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Medical Director Jobs in Rancho Cordova

1 - 10 of 10
1 - 10 of 10
Search Results - Medical Director Jobs in Rancho Cordova
Blue Shield of California-Rancho Cordova
Your Role The Medical Director, Operations (Lead) provides clinical leadership within the BSC/BSC Promise Health Plan (BSCPHP) Medical Management department for all clinical review activities, which includes management of the physician processes...
Rancho Cordova
participation & analysis reviewing and distributing compensation and productivity reports, conducting analyses requested and/or required by the executive leadership, Board of Directors (BOD), Medical Directors, individual providers and corporate counsel...
icims.com -
Blue Shield of California-Rancho Cordova
a foundation and infrastructure that leverages technology and supports innovative solutions. Promote a work culture that encourages teamwork and rewards exceptional performance while striving for continuous improvement. The Medical Director, Operations...
Blue Shield of California-Rancho Cordova
Director, Behavioral Health will report to the Vice President, Medical Management. In this role you will provide leadership to the behavioral health medical director team and have core responsibilities in the areas of psychiatric inpatient concurrent review...
Blue Shield of California-Rancho Cordova
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director, Operations...
Blue Shield of California-Rancho Cordova
Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director of Medical Policy...
Blue Shield of California-Rancho Cordova
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 determinations to providers and/or members to in compliance...
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...
Blue Shield of California-Rancho Cordova
to meet required regulatory turn-around times  •  Prepares and submits clinical case reviews to the Medical Director (MD) for MD collaboration and medical necessity determination  •  Communicates determinations to members and providers in compliance...
Blue Shield of California-Rancho Cordova
clinical case reviews to the Medical Director (MD) for MD collaboration and medical necessity determination if needed  •  Communicates determinations to the members and providers in compliance with state, federal and accreditation requirements  •  Ensures...

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