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Keywords: Director, Utilization Management, Location: Oakland, CA

Page: 1

Behavioral Health Utilization Management Clinician, Experienced

Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews... criteria across multiple lines of business. The Behavioral Health Utilization Management Clinician, Experienced, will report...

Posted Date: 23 May 2025

Director, Commercial Utilization Management

Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization... on all aspects of utilization management and care coordination for Commercial membership. The Director, Commercial Utilization...

Posted Date: 11 Jun 2025

Director, Medi-Cal/Medicare Utilization Management Nurse Management

Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Medicare & Medi-Cal... membership. The Director, Medicare & Medi-Cal Utilization Management role will also provide direction and leadership...

Posted Date: 11 Jun 2025

Behavioral Health Utilization Management Clinician, Consultant (Lead)

Your Role The Behavioral Health (BH) Utilization Management (UM) team performs prospective, concurrent, retrospective... recognized clinical criteria across multiple lines of business. The Behavioral Health Utilization Management, Consultant (Lead...

Posted Date: 11 Jun 2025

Utilization Management Nurse, Senior

compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Utilization... Management Nurse, Senior will report to the Senior Manager, Facility Compliance Review. In this role you will be reviewing...

Posted Date: 11 Jun 2025

Behavioral Health Utilization Management Clinician, Senior

Your Role The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews... criteria across multiple lines of business. The Behavioral Health Utilization Management Clinician, Senior, will report to the...

Posted Date: 11 Jun 2025

Behavioral Health Utilization Management Clinician, Experienced

Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC... Behavioral Health Utilization Management Clinician, Experienced, will report to the Manager of Behavioral Health Utilization...

Posted Date: 23 May 2025

Inpatient Utilization Management RN / Job Req 788795521

Job Description: PRINCIPAL RESPONSIBILITIES: The Inpatient Utilization Management (UM) RN is responsible... Manager, Inpatient Utilization Management in tracking utilization and operational trends at hospitals and implementing...

Posted Date: 17 May 2025
Salary: $110094.4 - 165131.2 per year

Executive Director, Facilities Management and Planning - Facilities Planning and Management

Job Description: Ref. 8548 TITLE: Executive Director, Facilities Management and Planning REPORTS TO: Deputy... of the Deputy Chief Facilities, the Executive Director of Facilities Management and Planning plans, organizes, directs...

Posted Date: 17 May 2025
Salary: $152715 - 194919 per year

Director, Product Management - Pharmacy Benefits, Stellarus

Job Category: Marketing and Product Management Job Description: Your Role The Director, Product Management... networks and benefit management solutions including benefit design, utilization and medication costs, medication claims...

Posted Date: 16 May 2025

Manager, New Revenue Development Project Management

Requisition ID # 165749 Job Category: Project / Program Management Job Level: Manager/Principal Business Unit... to generate revenue and benefit PG&E customers. The NRD team includes teams focused on program management, program strategy...

Company: PG&E
Location: Oakland, CA
Posted Date: 15 Jun 2025
Salary: $144000 per year

Manager, New Revenue Development Project Management

Requisition ID # 165749 Job Category: Project / Program Management Job Level: Manager/Principal Business Unit... to generate revenue and benefit PG&E customers. The NRD team includes teams focused on program management, program strategy...

Company: PG&E
Location: Oakland, CA
Posted Date: 14 Jun 2025
Salary: $144000 per year

Sr. Manager, Case Management (Population Health)

our Medi-Cal line of business. The Senior Manager of Care Management, Medi-Cal will report to the Director of Care Management... collaboration with and guidance from Director of Care Management Responsible for ensuring that the care management department...

Posted Date: 11 Jun 2025

Sr. Medical Director, Medical Policy

to lead through influence in a matrixed organization Experience performing utilization management reviews is preferred...Your Role The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication...

Posted Date: 11 Jun 2025

Director, Business HR

management process (e.g. goal setting, mid-year and annual reviews, development planning) to ensure utilization of tools..., and scientists. The Opportunity The Director, Business HR provides consulting and functional expertise to a defined business unit...

Company: Abbott
Location: Alameda, CA
Posted Date: 31 May 2025

Director of Operations-Oakland

Job Title: Director of Operations Location: Oakland, CA Job Type: Full-time Industry: Marine Terminal Operations... / Logistics / Transportation Job Summary A leading marine terminal in Oakland, CA is seeking a Director of Operations...

Location: Oakland, CA
Posted Date: 29 May 2025

Senior DMPK Director

Summary/Job Purpose (Basic purpose of the job): The Senior DMPK Director has strong scientific, technical... to development stage and build comprehensive DMPK packages to enable successful drug registration. The senior director is responsible...

Company: Exelixis
Location: Alameda, CA
Posted Date: 17 May 2025

Associate Medical Coding Director (Biotechnology Oncology)

SUMMARY/JOB PURPOSE: The Associate Medical Coding Director is responsible for the delivery of timely and quality... Director manages and oversees Exelixis staff, strategic partners, and vendors who conduct coding activities...

Company: Exelixis
Location: Alameda, CA
Posted Date: 14 May 2025
Salary: $143500 - 204000 per year

Clinical Nursing Director - Adult Services

care truly means. Clinical Nursing Director - Adult Services Primary Location Oakland, California Worker Location... (may be combined with MCH). Maintains key Relationships with Clinical and Administrative Director peers, Chiefs...

Location: Oakland, CA
Posted Date: 09 May 2025

Sr. Director, Developer Experience

and our ability to impact healthcare overall. The Senior Director, Developer Experience will report to the Vice President of Developer... and accountability across the organization by championing transformational change Lead IT Financial management processes to drive the...

Posted Date: 18 Apr 2025