Managed Care

Regional Medical Director - Los Angeles, CA

Regional Medical Director - Los Angeles, CA

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…

Director of Contracting and Provider Relations - FL

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.

Manager of Claim Data Management

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.

Associate Director of Managed Care Informatics & Data Management

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.