Medicaid Provider Solutions Senior Manager, Consulting - Medicaid Care Delivery and Operations
About the position
Responsibilities
• Lead and oversee the development, implementation, and management of a comprehensive provider network strategy.
• Build and maintain strong relationships with healthcare providers and associations.
• Ensure compliance with regulations and optimize network performance to enhance access to quality care for Medi-Cal beneficiaries.
• Collaborate with cross-functional teams to drive initiatives that improve provider satisfaction and streamline operations.
• Manage a team of consultants to ensure alignment and coordination of diverse stakeholders for successful business initiatives.
• Empower the development and implementation of business initiatives, systems, and processes to a desired future state.
• Oversee the development of multiple business strategies and ensure alignment with organizational objectives.
• Manage complex projects or project components and change management plans.
• Guide team members in performing complex data analyses to drive business initiatives.
• Direct vendor management as required and monitor compliance with relevant policies and procedures.
Requirements
• Minimum five (5) years experience in a leadership role with or without direct reports.
• Bachelor's degree from an accredited college or university and minimum eight (8) years experience in consulting, project management, data analytics, operations or a directly related field OR Master's degree in Business, Public Health, or a directly related field and minimum six (6) years experience in consulting, project management, data analytics, operations or a directly related field OR minimum eleven (11) years experience in consulting, project management, data analytics, operations or a directly related field.
• Knowledge of business acumen, change management, negotiation, creativity, applied data analysis, financial acumen, conflict resolution, managing diverse relationships, process validation, project management, risk assessment, service focus, requirements elicitation & analysis.
Nice-to-haves
• Two (2) years supervisory experience.
• Four (4) years data analytics experience.
Benefits
• Health insurance coverage
• Dental insurance coverage
• Vision insurance coverage
• 401k benefit for retirement savings plan
• 401(k) matching benefit
• Paid holidays
• Flexible scheduling options
• Professional development opportunities
• Employee discount programs
• Wellness programs
Apply Now
Apply Now
Responsibilities
• Lead and oversee the development, implementation, and management of a comprehensive provider network strategy.
• Build and maintain strong relationships with healthcare providers and associations.
• Ensure compliance with regulations and optimize network performance to enhance access to quality care for Medi-Cal beneficiaries.
• Collaborate with cross-functional teams to drive initiatives that improve provider satisfaction and streamline operations.
• Manage a team of consultants to ensure alignment and coordination of diverse stakeholders for successful business initiatives.
• Empower the development and implementation of business initiatives, systems, and processes to a desired future state.
• Oversee the development of multiple business strategies and ensure alignment with organizational objectives.
• Manage complex projects or project components and change management plans.
• Guide team members in performing complex data analyses to drive business initiatives.
• Direct vendor management as required and monitor compliance with relevant policies and procedures.
Requirements
• Minimum five (5) years experience in a leadership role with or without direct reports.
• Bachelor's degree from an accredited college or university and minimum eight (8) years experience in consulting, project management, data analytics, operations or a directly related field OR Master's degree in Business, Public Health, or a directly related field and minimum six (6) years experience in consulting, project management, data analytics, operations or a directly related field OR minimum eleven (11) years experience in consulting, project management, data analytics, operations or a directly related field.
• Knowledge of business acumen, change management, negotiation, creativity, applied data analysis, financial acumen, conflict resolution, managing diverse relationships, process validation, project management, risk assessment, service focus, requirements elicitation & analysis.
Nice-to-haves
• Two (2) years supervisory experience.
• Four (4) years data analytics experience.
Benefits
• Health insurance coverage
• Dental insurance coverage
• Vision insurance coverage
• 401k benefit for retirement savings plan
• 401(k) matching benefit
• Paid holidays
• Flexible scheduling options
• Professional development opportunities
• Employee discount programs
• Wellness programs
Apply Now
Apply Now