Healthcare Executive Director for Utilization Management

At Blue Shield of California, we are committed to advancing the healthcare system in the state. As a Medical Director, Healthcare Optimization Specialist, you will play a crucial role in ensuring that our medical management team stays at the forefront of medical, medication, and payment policy.The successful candidate will report to the Senior Medical...

Job Summary:We are seeking a Chief Clinical Officer, Utilization Management to join our team at Blue Shield of California.About Us:At Blue Shield of California, we strive to be on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California.The successful candidate will report to...

About Blue Shield of CaliforniaBlue Shield of California is committed to accelerating the emergence of a value-based healthcare system in California. Our team ensures that we stay on the cutting edge of medical, medication, and payment policy.Job Description: Medical Director, Utilization ManagementWe are seeking a highly skilled Medical Director,...

About the RoleAs a Regional Medical Director at Blue Shield of California, you will play a vital role in overseeing population health and utilization outcomes for assigned medical groups and IPAs. Your expertise will drive data-driven decisions, leading to improved healthcare outcomes and quality compliance.Key ResponsibilitiesLead clinical initiatives and...

About Blue Shield of CaliforniaBlue Shield of California is a leading health plan that is dedicated to transforming healthcare through innovation and collaboration. Our mission is to ensure that Californians have access to high-quality, affordable healthcare services.The RoleWe are seeking a highly skilled Clinical Director, Health Policy and Management to...

Company Overview">We are a leading health plan in California, dedicated to providing high-quality healthcare services to our members. Our team is passionate about making a difference in the lives of Californians.">Salary">The estimated annual salary for this role is between $254,545.00 and $360,000.00, depending on experience and location.">About the...

Job Title: Assistant Community DirectorJob Summary:FPI Management, Inc. is seeking an experienced Assistant Community Director to assist the Community Director with the day-to-day property operations and management of the asset to meet the client's expressed operational and financial goals.Key Responsibilities:Assist the Community Director in supervising...

Job Summary:The Executive Director, Child Welfare and Community Programs will oversee the design, implementation, monitoring, modification, and evaluation of programs ensuring compliance with applicable laws, regulations, and contractual obligations. This role involves securing contracts with various agencies, coordinating administrative and financial...

Job SummaryWe are seeking a highly skilled and experienced Senior Property Portfolio Director to join our team at FPI Management, Inc. This is an exciting opportunity for a leader who can drive growth, manage complex assets, and deliver exceptional results.About the RoleThe successful candidate will be responsible for overseeing a group of properties as...

OverviewAt Blue Shield of California, we are seeking an exceptional medical leader to join our team as a Regional Medical Director. This critical role plays a key part in shaping the future of healthcare delivery in California.Salary RangeThe salary for this position ranges from $254,545.00 to $360,000.00 annually, depending on experience and location within...

Key ResponsibilitiesBusiness Strategy Development: Collaborate with the CEO and executive team to design and implement comprehensive business strategies that drive growth and success.Operational Oversight: Manage and oversee all operational departments, ensuring seamless alignment with company objectives and goals.Innovation and Process Improvement: Identify...

About the RoleWe are seeking a skilled and experienced Marketing Director to lead our marketing efforts and drive growth for All American Detox Center. This role requires a creative thinker with strong leadership skills and a passion for making a positive impact in the field of addiction recovery.Key ResponsibilitiesDevelop and execute comprehensive...

Job SummaryA lucrative opportunity has arisen for a seasoned Strategic Marketing Communications Director to join the Clinical Management Consultants team in Southern California.We are seeking an experienced professional to develop and execute strategic marketing communications plans that align with our hospital's business objectives and goals. The successful...

We are seeking a highly motivated and dedicated Executive Director with Senior Living management experience to join our team at Homestead of Eldorado. In this role, you will be responsible for effectively managing, directing, and administering the organization in accordance with company policies and procedures, standards of practice for home health care...

About the RoleThe Regional Medical Director will lead and contribute to regional and system-wide initiatives, driving clinical, utilization, quality, and compliance results for assigned medical groups and IPAs. As a provider-facing clinical leader, you will be responsible for managing RN Clinical Program Managers and collaborating with teams to support Blue...

Job SummaryThe Chief Compliance Officer for Healthcare Privacy will play a crucial role in advancing and enforcing Blue Shield's Privacy Program.About the RoleThis position reports to the Privacy Office Manager or Director and requires a bachelor's degree or equivalent experience, as well as at least 7 years of prior relevant experience in healthcare, legal...

Job Title: Mgr I Care MgmtJob Summary:The Mgr I Care Mgmt is responsible for overseeing a team of clinicians who work to promote quality member outcomes, optimize member benefits, and promote effective use of resources.Key Responsibilities:* Assess the medical necessity of inpatient admissions, outpatient services, out of network services, and...

Job SummaryWe are seeking a highly skilled Law Firm Operations Director to join our team at Legal Soft Solution. As the ideal candidate, you will drive growth and success for the law firms under our management.About UsLegal Soft Solution is a premier virtual staffing, marketing services, and technology company dedicated to empowering law firms with...

OverviewSprouts Farmers Market, a rapidly growing company in the healthy living industry, is seeking an experienced Deli Department Director to lead our deli team. As a key member of our store management team, you will be responsible for providing excellent customer service, managing inventory, and ensuring high-quality products.About SproutsWe are a...

About the RoleWe are seeking a highly skilled Regional Medical Director to join our team at Blue Shield of California.This is an exceptional opportunity for a seasoned medical leader to drive clinical excellence and population health management across assigned medical groups and IPAs.About YouYou have a minimum of 5 years direct patient care experience,...