Sr. Director of Multi-Site Development & Market Expansion JobotSr. Director of Multi-Site Development & Market ExpansionManhattan Beach, CA$200,000ā$250,000 / yearThe ideal candidate combines healthcare expansion experience, operational leadership, project management expertise, and a track record of building scalable systems that improve speed, visibility, accountability, and execution. This executive-level leader will be responsible for evaluating expansion opportunities, identifying new markets, overseeing site development initiatives, and ensuring successful location launches.
Case Manager RN Health Source MSOCase Manager RNAlhambra, CAFull timeMonitors nursing and medical plans of care/discharge plans and provides appropriate interventions to assure care is appropriate, coordinated and that avoidable patient days are addressed effectively through education, consultation, and counseling as needed. Ensures collaboration between multidisciplinary healthcare team members, primary physician, community agencies, HMOs/PPOs, CCS, etc., whose services may be required and/or related to the care needs of the patient after hospital discharge.
NewDeputy Director, Jobs Operations (CA) Best Buddies InternationalDeputy Director, Jobs Operations (CA)Long Beach, CA$60,000ā$61,000 / yearp>Best Buddies International is a nonprofit 501(c)(3) organization dedicated to establishing a global volunteer movement that creates opportunities for one-to-one friendships, integrated employment, leadership development, inclusive living, and family support for individuals with intellectual and developmental disabilities (IDD). Position Overview: The Deputy Director of Jobs Operations provides operational and financial support to the local jobs program by managing funding authorizations, contracts, compliance requirements, and reporting timelines.
NewTrial Attorney BI/UM USAATrial Attorney BI/UMIrvine, CA$114,080ā$218,030 / yearp/>As a dedicated Trial Attorney, you will provide legal representation to USAA members, insured clients, and USAA entities in all phases of civil litigation and legal proceedings pertaining to Property and Casualty covered losses. Independently manages caseload of simple to moderate Property and Casualty insurance defense cases through arbitration, trial, and possible appeal for clients on cases assigned.
NewRN - Lead Care Manager (Full-Time, Day Shift) Adventist HealthRN - Lead Care Manager (Full-Time, Day Shift)Long Beach, CAli>Ensures the interdisciplinary care plan is consistent with the patient's clinical course, continuing care needs and covered services by monitoring diagnostic testing, treatments and procedures, and other aspects of patient care as appropriate for acute care. Focuses on complex patients, frequent ED utilizers, chronic pain patients, substance abuse patients, homeless patients.
NewCare Manager RN Per Diem Day Providence Health and ServicesCare Manager RN Per Diem DaySanta Monica, CA$57.28ā$88.92 / hourOur not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School. Providence Saint John's Health Center has been recognized as a MagnetĀ® hospital in 2025 āa prestigious designation from the American Nurses Credentialing Center (ANCC), which recognizes organizations that provide the highest-quality care.
Director of Case Management Utilization Management Prime Healthcare Services IncDirector of Case Management Utilization ManagementInglewood, CA$108,160ā$163,800 / yearAn award-winning facility, ranking in the top 5% nationally for quality and patient safety, Centinela Hospital is a 362-bed acute-care hospital with a 24-hour STEMI certified emergency department and primary stroke center, orthopedic care, advanced cardiac services, critical care services, inpatient and outpatient rehab programs, and more. Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf.
Director of Case Management - Utilization Management Centinela Hospital Medical CenterDirector of Case Management - Utilization ManagementInglewood, California$108,160ā$163,800 / yearPrivacy Notice: Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf. Why Prime Healthcare? Centinela Hospital Medical Center; a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
NewDirector of Case Management Full Time Knight Health Holdings LLCDirector of Case Management Full TimeBaldwin Park, CA$125,000ā$160,000 / yearAt our 91-bed hospital, our physician-led care teams provide critically ill patients with the specialized acute care and rehabilitation they need, for the time they need it - empowering them to take the next step in their recovery journey. This role oversees the coordination of care for patients and families through effective management of clinical service delivery, ensuring quality outcomes and efficient resource utilization.
Associate Director, Patient Services and Distribution Case Management BeOne Medicines AGAssociate Director, Patient Services and Distribution Case ManagementCA$145,200ā$195,200 / yearSpecifically, Case Manger will educate/update BeOne Corporate Account Directors, Market Access Directors, Field Account Managers, Specialty Pharmacy Partners, Healthcare Providers, Patients/Caregivers on the myBeOne Patient Support Program and Specialty Pharmacy/Distribution Network as needed. Ability to multitask, prioritize, problem solve and manage communication with Oncology Nurse Advocates, Specialty Pharmacies, Corporate Account Directors, Field Market Access Directors and Account Managers across multiple geographies and time zones.
Director, Case Management Lakewood and Los Alamitos - Full Time - Days University of CaliforniaDirector, Case Management Lakewood and Los Alamitos - Full Time - DaysLakewood, CA2025 University of California, Irvine, UCI Health, and UC Regents. Sign-up to be notified of hiring events, newly posted job opportunities, and much more.
Manager Case Management - Full Time, Days Southern California HospitalsManager Case Management - Full Time, DaysCulver City, CAdiv>
Director of Engineering & Product Management - Benefits Platform Kaiser PermanenteDirector of Engineering & Product Management - Benefits PlatformBurbank, CAp>Directs team(s) in defining product strategy and vision, and oversees product roadmaps from ideation to launch by driving and approving decisions on new products or enhancements to bring to market; reviewing the evaluation of potential business process changes, system impacts, and flow concepts to determine the viability of implementing desired enhancements; ensuring the provision of an end-to-end holistic view of how specific business processes and internal system configurations impact the user experience; reviewing and selecting business cases for new products, improvements to existing products, and/or business ventures; defining, overseeing, and avoiding technical debt as appropriate; managing product and operational budgets; ensuring documentation clearly communicates customer/stakeholder needs to the product team; and partnering with team members to clarify features and requirements as necessary. This includes reviewing and selecting business cases for new products, improvements to existing products, and/or business ventures; defining, overseeing, and avoiding technical debt; providing direction and oversight to product team(s) and diverse stakeholder groups across the organization throughout the product management life cycle, and leveraging partnerships with operations teams and market stakeholders to support product adoption.
Director of People Management The Aerospace CorpDirector of People ManagementEl Segundo, CA$144,800ā$217,200 / yearAs the operator of a federally funded research and development center (FFRDC), we are broadly engaged across all aspects of space- delivering innovative solutions that span satellite, launch, ground, and cyber systems for defense, civil and commercial customers. In this role, you will lead the People Management Center of Expertise (COE) responsible for designing, developing, implementing, and administering policies, processes, programs, and systems for Performance Management and Employee Relations.
Associate Director of Knowledge Management, Investment Funds McDermott Will & Emery LLPAssociate Director of Knowledge Management, Investment FundsCA$193,000ā$301,000 / yearul>Evaluate current KM infrastructure for IFG and work to improve the ability to capture and disseminate information and research, identify and prioritize new projects to enhance the efficiency of IFG Attorneys in partnership with the Chief Knowledge Officer, Senior Director of Knowledge Management and advisory partners designated by IFG Attorneys. Lead the redevelopment and ongoing curation of the IFG market terms database, which includes supervising both automated and manual extraction of fund formation data, validating, analyzing and visualizing that data and enabling regular thought-leadership reflecting current fund terms, trends and outcomes.
Director of Product Management Motorola Solutions IncDirector of Product ManagementIrvine, CAOur critical communications, video security and command center technologies support public safety agencies and enterprises alike, enabling the coordination that's critical for safer communities, safer schools, safer hospitals and safer businesses. From pure line-of-sight to extreme non-line-of-sight, Silvus radios form a self-healing, self-forming mesh network, enabling secure and reliable connectivity, including video and high-bandwidth data.
Sr. Director of Product Management - Finance Path to Value The Gap IncSr. Director of Product Management - Finance Path to ValueCA$226,700ā$306,100 / yearYour VP sets the executive frame; you make it real - owning strategy execution, leading the product team, and building the working partnerships with Finance leadership that turn a service relationship into a strategic one. Be the consistent, credible GTS presence across Finance Leadership Team domains: GBS, Finance Technology, Controllership, Finance CoE, Brand Finance, Corp Finance & Treasury, Tax & Risk.
Director of GRC Operational Risk Management Live Nation Entertainment IncDirector of GRC Operational Risk ManagementCA$140,000ā$175,000 / yearThis role is responsible for leading and maturing a comprehensive third-party risk management (TPRM) program within a broader GRC and operational risk framework, ensuring that risks across vendors, partners, and digital assets are effectively identified, assessed, and managed in a practical, risk-based manner. These businesses allow Live Nation Media & Sponsorship to create strategic music marketing programs that connect more than 1,200 sponsors with the 145 million fans that attend Live Nation Entertainment events each year.
Director of Utilization Management - PACE Los Angeles Jewish HealthDirector of Utilization Management - PACEReseda, California$140,000ā$150,000div>The responsibilities of the Director of Utilization Management include, but are not limited to: Responsibilities:Leads the Utilization Management (UM) program to ensure appropriate, cost-effective, and high-quality care for PACE participants. About Los Angeles Jewish Health:Los Angeles Jewish Health is dedicated to providing exceptional, comprehensive senior healthcare services, guided by our mission to deliver excellence in care for all, rooted in Jewish values.
Case Manager, RN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union) University of Southern CaliforniaCase Manager, RN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)Los Angeles, CAp>Required Licenses/Certifications: ā¢ Req Registered Nurse - RN (CA DCA) ā¢ Req Basic Life Support (BLS) Healthcare Provider from American Heart Association ā¢ Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. ā¢ Performs and documents InterQual assessments upon admission ā¢ Performs and documents InterQual assessments upon a change in level of care ā¢ Performs and documents InterQual assessments at least every three days ā¢ Performs and documents InterQual assessments upon discharge.
Director of Patient Safety & Clinical Risk Management Macpower Digital Assets Edge Private LimitedDirector of Patient Safety & Clinical Risk ManagementDowney, CA$168,400ā$198,100 / yearli> Oversees infection prevention and control programs to improve employee and patient safety by: directing and prioritizing epidemiological investigations and simulations of significant clusters of infection or serious communicable disease concerns as a part of prevention, surveillance, and outbreak management; coordinating, developing, and maintaining significant outbreak containment protocols and efforts; and consulting with Administration on infection control implications of architectural design, renovation, and construction. Job Summary: This is backfilled position and you will be responsible for Risk Management and Patient Safety for large medical center and also responsible for leading Situation Management Team to facilitate the review and evaluation of patient safety incidents.DON- (Director Of Nursing) / Admin of Hospice of low census CbDON- (Director Of Nursing) / Admin of Hospice of low censusBurbank, CaliforniaJoin us as we lead the way in providing exceptional hospice services that honor the dignity of each person, ensuring comfort, respect, and personalized support at every stage of their journey. Compensation: $100,000.00 - $120,000.00 per year . Position salary will be titrated We are seeking a dedicated and experienced Hospice Director of Patient Care Services to lead our clinical team in providing compassionate, high-quality end-of-life care.
DON- (Director Of Nursing) / Admin of Hospice of low census CbDON- (Director Of Nursing) / Admin of Hospice of low censusBurbank, CaliforniaJoin us as we lead the way in providing exceptional hospice services that honor the dignity of each person, ensuring comfort, respect, and personalized support at every stage of their journey. Compensation: $100,000.00 - $120,000.00 per year . Position salary will be titrated
DON- (Director Of Nursing) / Admin of Hospice of low census MD Care HospiceDON- (Director Of Nursing) / Admin of Hospice of low censusBURBANK, CAThe ideal candidate will possess extensive knowledge of hospice care, acute and home health services, and demonstrate exceptional leadership in managing patient-centered care programs. We are seeking a dedicated and experienced Hospice Director of Patient Care Services to lead our clinical team in providing compassionate, high-quality end-of-life care.
Senior Director, Commercial Assessment & Venture Business Cases City of HopeSenior Director, Commercial Assessment & Venture Business CasesCACity of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. By integrating market insights, clinical value, and financial modeling, this role will help determine the most effective pathways for advancing opportunities, including licensing, partnerships, venture creation, or new company formation.
Discharge Planning Coordinator, LVN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union) University of Southern CaliforniaDischarge Planning Coordinator, LVN - Case Management - Per Diem 8 Hour Days (Non-Exempt) (Union)Los Angeles, CA$28ā$47.75 / hourp>If you are a current USC employee, please apply to this USC job posting in Workday by copying and pasting this link into your browser: https://wd5.myworkday.com/usc/d/inst/1$9925/9925$146686.htmld. Essential Duties: Partners with members of the Continuum of Care team both case managers and social workers (RN Case Manager, SW Case Manager) in an effort to provide patients and family members a smooth, coordinated patient transition from hospital to home and/or the next level of care.
Unit Supervisor RN - Case Management - Full Time - 8 Hour Day Shift (Non-Union) University of Southern CaliforniaUnit Supervisor RN - Case Management - Full Time - 8 Hour Day Shift (Non-Union)Glendale, CaliforniaPlease refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying. This individual supports the Chief Nursing Officer and department manager and director in providing oversight for and the delivery of safe, high quality patient care; development of staff team; quality improvement and growth of unit services; leadership in planning and collaboration with co-workers and other departments; management of efficient services with meaningful and valuable outcomes.
RN Case Management Seen Health IncRN Case ManagementAlhambra, CA$120,000ā$145,000 / yearCollaborates with Medical Director, primary care providers, clinic manager, and the interdisciplinary team (IDT) to coordinate care across different care settings, ensuring that IDT maintains oversight of participant care and to ensure that participants receive necessary services (medical, social, supportive). We want to empower our clinicians and staff with tools that deliver relevant data at the time and site of care and enable them to deliver exceptional care to our participants, which improve clinical outcomes, participant & provider satisfaction, and ultimately our strength as an organization.
Bilingual (English/Spanish) Transitions of Care RN Case Manager Devoted Health IncBilingual (English/Spanish) Transitions of Care RN Case ManagerCA$85,000ā$100,000 / yearThat's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
RN Case Management Seen HealthRN Case ManagementAlhambra, Arizonali>Collaborates with Medical Director, primary care providers, clinic manager, and the interdisciplinary team (IDT) to coordinate care across different care settings, ensuring that IDT maintains oversight of participant care and to ensure that participants receive necessary services (medical, social, supportive).. We want to empower our clinicians and staff with tools that deliver relevant data at the time and site of care and enable them to deliver exceptional care to our participants, which improve clinical outcomes, participant & provider satisfaction, and ultimately our strength as an organization.
NewSenior Director of Development, College of Agriculture California State UniversitySenior Director of Development, College of AgriculturePomona, CA$125,004ā$135,000 / yearp>In compliance with state and federal crime awareness and campus security legislation, including the Jeanne Clery Campus Safety Act, California Education Code section 67380, and the Higher Education Opportunity Act (HEOA), Cal Poly Pomona's Annual Security Report and Annual Fire Safety Report are available for viewing at Cal Poly Pomona's Annual Security Report and Cal Poly Pomona's Annual Fire Safety Report. Minimum of seven years of progressive experience in major gifts fundraising, or equivalent business development experience, with a demonstrated record of increasing responsibility and consistent success in securing philanthropic/financial support at the major and principal gift levels, preferably within a higher education or similarly complex environment.
Senior Director, Product Management - Autoimmune (Specialty Medicine) Labcorp Holdings IncSenior Director, Product Management - Autoimmune (Specialty Medicine)CAp>This role extends beyond traditional product management, requiring the ability to operate at an enterprise level, influencing senior leadership, guiding cross-functional decision-making, and shaping clinical and commercial strategy across multiple interdependent product lines. This role sits within Labcorp's highly specialized Specialty Medicine portfolio and is responsible for leading the Autoimmune portfolio as a unified diagnostic category, requiring deep domain expertise and the ability to drive strategy across a complex, multi-product landscape.
Medical Director, Utilization Management Alignment Healthcare IncMedical Director, Utilization ManagementCAThe UM Medical Director/Physician Advisor works with UM licensed staff, Regional Medical Officers and Extensivists to develop and implement methods to optimize use of Institutional and Outpatient services for all patients while also ensuring the quality of care provided. GENERAL DUTIES/RESPONSIBILITIES (MAY INCLUDE BUT ARE NOT LIMITED TO): Second level reviews in compliance with Medicare/CMS: NCD, LCD and Milliman guidelines for Inpatient, Outpatient, Skilled Facilities Level of Care and Pharmacy.
Director, Product Management Synopsys IncDirector, Product ManagementCAul>Define and drive the product strategy and roadmap for Silicon Lifecycle Management IP focused on 2.5D/3D-IC, chiplet interconnect (UCIe, D2D), and memory interfaces (DDR, LPDDR, HBM, cHBM), covering both high-volume manufacturing test and in-system lifecycle management. You will collaborate with technical product managers, R&D leaders, and customer-facing teams to drive the business forward in a space that is still being defined as the industry transitions to multi-die and heterogeneous integration architectures.
Associate Director, Product Management (Heme Oncology) NeoGenomics LaboratoriesAssociate Director, Product Management (Heme Oncology)Aliso Viejo, CAThe Associate Director, Product Management ā Heme Oncology is a high-visibility, high-ownership role that requires independent thinking, urgency, and strong cross-functional partnership in a matrixed organization, combining technical expertise, business acumen, and innovative thinking to accelerate growth in a strategically important area. This role shapes and executes product strategy, drives go-to-market excellence, and delivers a differentiated, data-driven customer experience, leveraging expertise in heme oncology diagnostics across the care continuum to translate insights into actionable strategies that improve clinical decision-making and patient outcomes.
Director of Nursing - Hospice SimiTree Talent SolutionsDirector of Nursing - HospiceEncino, CA$140,000ā$155,000 / yearIf you are an experienced Director of Patient Care Services / DOPCS, Director of Clinical Services / DOCS or Clinical Supervisor, Clinical Manager, Patient Care Manager, Case Manager, or Field Nurse with Hospice experience, then you need to read on. They have a current opening for a Director of Nursing or Clinical Supervisor for their location in the Encino / Reseda, CA area.
Senior Director, Product Management Cornerstone OnDemand, Inc.Senior Director, Product ManagementCAul>Serve as a named product leader in strategic sales cycles, representing the product organization in executive-level customer meetings, RFPs, and product capability reviews. Lead the strategy, design, and build-out of Cornerstone''s partner ecosystem capabilities, working closely with Engineering to define the technical and functional requirements needed to support partner integrations and extensibility.
Product Management Director, Rimini Manage Rimini Street IncProduct Management Director, Rimini ManageCARemote$165,000ā$205,000 / yearp>The Company has signed thousands of contracts with Fortune Global 100, Fortune 500, midmarket, public sector and government organizations who selected Rimini Street as their trusted, proven mission-critical enterprise software solutions provider and achieved better operational outcomes, realized billions of US dollars in savings and funded AI and other innovation investments. About Rimini Street, Inc. Rimini Street, Inc. (Nasdaq: RMNI), a Russell 2000 Company, is a proven, trusted global provider of end-to-end, mission-critical enterprise software support, managed services and innovative Agentic AI ERP solutions, and is the leading third-party support provider for Oracle, SAP and VMware software.
Director, Program Management Office AMVAC Chemical CorporationDirector, Program Management OfficeIrvine, CAExperience Requirements: 8+ years of work experience in complex program management, including 3+ years in a leadership capacity, with demonstrated expertise in risk mitigation and governance while balancing competing priorities. The role requires strong communication skills to consolidate information for executive meetings and the ability to adjust messaging from middle-level management up to executive leadership.
Sr Director - B2B Scores Product Management Fair Isaac CorpSr Director - B2B Scores Product ManagementCARemote$164,500ā$258,500 / yearli>Demonstrable product management experience, including leadership roles and a proven track record of successfully launching and managing commercially impactful products, with experience in analytic products a plus. Operationalize product strategy by developing and articulating a clear product vision, aligning the product roadmap and goals with the Company's overall objectives, market trends, and customer needs in partnership with Product Marketing and P&L leaders.
Operations Management Area Director (Temporary) SevitaOperations Management Area Director (Temporary)Long Beach, CAMaintain and foster relations with case managers and referral agents; participate in building relationships with local legislators and government officials; lobby on behalf of individuals served. + Provide direction, leadership, and supervision of professional and other staff at the program site to carry out operations and ensure quality services to individuals served.
Associate Director, Product Management NeoGenomics IncAssociate Director, Product ManagementAliso Viejo, CAThe Associate Director, Product Management Heme Oncology is a high-visibility, high-ownership role that requires independent thinking, urgency, and strong cross-functional partnership in a matrixed organization, combining technical expertise, business acumen, and innovative thinking to accelerate growth in a strategically important area. This role shapes and executes product strategy, drives go-to-market excellence, and delivers a differentiated, data-driven customer experience, leveraging expertise in heme oncology diagnostics across the care continuum to translate insights into actionable strategies that improve clinical decision-making and patient outcomes.
Director Product Management - Analytics, Oracle Health Oracle CorpDirector Product Management - Analytics, Oracle HealthCA$139,200ā$306,400 / yearOracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle''s differing products, industries and lines of business. This role will focus on building data-driven solutions that help healthcare organizations improve clinical outcomes, operational efficiency, patient experience, population health, and financial performance.
Director, Product Management & Strategic Marketing Barry-Wehmiller Companies IncDirector, Product Management & Strategic MarketingCA$185,000ā$200,000 / yearBy blending people-centric leadership with disciplined operational strategies and purpose-driven growth, Barry-Wehmiller has become a $3 billion organization with nearly 12,000 team members united by a common belief: to use the power of business to build a better world. Cross-Business Leadership: Facilitate collaboration among product leaders from legacy brands (e.g., Paper Converting Machine Company, Hudson-Sharp, W&D, Baldwin etc.), leveraging shared best practices and driving synergies across offerings.
Director, Identity & Access Management Datavant LLCDirector, Identity & Access ManagementCA$180,000ā$225,000 / yearGuided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.
Director, Program Management Safran SADirector, Program ManagementCosta Mesa, CA$135,450ā$205,980 / yearCompany : Safran Cabin Job field : Project management Location : Costa Mesa , California , United States Contract type : Permanent Contract duration : Full-time Required degree : Bachelors Degree Required experience : More than 8 years Professional status : Professional, Engineer & Manager Spoken language(s) : English Fluent Salary range : $135,450 - $205,980 ITAR : ITAR Controlled position. Safran Cabin designs, certifies, manufactures and supports innovative aircraft cabin interiors, equipment and systems, providing airlines and OEM Customers with distinctive aircraft branding, and their passengers with a safe, comfortable and enjoyable flying experience.
Pain Management Physician Field Medical Director, IPM Evolent Health IncPain Management Physician Field Medical Director, IPMWork at Home, CA$100ā$110 / hourWhat You Will Be Doing: Serve as the Physician Clinical Reviewer for Interventional Pain Management, reviewing cases that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert. Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare.
Medical Director, Utilization Management - Commercial Prior Authorization Review Blue Cross and Blue Shield AssociationMedical Director, Utilization Management - Commercial Prior Authorization ReviewWoodland Hills, CAli>Demonstrated proficiency in at least three of the following: MEDICARE/MEDICARE STARS, Dual Special Needs Plan (D-SNP), MEDI-CAL, NCQA/URAC/Quality Programs, Policies/Procedure development, Clinical Subject Matter Expert for Litigation, SIU/Waste/Fraud/Abuse, Appeals/Grievances, Case Management/Population Health, Federal Employee Program (FEP), Education/Training (DELIVERS CME, CEU), Quality Improvement. Support Vice President, Medical Director in strategic initiatives whether by proposing clinical initiatives, providing expert input, shaping the strategy, and/or serving as the initiative driver.
Director, Program Management, Finance Digital Merger and Acquisitions Integrations Edwards Lifesciences CorpDirector, Program Management, Finance Digital Merger and Acquisitions IntegrationsIrvine, CA$159,000ā$226,000 / yearOwn integration portfolio insights to enable leaders to optimize resource allocation across the integration portfolio in partnership with functional and regional leaders, manage interdependencies and make informed decisions. This role will serve as a key orchestrator of cross-functional efforts, ensuring seamless integration of acquired entities with a strong focus on financial alignment, operational readiness, and digital enablement.
NewMedical Director Utilization Management Cohere Health Technologies LLCMedical Director Utilization ManagementCARemote$240,000ā$250,000 / yearBy unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately. With an enterprise approach that streamlines payer-provider decision-making across the care continuum-including policy, prior authorization, payment accuracy, and more-the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction.
Director, Product Management - Cardiovascular, Metabolic, Endocrinology & Wellness Clinical Franchise Quest Diagnostics IncDirector, Product Management - Cardiovascular, Metabolic, Endocrinology & Wellness Clinical FranchiseWest Hills, CAResponsibilities: Establish vision and profitable growth strategy (organic and acquired) for Clinical Franchise segment Lead cross functional teams to identify, develop and implement product/solutions addressing unmet customer needs that will drive profitable growth Develop Annual Operating Plan (AOP) in concert with Value Delivery partnersExecute effective life-cycle management across the segment through robust cross-functional team managementWork with Value Delivery partners to achieve agreed revenue, volume and margin targets in AOPRigorously assess new products/solutions to enable prioritization within R&D, IT and OperationsManage, track and understand performance metrics including:Revenue - test volume, reimbursementProfitability - cost of testing, other relevant costs, investmentsConduct market, competitive, and customer research to gain insights, identify needs, market trends, and gaps in Quest's product offeringPartner with Marketing organization on product/solution marketing strategy Generate customer insights to define customer/market segment requirements to set product/portfolio solution, priority setting, risk managementDefine requirements for partnerships, alliances, ventures for assigned segment and evaluate/manage the relationshipsDevelop and drive strategic direction for Specialty Sales TeamAssure the voice of customer is brought into the in-line and product/solution creation processUnderstand continuum of care requirements and gaps to drive market needsLead a team of 2 (a Product Manager and Product Specialist)Key Accountabilities include:Achieve revenue, volume and margin targets in AOPSuccessful and timely cross-functional development and market introduction of new / improved offerings (test, reporting, service)Development of 3-year Strategic PlanDevelopment of AOPManage discretionary spendQualifications: The successful candidate for Director, Product Management, will have the following attributes and/or experience:7+ years' relevant experience in healthcare with at least 3 years in marketing & product managementPrevious P&L management experience preferred Talent assessment, selection, development, employee retention, employee engagementExecutive presence, composure, KOL relationshipsLeading change, change management, flexibilityNegotiations skillsSolid business acumenCollaborationAbility to work in matrix organization Ability to influence othersRequires bachelor's degree in life sciences, business, marketing and/or product management; Advance degree/MBA preferred Up to 25% business travel requiredExcellent project leadership skills to ensure execution59314Quest Diagnostics honors our service members and encourages veterans to apply. Job DescriptionThe Director, Product Management will help establish the vision and profitable growth strategy for the Cardiovascular segment of the Cardiometabolic, Endocrinology & Wellness Clinical Franchise including new solution development and life cycle management.