Medical Manager Jobs in San Jose
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Search Results - Medical Manager Jobs in San Jose
360X StaffingSan Jose
and holidays based on organizational and operational requirements.)
Full time, permanent position
Salary: $215,000 - 269,000
The Physical Health Medical Director plays a key role within the Physical Health Medical Management Team, providing clinical...
i4 Search GoupSan Jose
hospitalMinimum of 3 years clinical practice in direct patient careMinimum of 3 years medical management experience in managed care setting, plus knowledge of managed care operations processes and managed care contracting.Completed residency trainingExperience...
TALENT Software ServicesSan Jose
at their company.
Description: Medical Director/ Physician Reviewer
(•Active medical state licensure required for PA, NY, or WV)
This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance...
Kaiser PermanenteSan Joseappcast.io
conducts educational programs for pharmacy, other medical personnel and patients.
• Participates in quality management programs.
• Evaluates an manages the medication therapy of hospitalized or ambulatory patients as assigned to assure optimum therapeutic...
Health Data MoversSan Jose
medical management, operations, and Epic teams to validate, test, troubleshoot, and optimize Prior Authorization (PA) workflows within Epic Tapestry.
This role requires deep expertise in Medical Management and Utilization Management operations, including...
GallagherSan Jose
leave programs (including Education Code benefits)
Medical Management & Network Optimization
• Support implementation and expansion of medical provider networks, including communication and training of providers
• Identify opportunities to increase PPO...
San Francisco, 40 mi from San Joseicims.com
scope of practice.
• Perform follow-up evaluations and manage ongoing treatment plans.
• Provide patient education regarding diagnoses, medical management options, surgical procedures, postoperative expectations, and recovery.
Care Coordination...
Alignment Healthcare Inc.San Joseappcast.io
and organizational committees, workgroups, and strategic initiatives as assigned.Regulatory & Physician Leadership• Maintain knowledge of Medicare Advantage, CMS, and applicable regulatory requirements impacting provider performance, quality, medical management...
E2E Alignment Healthcare USA, LLCSan Joseappcast.io
performance, quality, medical management, and population health.
• Serve as a visible physician leader within the market, fostering strong provider relationships and supporting Alignment's value-based care strategy.
• Other duties as assigned.
Supervisory...
ConcentraWalnut Creek (CA), 34 mi from San Joseappcast.io
experience in managed care and physician management.
• Experience developing and leading medical management and quality improvement programs, preferably in a managed care setting.
Job-Related Skills/Competencies
• Concentra Core Competencies of Service...
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