Health Services Operations Manager
5 days ago
We have an opportunity to join the Alliance as the new Health Services Operations Manager in the Health Services Administration Department.
Maximise your chances of a successful application to this job by ensuring your CV and skills are a good match.
WHAT YOU'LL BE RESPONSIBLE FOR
Reporting to the Health Services Officer, you will:
Manage the Health Services Operations function, act as a subject matter expert, and provide guidance on Health Services departmental operations
Manage the Health Services Division's regulatory reporting function
Manage, lead, supervise, mentor, and train assigned staff
ABOUT THE TEAM
We are responsible for the overall management and oversight of our members' health care. Duties include enforcing safety standards, controlling costs and ensuring that members receive the best treatment available.
THE IDEAL CANDIDATE
Excellent communication skills and the ability to influence and motivate cross-functional teams
Skill in the development and management new programs, policies & processes for seamless integration with current operations
Process oriented, with strength in program and project management
Passion for championing system redesign and the advancement of models of care
Ability to lead without direct authority and thrive within a matrixed environment
Familiarity with Medi-Cal state regulations and processes
A plus: familiarity with NCQA and Medicare
WHAT YOU'LL NEED TO BE SUCCESSFUL
To read the full position description, and list of requirements click here.
Knowledge of:
Methods and techniques of research, data collection, analysis, and reporting
Principles and practices of managed care
Healthcare regulatory processes
Title 22, Knox Keene, Medicaid or Medicare, entitlement programs, and related regulations
Principles and practices of program and project management
Ability to:
Develop work plans and workflows and organize and prioritize activities
Act as a technical resource and interpret, apply and explain complex principles, policies, procedures, regulations, terms, processes, and programs related to area of assignment
Train, mentor, supervise, and evaluate the work of staff and motivate staff to achieve goals and objectives
Organize and prioritize the work of others, delegate effectively, and follow up on work assignments
Provide leadership and facilitate and lead meetings and projects
Education and Experience:
Bachelor's degree in Business, Public Administration, Health Care Administration, or a related field
A minimum of six years of healthcare operations experience across a variety of operational departments including a minimum of three years of experience in a managed care setting, which included some lead or supervisory responsibility (a Master's degree may substitute for two years of the required experience); or an equivalent combination of education and experience may be qualifying
OTHER INFORMATION
We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams.
While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
The full compensation range for this position is listed by location below.
The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).
OUR BENEFITS
Available for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance.
Medical, Dental and Vision Plans
Ample Paid Time Off
12 Paid Holidays per year
401(a) Retirement Plan
457 Deferred Compensation Plan
Robust Health and Wellness Program
Onsite EV Charging Stations
ABOUT US
We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.
Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet.
The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer
At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.
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