10 Medical Director And Reviewer Positions jobs in San Francisco.

Hiring now: Medical Dir Family Medici @ Tiburcio V, Sr Drg Audit Subject Matt @ Machinify, Internal Medicine Physici @ Petaluma H, Inpatient Review Clinicia @ Molina Hea, Primary Care Physician @ Circle Med, Nurse Reviewer Associate @ Elevance H.Explore more at jobswithgpt.com.

🔥 Skills

preauthorization (3) medical necessity (3) diagnostic imaging (3) health assessments (2) community health (2) Board Certified (2) clinical screening (2) healthcare providers (2) utilization management (2) quality management (2)

đź“Ť Locations

Walnut Creek (4) Hayward (2) San Francisco (2) Palo Alto (1) Petaluma (1)
🔍 Go to full job search

Tiburcio Vasquez Health Center (Tvhc)

Medical Director, Family Medicine Hayward
Skills & Focus: patient-centered, multilingual, supervision, clinical responsibility, quality care, health assessments, community health, organizational leadership, medical specialty, collaborative care
About the Company: TVHC is a mission-driven, non-profit Federally Qualified Health Center (FQHC) dedicated to improving the health and well-being of the communities we serve. We …
Experience: Minimum three (3) years of clinical experience required. Minimum two (2) years of experience supervising providers and other clinical staff preferred.
Salary: $116.15 - $134.65 per hour / $241,592 - $280,072 salary
Benefits: Medical: 100% employer-paid co-payments, prescriptions, and premiums; Dental & Vision Coverage: employer-paid premiums;…
Physician Hayward
Skills & Focus: patient-centered care, value-based care, community health, preventive health screening, electronic health records, Board Certified, medical license, community health setting, health assessments, health care team
About the Company: TVHC is a Federally Qualified Health Center (FQHC) that is dedicated to promoting the health and well-being of our community by providing accessible, high qual…
Experience: Previous experience providing medical care within a community health setting preferred
Salary: $106.30 - $134.65 per hour, depending on experience, with a signing bonus available!
Type: Full-time
Benefits: We offer excellent benefits including: 100% paid medical (co-payments, prescriptions, premiums covered), dental, vision…

Machinify

Senior DRG Audit Subject Matter Expert (SME) Palo Alto
Skills & Focus: DRG validation audits, inpatient coding, coding guidelines, MS-DRG, AP-DRG, APR-DRG, claims auditing, quality assurance, coding certifications, medical claims billing
About the Company: Machinify is the leading provider of AI-powered software products that transform healthcare claims and payment operations. Each year, the healthcare industry g…
Experience: 5-10 years in claims auditing, quality assurance, or recovery auditing, ideally in a DRG / Clinical Validation Audit setting
Salary: Based on experience and skills
Type: Full-time
Benefits: Incredible medical, vision, and dental benefits, competitive salary, equity, 401(k) sponsorship, flexible time off

Petaluma Health Center

Internal Medicine Physician, Geriatrics Petaluma
Skills & Focus: Internal Medicine, Geriatrics, Primary Care, Patient Care, Consultative Care, Medical Staff, Diagnosis, Treatment, Patient Education, Credentialing
About the Company: Petaluma Health Center's mission is to provide high quality health care with access for all in Southern Sonoma County & West Marin. We pride ourselves on our P…
Experience: Board Certified in Internal Medicine with current California License and DEA; Board Certified in Geriatrics preferred
Salary: USD 227000 - 275065 Annually
Type: Full-time
Benefits: 21 Days of Paid Time Off, 10 Observed Holidays, Medical Insurance (Entire deductible paid by us), Dental Insurance, Vis…

Molina Healthcare

Inpatient Review Clinician (RN) San Francisco
Skills & Focus: Inpatient review, Utilization management, Registered Nurse, Clinical guidelines, Medical facilities, Patient assessment, Care coordination, Emergency room admissions, Prior authorization, Evidence-based practice
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 3+ years hospital acute care/medical experience
Salary: $30.37 - $59.21 / HOURLY
Type: Full Time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.

Circle Medical

Primary Care Physician San Francisco
Skills & Focus: primary care, telemedicine, healthcare startup, patient panel, evidence-based practice, innovations, providers, network, chat, brick and mortar
About the Company: Circle Medical is a primary care practice that provides panel-focused primary care medicine to adult patients. We are an evidence-based practice engaging our e…
Type: Full-time

Elevance Health

Nurse Reviewer Associate Walnut Creek
Skills & Focus: preauthorization, clinical screening, medical necessity, diagnostic imaging, collaboration, healthcare providers, confidentiality, patient outcomes, managed health care, ICD-9 and CPT coding
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Experience: AS in nursing; Current unrestricted RN license in applicable state(s) required.
Salary: $27.47 to $52.06 (hourly)
Type: Full-time
Benefits: comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution.
Behavioral Health Medical Director- Child Psychiatrist Walnut Creek
Skills & Focus: medical necessity reviews, peer-to-peer clinical reviews, utilization review, clinical knowledge, health care quality, medical policies, patient office visits, Board Certified, clinical operations, innovation opportunities
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Experience: Minimum of 10 years of clinical experience
Salary: $250,236 to $428,976
Type: Hybrid
Benefits: Comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution
Nurse Reviewer I Walnut Creek
Skills & Focus: medical necessity, diagnostic imaging, preauthorization, clinical screening, healthcare providers, utilization management, quality management, RN license, health plan, documentation
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Experience: Minimum of 3 years of clinical nursing experience in an ambulatory or hospital setting or minimum of 1 year of prior utilization management, medical management, and/or quality management.
Salary: $29.96 to $56.77 (hourly)
Type: Hybrid
Benefits: Comprehensive benefits package, including incentive and recognition programs, equity stock purchase, and 401k contribut…