Current jobs related to Director of Clinical Assurance and Utilization Management - Davis, California - Department of Health Care Services

  • Chief Clinical Assurance Division Director

    2 weeks ago

    Davis, California, United States Department of Health Care Services Full time

    About this Role:The Department of Health Care Services is seeking a highly skilled and experienced professional to serve as the Chief, Clinical Assurance Division (CAD). As a key member of the DHCS team, the successful candidate will be responsible for leading the CAD team in the implementation of utilization management for Medi-Cal fee-for-service members...

  • Chief Clinical Assurance Division Lead

    4 weeks ago

    Davis, California, United States Department of Health Care Services Full time

    About this Role:The Department of Health Care Services is seeking a highly skilled and experienced professional to serve as the Chief, Clinical Assurance Division (CAD). This is a Career Executive Assignment Level B position that requires strong leadership and management skills, as well as expertise in clinical assurance and utilization management.Key...

  • Clinical Assurance Division Lead

    3 weeks ago

    Davis, California, United States Department of Health Care Services Full time

    About this Role:The Department of Health Care Services is seeking a highly skilled and experienced professional to serve as the Chief, Clinical Assurance Division (CAD). This is a key leadership position that requires a strong understanding of healthcare policy, clinical operations, and utilization management.Key Responsibilities:Lead the CAD team in the...

  • Chief Clinical Assurance Division Leader

    2 months ago

    Davis, California, United States Department of Health Care Services Full time

    About this Role:The Department of Health Care Services is seeking a highly skilled and experienced professional to serve as the Chief, Clinical Assurance Division (CAD). This is a key leadership position that requires a strong understanding of healthcare policy, utilization management, and clinical assurance.Key Responsibilities:Develop and implement...

  • Chief Clinical Assurance Division Leader

    2 weeks ago

    Davis, California, United States Department of Health Care Services Full time

    About this Role:The Department of Health Care Services (DHCS) is seeking a highly skilled and experienced professional to serve as the Chief, Clinical Assurance Division (CAD). This is a critical leadership position that requires a strong understanding of health care policy, utilization management, and program administration.Key Responsibilities:Lead the CAD...

  • Chief Clinical Assurance Division Lead

    1 month ago

    Davis, California, United States Department of Health Care Services Full time

    About the RoleThe Department of Health Care Services is seeking a highly skilled and experienced professional to serve as the Chief, Clinical Assurance Division (CAD). This is a Career Executive Assignment Level B position that requires strong leadership and management skills, as well as a deep understanding of health care policy and operations.Key...

  • Clinical Professor of Psychiatry

    4 weeks ago

    Davis, California, United States University of California-Davis Full time

    Job Title:Clinical Professor of PsychiatryJob Summary:We are seeking a highly qualified Clinical Professor of Psychiatry to serve as the Director of Psychological Services for our Intensive Outpatient Program (IOP) and Child Behavioral Health Clinic (CBHC). The successful candidate will provide clinical supervision, direct patient care, and administrative...

  • Director of Pharmacology

    5 days ago

    Davis, California, United States University of California-Davis Full time

    Job SummaryWe are seeking a highly qualified Director of Pharmacology to join our team at the University of California, Davis. This is an exciting opportunity to lead a research program focused on the development of novel neurotherapeutics and molecular tools for probing mechanistic questions in neuroscience.Key ResponsibilitiesDevelop and oversee an...

  • Director of Development

    5 days ago

    Davis, California, United States University of California-Davis Full time

    Job SummaryThe University of California-Davis is seeking a highly skilled Director of Development to join our team. This is a key leadership role that will be responsible for leading the development of fundraising strategies and campaigns to support the university's mission and goals.The ideal candidate will have a proven track record of success in major...

  • Senior Director of Development

    1 week ago

    Davis, California, United States University of California-Davis Full time

    Job Title: Senior Director of DevelopmentUnder the direction of the Executive Director of Development, the Senior Director of Development will be responsible for supporting fundraising programs for the School of Veterinary Medicine with a focus on securing philanthropic support for the two veterinary medical center campaigns.The goals are to operationalize a...

  • Quality Assurance Specialist

    1 week ago

    Davis, California, United States Ultimate Staffing Full time

    Job SummaryWe are seeking a highly skilled Quality Assurance Specialist to join our team at Ultimate Staffing. As a Quality Assurance Specialist, you will be responsible for ensuring the quality of our products and services, and for implementing and maintaining our Quality Management System.In this role, you will work closely with our manufacturing and...

  • Counselor (Clinical Psychologist 3 HX)

    2 weeks ago

    Davis, California, United States University of California-Davis Full time

    Job SummaryThis position performs professional patient/client care under the direction of the Counseling Services Director of Academic Satellites at Student Health & Counseling Services. The Counselor will provide individual, partner, group, crisis intervention, and case management services assigned by quarterly clinic schedule. The position involves...

  • Faculty Director of the Center for Neuroscience

    2 weeks ago

    Davis, California, United States University of California-Davis Full time

    Job SummaryThe University of California, Davis invites applications for the position of Faculty Director of the Center for Neuroscience, an interdisciplinary unit comprised of faculty from the Colleges of Biological Sciences, Letters and Science, and the School of Medicine at UC Davis. The Center for Neuroscience has a strong reputation for excellence in...

  • Executive Director of Development

    4 weeks ago

    Davis, California, United States Acord (association For Cooperative Operations Research And Development) Full time

    Job SummaryThe Managing Executive Director of Development for the Medical Center/Hospital will be responsible for securing major gifts for Health Sciences. This position will manage key initiatives by creating a comprehensive, long-term development plan for the area, building strong relationships with faculty, and providing updates and information to the...

  • Senior Hematopathology Director

    5 days ago

    Davis, California, United States National Medical Association Full time

    Position Overview:The National Medical Association is seeking a dynamic physician-leader at the Associate Professor/Professor level to serve as Director of Hematopathology. This position reports directly to the Director of Clinical Pathology and is a major clinical operational leader who will provide strategic vision and collaborative implementation to...

  • UC SAREP Business Manager Davis

    2 weeks ago

    Davis, California, United States University of California Agriculture and Natural Resources Full time

    Job Title: UC SAREP Business ManagerThe University of California, Agriculture and Natural Resources (UC ANR) is seeking a highly skilled and experienced professional to manage business, financial, and administrative operations for the UC Sustainable Agriculture Research and Education Program (UC SAREP).Key Responsibilities:Provide leadership and oversight of...

  • Director of Development

    4 weeks ago

    Davis, California, United States University of California-Davis Full time

    Job SummaryThe University of California-Davis is seeking a highly skilled Director of Development to join our team. As a key member of our Development and Alumni Relations department, you will be responsible for leading fundraising efforts and building strong relationships with donors and stakeholders.Key ResponsibilitiesDevelop and implement comprehensive...

  • Executive Director of Development

    4 weeks ago

    Davis, California, United States University of California-Davis Full time

    Job SummaryWe are seeking a highly skilled and experienced Executive Director of Development to join our team at the University of California-Davis. As a key member of our Development and Alumni Relations department, you will be responsible for securing major gifts and leading our fundraising efforts to support the university's mission and goals.Key...

  • Director of Development, Regional Giving

    5 days ago

    Davis, California, United States University of California-Davis Full time

    Job SummaryThe Director of Development, Regional Giving is a key member of the University of California-Davis Development and Alumni Relations team, responsible for leading fundraising efforts in the regional giving area. This role requires a seasoned fundraising professional with expertise in major and principal gifts, as well as a strong understanding of...

  • Senior Director of Development

    4 weeks ago

    Davis, California, United States University of California-Davis Full time

    Job SummaryWe are seeking a highly skilled and experienced Senior Director of Development to join our team at the University of California-Davis. As a key member of our development team, you will be responsible for leading our fundraising efforts and developing strategic plans to secure major gifts from individuals, foundations, and corporations.Key...

Director of Clinical Assurance and Utilization Management

2 months ago

Davis, California, United States Department of Health Care Services Full time
About this Role:

The Department of Health Care Services is seeking a highly skilled and experienced professional to serve as the Chief, Clinical Assurance Division (CAD). This is a key leadership position that requires a strong understanding of healthcare policy, clinical operations, and utilization management.

Key Responsibilities:
  • Lead the CAD team in the implementation of utilization management for Medi-Cal fee-for-service members in partnership with the DHCS Health Care Benefits and Eligibility (HCBE) program.
  • Develop and implement policies and procedures to ensure effective utilization management and quality care for Medi-Cal beneficiaries.
  • Collaborate with stakeholders, including healthcare providers, payers, and state agencies, to ensure seamless coordination and communication.
  • Oversee the administration of Treatment Authorization Requests (TARs), the TAR-free program, and post-payment utilization control of Medi-Cal benefits.
  • Develop and manage budgets, forecasts, and performance metrics to ensure efficient and effective operations.
Requirements:
  • Master's degree in a healthcare-related field or a related field such as public health, health administration, or business administration.
  • Minimum 5 years of experience in healthcare policy, clinical operations, or utilization management.
  • Proven leadership and management skills, with experience leading cross-functional teams.
  • Strong analytical and problem-solving skills, with ability to interpret complex data and develop effective solutions.
  • Excellent communication and interpersonal skills, with ability to build strong relationships with stakeholders.