As the Vice President of Payer Contracting Strategy within the Business Development team, you will lead and execute the Company’s payer contracting strategy, including, but not limited to, Commercial, Medicare Advantage, and Medicaid plans, and oversee the development of new initiatives to enhance payer value and alignment for value-based care programs. This role will report t o the SVP PE and BD.. This is a fully remote role within the US with preference to work Eastern Time Zone hours.
The California Managed Care Medical Director for the Managed Care Division contributes to the mission by providing strategic and clinical leadership through oversight of clinical services. The MCMD ensures that the Corporate Mission, Core Values and Management Principles of the organization are reflected in the his/her daily execution of Medical Director duties.
The California Managed Care Medical Director for the organizations Managed Care Division contributes to the mission by providing strategic and clinical leadership through oversight of clinical services. The MCMD ensures that the Mission, Core Values and Management Principles of the organization are reflected in the his/her daily execution of Medical Director duties.
Under the supervision of the Chief of Medicine the Medical Director will serve as an enterprise leader. The primary responsibilities of this role will include but is not limited to providing leadership to the healthcare center staff with regards to healthcare plan quality improvement by continuous measuring and monitoring the improvement of our healthcare center operations. To perform this job successfully, an individual must be able to lead and excel in an entrepreneurial, fast-paced, results-oriented culture with the motivation to become an integral part of a rapidly growing organization.
This is a dual position- we are currently recruiting looking for a highly capable Medical Director for the Hollywood Healthcare Center location and to take on the role as a Regional Medical Director for the Los Angeles area. Essential Duties
Maintains standards for productivity set, on average seeing 20 patients per day. Ensures compliance with standard by coordinating patient scheduling to compensate for no-show rate…
The Director of Contracting and Provider Relations is responsible for projecting and integrating the Mission and Core Values of the organization within and outside of the Public Health Department. Leading the Contracting & Provider Relations functions for the Southern Bureau health plans and Provider Data Management function for the Managed Care Division. The Senior Director will work closely with the Associate Director of Provider Data Management to ensure the staff is working effective and efficiently.
The Manager of Claim/Provider Data Management is integral part of the organizations Managed Care Division’s leadership team. He or she is responsible for projecting and integrating the Mission and Core Values of the organization in the provision of provider data management services to internal and external customers of the Managed Care Division.
Under the direction of the Chief of Managed Care, the Associate Director of Managed Care Informatics and Data (ADMCID) is responsible for the direction and oversight of analytics, reporting, and research to support operational goals. The ADMCID works collaboratively with IT data management staff to assure that strategy, tactics and execution of data related processes are communicated and understood by MC operations, finance and IT staff. The Associate Director is available to consult with staff in order to assist the IT data management staff and/or finance staff with their required clinical, financial, and other data reporting responsibilities to local, state and federal agencies.
