Clinical Operations Manager
2 days ago
The Healthcare Compliance Specialist will be responsible for managing Quality Management (QM) and Health Resource Management (HRM) department functions, which focus on Hill Physicians Medical Group compliance with delegated activities including NCQA, state, and federal regulatory requirements, and health plan delegation oversight programs for all regions.
You will direct the preparation for all health plan audits, represent our organization at these audits, and act as the liaison for all UM and QM regulatory and compliance issues. You will also establish QM and HRM standards compatible with health plans, NCQA, state, and federal regulatory requirements, and health plan delegation changes.
Additionally, you will work closely with our HRM analysts to ensure updated letters are generated by the Authorization system, troubleshoot and recommend improvements to system issues related to Tapestry, FaxCom, and other authorization-related systems, and participate in the testing of system changes, upgrades, service packs, etc. as needed.
We offer a competitive salary range of $85,000 - $118,000 per year, depending on experience, and a comprehensive benefits package.
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Clinical Operations Manager
2 days ago
Sacramento, California, United States Anxiety Treatment Center Inc. Full timeAbout the RoleWe are seeking an experienced Clinical Operations Manager to oversee the clinical and operational aspects of our program. As a leader, you will foster a culture of teamwork and achievement, ensuring the safe and effective implementation of direct care policies, procedures, and treatment protocols.Our ApproachAnxiety Treatment Center Inc. is...
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Senior Clinical Operations Manager
3 weeks ago
Sacramento, California, United States Hill Physicians Medical Group Full timeAbout UsHill Physicians Medical Group is shaping the future of healthcare by providing actively managed care that prevents disease, supports those with chronic conditions, and anticipates the needs of our members.Job SummaryWe are seeking a Senior Clinical Operations Manager to provide clinical guidance, supervise, and schedule the daily workflow for...
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Clinical Operations Coordinator
2 days ago
Sacramento, California, United States Elica Health Centers Full timeAt Elica Health Centers, we strive to provide exceptional patient care to our community. We are seeking a skilled Clinical Operations Coordinator to support our team in delivering top-notch services.About the RoleThis is a full-time position with an estimated salary of $45,000 - $55,000 per year. The successful candidate will be responsible for assisting...
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Sacramento, California, United States WellSpace Health Full timeAbout the JobWe are seeking a talented Quality Assurance Manager Clinical Operations to join our team at WellSpace Health. This role will involve managing quality improvement initiatives and ensuring compliance with regulatory requirements.The ideal candidate will have a strong background in quality assurance, with a minimum of two years of experience in a...
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Clinical Pharmacy Operations Manager
1 week ago
Sacramento, California, United States CommonSpirit Health Full timeAbout the Role:At CommonSpirit Health, we're committed to delivering compassionate and exceptional care to our patients. As a Clinical Pharmacy Manager, you'll play a critical role in leading our pharmacy team to achieve this goal.The ideal candidate will have at least 3 years of experience in acute care hospital pharmacy management and be licensed as a...
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Clinical Operations Specialist
2 days ago
Sacramento, California, United States DaVita Full timeAbout the RoleWe are looking for a skilled Clinical Operations Specialist to join our team. As a Clinical Operations Specialist, you will play a critical role in ensuring the smooth operation of our clinics, while also contributing to the development of new programs and services.You will work closely with our leadership team to identify areas for improvement...
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Health Net Clinical Operations Director
3 weeks ago
Sacramento, California, United States Health Net Full timeTake your career to the next level with a challenging and rewarding role at Health Net.About the RoleWe are seeking an experienced Clinical Operations Director to join our team in California. As a key member of our leadership team, you will be responsible for managing the development and implementation of clinical initiatives and programs that improve care...
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Clinical Pharmacy Manager
3 days ago
Sacramento, California, United States Western Health Advantage Full timeAbout Western Health AdvantageAt Western Health Advantage, we believe that everyone deserves access to high-quality healthcare. Our mission is to expand access to healthcare and respond to the changing needs of our members, providers, and community. We are dedicated to delivering exceptional service and care to those who rely on us.Role SummaryThe Senior...
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Physical Therapy Operations Manager
3 weeks ago
Sacramento, California, United States Next Move Healthcare Full timeJob DescriptionOverview:We are seeking a highly skilled and experienced Physical Therapy Operations Manager to oversee daily clinic operations and manage clinical staff. The ideal candidate will have a strong background in physical therapy and leadership, with excellent communication and problem-solving skills.Key Responsibilities:Manage and Supervise:...
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Clinical Operations Associate
2 days ago
Sacramento, California, United States Jefferson Pharmacy Full timeWe are looking for a highly organized and detail-oriented individual to fill our Clinical Operations Associate position at Jefferson Pharmacy. In this role, you will be responsible for supporting our clinical team, processing prescriptions, and maintaining accurate records.The ideal candidate will have prior experience working in a healthcare setting, with...
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Healthcare Operations Manager
1 week ago
Sacramento, California, United States WellSpace Health Full timeJob Overview: We are seeking a highly skilled and compassionate Care Transition Specialist to oversee the daily operations of our Recuperative Care (Medical Respite) and Street Nursing Programs at WellSpace Health. As a key member of our team, you will be responsible for ensuring the safety and well-being of our patients while maintaining compliance with...
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Clinical Study Manager
6 days ago
Sacramento, California, United States Medix™ Full timeMedix™Clinical Study ManagerWe are looking for an experienced Clinical Study Manager to join our team at Medix™. This role will be responsible for managing clinical trials from start to finish, ensuring compliance with protocols, regulations, and institutional policies.About the Job:The Clinical Study Manager will be responsible for coordinating and...
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Sales and Clinical Operations Specialist
3 weeks ago
Sacramento, California, United States Masimo Full timeAbout the RoleMasimo is seeking a Sales and Clinical Operations Specialist to join our team. This individual will be responsible for providing clinical education and driving opportunities for the Perioperative product portfolio.Key ResponsibilitiesBuild and maintain relationships with key clinical customers across Perioperative portfolio providing clinical...
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Operations Manager
2 days ago
Sacramento, California, United States Susan's House & Cleaning Office Service Full timeJob Title: Operations ManagerWe are seeking an experienced Operations Manager to oversee the daily operations of our organization. The ideal candidate will have a strong background in project management and leadership.Responsibilities:Coordinate and manage operational practicesAllocate resources and materials to meet project deadlinesTrack and forecast...
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Sacramento, California, United States Sutter Health Full timeAbout Sutter HealthSutter Health is a leading healthcare provider committed to delivering exceptional patient care. Our team of dedicated professionals works together to provide personalized and compassionate treatment to our patients.Job SummaryWe are seeking an experienced Clinical Pharmacist Lead to join our team in Sacramento, California. This role will...
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Operations Manager
1 week ago
Sacramento, California, United States Auto-Chlor System Full timeJob OverviewAuto-Chlor System, a trusted commercial dishwashing service provider, seeks an experienced Operations Manager to lead multiple locations and oversee day-to-day operations. In this role, you will be responsible for ensuring top-tier service delivery, team success, and operational excellence across several units.About the Role:Lead and inspire a...
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Operations Manager
1 month ago
Sacramento, California, United States Department of Transportation Full timeJob Summary: We are seeking a skilled Operations Manager to oversee the day-to-day activities of our logistics and supply chain department.Key Responsibilities:Manage a team of logistics coordinators and supervisors to ensure smooth operations.Develop and implement strategies to improve efficiency and reduce costs.Collaborate with cross-functional teams to...
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Operations Manager
3 weeks ago
Sacramento, California, United States Hertz Full timeJob OverviewWe are seeking an experienced Operations Manager to join our team in managing rental operations, ensuring accuracy and timeliness of reports, and providing exceptional customer service.
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Clinical Case Manager
1 week ago
Sacramento, California, United States Pair Team Full timeThe Behavioral Health Care Manager position at Pair Team offers an exciting opportunity to make a meaningful difference in the lives of vulnerable populations. As a member of our ECM team, you will work collaboratively with a multidisciplinary team to provide comprehensive care services to individuals in need.Your primary responsibilities will include...
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Physical Therapist Clinic Manager
3 weeks ago
Sacramento, California, United States Caliber Personnel Full timeJob OverviewWe are seeking a highly skilled and experienced Physical Therapist Clinic Manager to lead our therapy center in Sacramento, CA. As a key member of our team, you will be responsible for the supervision of the therapy center, ensuring compliance with all policies and procedures, and managing financial statements.Main ResponsibilitiesSchedule...