Chief Clinical Assurance Division Lead

7 days ago


Davis, California, United States Department of Health Care Services Full time
About the Role

The Department of Health Care Services is seeking a highly skilled and experienced professional to serve as the Chief, Clinical Assurance Division (CAD). This is a Career Executive Assignment Level B position that requires strong leadership and management skills, as well as a deep understanding of health care policy and operations.

Key Responsibilities
  • Lead the CAD team in the implementation of utilization management for Medi-Cal fee-for-service members in partnership with the DHCS Health Care Benefits and Eligibility (HCBE) program.
  • Administer Treatment Authorization Requests (TARs), the TAR-free program, and post-payment utilization control of Medi-Cal benefits.
  • Develop and implement policies and procedures to ensure compliance with state and federal regulations.
  • Collaborate with stakeholders to identify and address health care disparities and improve health outcomes.
Requirements
  • Master's degree in a related field, such as health administration, public health, or business administration.
  • At least 5 years of experience in health care policy, operations, or management.
  • Strong leadership and management skills, with experience leading cross-functional teams.
  • Excellent communication and interpersonal skills, with the ability to work effectively with diverse stakeholders.
Benefits

The Department of Health Care Services offers a comprehensive benefits package, including health, dental, and vision insurance, as well as a retirement plan and paid time off. Additionally, employees may be eligible for tuition reimbursement, professional development opportunities, and other benefits.



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