This role supports the UM Director in ensuring efficient operations with all processes, policies...
icims.com -
Blue Shield of California-Rancho Cordova
Manager / Director
• Ensure workflow procedures and guidelines are clearly documented and communicated
• Interpret or initiate changes in guidelines/policies/procedures
• Manage multiple regulatory reports
• Establish and manage operational reports...
Rancho Cordova
California region team. This role will be reporting to the Market Director of communications and will be instrumental in shaping and executing communication strategies within the market. The Communications Manager provides leadership and support...
icims.com -
Rancho Cordova
This position will report to and collaborate with the Manager or Director regarding identified issues outside the Supervisors scope of authority. The Supervisor guides department activities according to the organizational objectives, hospital policies, standards...
icims.com -
Rancho Cordova
and/or growth opportunities to the Director of Operations.
• Actively participates in successfully conducting annual performance evaluations.
• Works directly with upper management to ensure all staffing needs are met and the best working environment is achieved...
icims.com -
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