Medical and Health Services Manager Jobs in Sacramento, California

526 jobs

The HPA III Performs the more complex and difficult financial and/or management audits with limited supervision. Under the direction of the Health Program Audit Manager I Performs as lead auditor over Auditor I and Auditor II. Audits may be in the acute care, long term care, managed care, public health and rural heath clinic program areas and may also include special audits made at the request ...

The Capitated Rates Development Division has openings for two Limited-term, Full-time Health Program Auditors II in the Financial Audit and Reconciliation Unit, located at 1501 Capitol Avenue, Sacramento. Recruitment is open to all qualified applicants. Hires will be conducted within the SROA guidelines. Applications will be screened and only the most competitive applicants will be interviewed. H...

We have two vacant positions available. If you are interested in this position, please submit your application, cover letter, resume and a statement of qualifications to the address listed and reference your list or transfer eligibility in the 'Explanations' section of your State Application Form. If you can access a copy of your exam scores and it is applicable, please attach a copy to your appl...

The Managed Care Quality and Monitoring Division (MCQMD) has several openings for a full-time Nurse Evaluator II in the Medical Monitoring Unit, Medical Quality and Oversight Section, located at 1501 Capitol Avenue, Sacramento. Recruitment is open to all qualified applicants. Hiring will be conducted within the SROA guidelines. Applications will be screened and only the most qualified applicants ...

If you are looking for a challenge in a high profile program that can make a difference in the lives of children and adults with special health care needs, consider working in the Systems of Care Division, California Children’s Services Program. The Systems of Care Division (SCD) is responsible for administration of the California Children’s Services (CCS) Program, the Genetically Handicapped Per...

* THIS IS A REPOSTED VACANCY Please indicate position number 805-030-8144-706 and basis of eligibility on the STD. 678 application form. Failure to so may result in the disqualification of your application. Please submit application, resume or questions to contact person listed above.* The Long Term Care Division is seeking to a highly motivated, results driven, responsible and adventurous indiv...

* Please indicate position number 805-030-8144-706 and basis of eligibility on the STD. 678 application form. Failure to do so may result in the disqualification of the application. Please submit application, resume or questions to contact person listed in the ad. Please note that applications delivered to the contact's building or to the department's HR will not be accepted. Only mailed applicat...

Interested applicants please indicate position # 805-050-8145-001 and basis of eligibility in box number 12 of the STD 678. Failure to do say may result in the disqualification of your application. Please submit applications and inquiries to the contact person listed above. The Department of Health Care Services Long-Term Care Division is seeking a highly motivated individual to fill a Nurse Eval...

Interview Live with PharmaSalesCareers *Tuesday - May 19 @ Hilton - Sacramento (See below for Details) We are currently interviewing candidates for positions in Pharmaceutical Sales, Pharmaceutical Contract Sales & Medical Device Sales Positions for Sacramento and surrounding Northern California Area Territories. All Positions Require: 4 Year Degree 1-2 Outside Business to Business Sales Expe...

Description: The CDI Service Area Manager is responsible for providing CDI program oversight and day to day CDI implementation of processes related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 clients' patients. The goal of the CDS oversight and practice is to assess the technical accuracy, specificity, and completeness of provider clinical d...

Coventry Workers’ Compensation Services offers workers’ comp cost and care management solutions for employers, insurance carriers, and third-party administrators. With roots in both clinical and network services, Coventry leverages more than 30 years of industry knowledge and experience. In 2013, Coventry became a part of Aetna, joining together with common values and a common mission: empowering ...

Position Purpose: Perform collaborative duties to assess, plan and coordinate continuum of care for select members with complex medical or behavioral health conditions or are at high risk in order to promote quality, cost effective care. Advanced review of admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care. Develop, assess and adjust as nec...

* Please indicate position number 805-032-8427-001, position title, and basis of eligibility on the STD. 678 application form. Applications MUST be signed and dated. Failure to do so may result in the disqualification of the application. Please submit application, resume or questions to contact person listed in the ad. If you are not a current State employee, you must either have reinstatement eli...

To apply for this position, a State Application (STD 678) with your ORIGINAL signature must be submitted to the address listed. Only applications with ORIGINAL signatures will be accepted. Do NOT staple the application or print double sided. Applications submitted via e-mail or fax will not be accepted. Your state application must indicate you are applying for the Health Program Manager II - Regi...

Desirable Qualifications: * Experience managing public health program monitoring and/or policy development staff * Experience working with state and community public health programs * Understanding of nutrition programs * Experience in problem solving, research, report writing and oral presentations Duty Statement: This position requires the incumbent maintain consistent and regular attendan...

We are currently seeking a Health Care Coding Consulting Manager for our Professional Coding and Compliance practice within the Health Care Consulting Group. Responsibilities: Develops, grows and manages coding members of the consulting group's Health Care Regulatory Compliance practice Develops opportunities and manages coding audit and validation services to our Health Care clients Creates a...

Position Purpose: Review requests for prior authorization of medical services such as surgeries, pain management, home health care Review provider requests through fax or telephone to ensure medical necessity for services requiring preauthorization Utilize nationally recognized criteria to determine medical necessity of services requested Refer provider requests appropriately to Medical Directo...

PLANNED PARENTHOOD MAR MONTE DESCRIPTION OF DUTIES: (as appropriate to health center level and scope of services) Responsible for the day-to day management of all health center activities. Manages the health center to meet or exceed goals in productivity, financial performance and client visits. Requires development and execution of strategy planning from concept to implementation. Supervises ce...

PLANNED PARENTHOOD MAR MONTE DESCRIPTION OF DUTIES: (as appropriate to health center level and scope of services) Responsible for the day-to day management of all health center activities. Manages the health center to meet or exceed goals in productivity, financial performance and client visits. Requires development and execution of strategy planning from concept to implementation. Supervises ce...

Position Purpose: Perform collaborative duties to assess, plan and coordinate continuum of care for select members in assigned cases in order to promote quality and cost effective programs. On-site and telephonic review of members’ risk to ensure medical necessity and appropriate level of care Develop, assess and adjust as necessary the care plan and promote desired outcome Coordinate services ...