Medical Staff Services Network Director
3 weeks ago
Molina Healthcare is seeking a highly skilled Medical Staff Services Network Director to lead our network strategy and development efforts. This role is responsible for ensuring the adequacy, financial performance, and operational performance of our provider network, in alignment with our overall mission, core values, and strategic plan.
Key Responsibilities- Network Strategy and Development: Develop and implement standardized provider contracts and contracting strategies in alignment with Molina Healthcare's overall mission and strategic plan.
- Provider Contracting: Manage the Plan's Provider Contracting functions and team members, including contract negotiation and development.
- Network Adequacy: Manage and report network adequacy for Medicare, Marketplace, and Medicaid services.
- Cost Control Initiatives: Implement cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region.
- Contract Negotiation: Lead preparation and negotiations of provider contracts, including Value-Based Payment (VBP) models.
- Reimbursement Models: Develop and maintain Reimbursement Tolerance Parameters (across multiple specialties/ geographies) and oversee the development of new reimbursement models.
- Team Management: Participate on the management team and other committees addressing the strategic goals of the department and organization.
- Education: Bachelor's Degree in a related field (Business Administration, etc.).
- Experience: 7+ years experience in Healthcare Administration, Managed Care, Provider Contracting and/or Provider Services, including 2+ years in a direct or matrix leadership position.
- Skills: Strong knowledge of managed healthcare provider compensation and VBP methodologies, primarily across Medicaid and Medicare lines of business.
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Medical Director of Home Health Services
4 weeks ago
Sacramento, California, United States AccentCare, Inc. Full timeOverview:AccentCare, Inc. is seeking a highly skilled and experienced Medical Director of Home Health Services to lead our Home Health Clinical Manager team. As a key member of our leadership team, you will be responsible for overseeing the clinical operations of our home health services, ensuring that our patients receive the highest quality care...
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Director of Staff Development
4 weeks ago
Sacramento, California, United States Sacramento Post-Acute Full timeJob SummaryWe are seeking a highly skilled and experienced Director of Staff Development to join our team at Sacramento Post-Acute. The successful candidate will be responsible for coordinating and participating in the recruiting and hiring of staff, as well as coordinating completion of employment-related documentation and payroll and employee benefit...
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Staff Services Associate
2 weeks ago
Sacramento, California, United States CA Health Facilities Financing Authority Full timeJob Description and DutiesUnder the general direction of the Executive Director, Deputy Executive Director, or the Staff Services Manager II, the incumbent performs analytical duties related to monitoring and compliance of the various bond and loan programs for the California Health Facilities Financing Authority (CHFFA) and the California Educational...
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Direct Service Professional
3 weeks ago
Sacramento, California, United States Turning Point of Central California Full timeJob Summary:The Direct Service Professional - Lead Staff reports to the Program Director and is responsible for providing direct care services to assist residents in achieving their treatment goals, under the direct supervision of the Program Director.Key Responsibilities:Assist in the accomplishment of the treatment plan for residents, under the supervision...
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Direct Service Professional
4 weeks ago
Sacramento, California, United States Turning Point of Central California Full timeJob SummaryThe Direct Service Professional - Lead Staff is a critical role at Turning Point of Central California, Inc. This position reports to the Program Director and is responsible for providing direct care services to residents of the program, under the direct supervision of the Program Director.Key ResponsibilitiesAssist in the accomplishment of the...
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Director of IT
4 weeks ago
Sacramento, California, United States Pacific ExecSearch Full timeJob Title: Director of Information Technology Job Summary: We are seeking a highly experienced and strategic Director of Information Technology to lead our IT department and drive technological innovation. The successful candidate will have a strong background in IT management, with expertise in IT security, networking, and ERP systems. A proven track record...
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Health Services Director-LVN
4 weeks ago
Sacramento, California, United States Oakmont Senior Living Full timeJob Title: Health Services Director-LVNAt Oakmont Senior Living, we are seeking a highly skilled and compassionate Health Services Director-LVN to join our team. As a licensed nurse, you will be responsible for coordinating resident care and medication management under the medical direction and supervision of the residents' attending...
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Direct Service Professional
3 weeks ago
Sacramento, California, United States Turning Point of Central California Full timeJob SummaryThe Direct Service Professional - Lead Staff reports to the Program Director and is responsible for providing direct care services to assist residents in achieving their treatment goals, under the direct supervision of the Program Director.Key ResponsibilitiesAssist in the accomplishment of the treatment plan for residents, under the supervision...
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Outpatient Services Director
3 weeks ago
Sacramento, California, United States Adecco US, Inc. Full timeAdecco Healthcare is seeking a highly skilled Director of Outpatient to lead our client's Outpatient Services program in Sacramento, CA. This is a direct-hire, full-time, and permanent opportunity.Key Responsibilities:Assess, develop, implement, and evaluate program philosophy, goals, objectives, and treatment interventions in collaboration with the Medical...
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Program Director for Senior Services
3 weeks ago
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Sacramento, California, United States Health Advocates Network, Inc. Full timeJob Title: Psychologist Position at Health Advocates NetworkAbout the Role:Health Advocates Network, Inc. is seeking a skilled Psychologist to join our team at a facility in Represa, California. As a Psychologist, you will be responsible for providing mental health services to inmates, including assessments, treatment plans, and crisis...
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Medical Care Specialist
4 weeks ago
Sacramento, California, United States Health Advocates Network, Inc. Full timeHealth Advocates Network, Inc. is seeking a skilled Medical Care Specialist to provide patient care and support services at a medical facility in California. This is a registry position with our company.Key Responsibilities:* Provide patient care under the direction of nursing staff* Record patient information, including vital signs and medical history*...
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Assistant Director, Financial Services
4 weeks ago
Sacramento, California, United States California Governor's Office of Emergency Services Full timeJob Title: Assistant Director, Financial ServicesCalifornia Governor's Office of Emergency Services (Cal OES) is seeking a highly skilled and experienced professional to serve as the Assistant Director, Financial Services. This key leadership position plays a critical role in supporting the agency's financial operations and ensuring compliance with complex...
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Outpatient Services Program Director
4 weeks ago
Sacramento, California, United States UHS Full timeJob SummaryHeritage Oaks Hospital, a leading provider of mental health services, is seeking a highly skilled Program Manager to lead our Outpatient Department in Roseville. As a key member of our team, you will be responsible for the day-to-day clinical and personnel management at individual program sites. This is an exciting opportunity to work in a dynamic...
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Clinical Services Director
4 weeks ago
Sacramento, California, United States Sutter Health Full timeJob Summary: We are seeking a highly skilled and experienced Clinical Services Director to join our team at Sutter Health. As a key member of our leadership team, you will be responsible for providing administrative and clinical leadership for an assigned clinical department or program. Your primary focus will be on establishing and implementing goals,...
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Sacramento, California, United States Bay Area Community Services Full timeJob Title: Associate Director of CORE for the Sacramento RegionBay Area Community Services is seeking a highly skilled and experienced Associate Director of CORE for the Sacramento Region to lead our team in providing exceptional services to individuals in need.Job Summary:The Associate Director of CORE will be responsible for managing direct service,...
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Outpatient Services Program Director
6 days ago
Sacramento, California, United States UHS Full timeProgram Manager - Outpatient ServicesJob Summary:Heritage Oaks Hospital, part of the UHS Family of Providers, is a leading mental health facility in Northern California. We are seeking a highly skilled and experienced Program Manager to lead our Outpatient Services team in Roseville.About the Role:As a Program Manager, you will be responsible for the...
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Director of Organizational Development
3 weeks ago
Sacramento, California, United States PICO California Full timeEmpower Communities and Drive Meaningful ChangePICO California is seeking a dynamic and experienced professional to fill the role of Director of Formation. As a key leader in our organization, you'll be at the forefront of developing and implementing the Formation System, equipping our constituency with the knowledge and skills to build impactful power...
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Outpatient Services Program Director
4 weeks ago
Sacramento, California, United States UHS Full timeJob Title: Outpatient Services Program ManagerHeritage Oaks Hospital, a leading provider of mental health services, is seeking a highly skilled and experienced Outpatient Services Program Manager to join our team. As a key member of our leadership team, you will be responsible for overseeing the day-to-day operations of our outpatient programs, ensuring the...
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Medical Support Specialist
3 weeks ago
Sacramento, California, United States Health Advocates Network, Inc. Full timeHealth Advocates Network, Inc. is seeking a skilled Medical Support Specialist to provide patient care under the direction of nursing staff. The ideal candidate will have at least one year of experience as a Medical Assistant and be certified in the state of California. Key responsibilities include recording patient information, updating client records, and...