Manager of Operations at AltaMed Health Services in Montebello, California

Job Description:

Position Title: Manager of Operations

Location: Montebello, CA 90640

Post Date: Posted 2 Days Ago

Description:

Grow Healthy

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.

Job Overview

The Manager, Operations (Medical Management) oversees the Operations unit within Medical Management and serves under the direction of the Operations Director. Responsible for oversight in key areas of focus including Health Plan audits, corrective action plans, internal audits, policies and procedures, HICE work plans, and health plan and regulatory reporting. Assists in preparing, approving, and managing policies in the designated policy system. This position is essential to maintaining an effective and efficient working relationship with internal departments and external clients. Leads staff dedicated to executing operational functions and ongoing evaluation of systems to maintain and support strategic objectives of managed care medical management division. Incumbent should possess comprehensive knowledge of managed care industry standards, familiarity with government regulations, expertise in interpreting full-service health plan contractual DOFR and delegation logic requirements, in-depth understanding of regulatory and accreditation compliance, and experience in medical management program development.

Minimum Requirements

• High school diploma and a minimum of 10 years of relevant health plan experience required.

• Bachelor’s Degree in a health affiliated or business affiliated field preferred.

• Minimum of 5 years of managed care experience, including Med-iCal managed care, Medicare and Commercial insurance payor systems that preferably includes health plan level required.

• Project management experience in the planning, implementation, and controlling of medical projects.

• Knowledge of various accreditation standards, such as NCQA or URAC, etc.

• Knowledge of healthcare & managed care industry current and future trends, in order to assess future market needs.

• Strong computer proficiency (MS Office) and typing skills are necessary.

Compensation

$98,004.94 - $122,506.18 annually

Compensation Disclaimer

Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits & Career Development

• Medical, Dental and Vision insurance
• 403(b) Retirement savings plans with employer matching contributions
• Flexible Spending Accounts
• Commuter Flexible Spending
• Career Advancement & Development opportunities
• Paid Time Off & Holidays
• Paid CME Days
• Malpractice insurance and tail coverage
• Tuition Reimbursement Program
• Corporate Employee Discounts
• Employee Referral Bonus Program
• Pet Care Insurance

Job Advertisement & Application Compliance Statement

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.

Remote Type: Hybrid


About US: As the nation’s largest Federally Qualified Health Center (FQHC), AltaMed is at the forefront of providing affordable, high-quality health care to underserved communities in Los Angeles and Orange Counties. At AltaMed, you will have the opportunity to work with a diverse team of dedicated professionals who are passionate about making a difference and supporting our community of over 400,000 patients.

Learn About AltaMed: Click Here

AltaMed Health Services Corporation is committed to providing equal employment opportunities for all qualified individuals. We strictly prohibit discrimination in employment based on race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin, age, medical condition, physical or mental disability, military or protected veteran status, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical conditions, genetic information, or any other characteristic protected by local, state, or federal law, ordinance, or regulation.

We are committed to promoting equality and inclusivity beyond our recruitment and hiring processes. We aim to create a respectful, valued, and inclusive workplace through training, advancement opportunities, and access to resources and support. We focus on fostering a diverse workforce because it enriches our organization and improves our ability to effectively serve our clients and community. We encourage individuals from all backgrounds to apply and join us in our mission to create a positive impact.

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