Vice President, Health Services Medical Management

AltaMed Health Services Corp; Commerce (CA); Vor Ort; USD 316.000 - 396.000; Vollzeit

Benefits dieser Stelle

Medical Insurance

Dental Insurance

Vision Insurance

403(b) Retirement plan

Career Advancement & Development

Zusammenfassung

AltaMed Health Services Corp is seeking a Vice President of Medical Management to lead Utilization Management, Care Management, and related clinical programs. The VP will develop strategies to promote high-quality, cost-effective, evidence-based care while ensuring regulatory compliance and collaboration with executive and clinical leadership.

The role requires extensive physician leadership experience, board certification, and strong expertise in managed care, population health, and value-based

Qualifikationen

• MD or DO from an accredited institution.
• Current unrestricted California physician license.
• Current unrestricted DEA registration.
• Board Certification in an ABMS- or AOA-recognized specialty.
• Minimum of 10 years of progressive physician leadership experience in managed care, integrated delivery systems, or health plans.
• Minimum of 7 years leading Medical Management, Utilization Management, Care Management, Population Health, or related clinical operations.
• Experience leading multidisciplinary teams through multiple levels of management.
• Experience with delegated managed care, value-based care, quality improvement, utilization review, and regulatory compliance.
• Experience with Medi-Cal, Medicare Advantage, NCQA, DMHC, CMS, and DHCS requirements strongly preferred.
• Federally Qualified Health Center (FQHC) or integrated delivery system experience preferred.

Aufgaben

• Provide executive leadership, strategic direction, and oversight for AltaMed's Medical Management functions.
• Develop and execute enterprise strategies to promote high-quality, cost-effective, evidence-based care.
• Collaborate with executives and clinical leaders to drive performance improvement and population health initiatives.
• Lead multi-level management and senior clinical professionals; advise on medical management strategy.

Kenntnisse

Leadership

Strategic thinking

Regulatory compliance

Ausbildung

MD/DO

California physician license

DEA registration

Board Certification (ABMS/AOA)

Jobbeschreibung

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 Vice President, Medical Management, provides executive leadership, strategic direction, and operational oversight for AltaMed's Medical Management functions, including Utilization Management (UM), Care/Complex Case Management (CM), and related clinical management programs. The VP develops and executes enterprise strategies that promote high-quality, cost-effective, evidence-based care while ensuring compliance with regulatory, accreditation, health plan, and contractual requirements. The VP works collaboratively with executive and clinical leadership to drive performance improvement, population health initiatives, value-based care strategies, and clinical integration across the organization. The VP provides leadership through multiple levels of management and senior clinical professionals and serves as a key advisor to executive leadership on medical management strategy.

Minimum Requirements

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from an accredited institution is required.
• Current unrestricted California physician license required.
• Current unrestricted DEA registration required.
• Board Certification in an ABMS- or AOA-recognized specialty required.
• Minimum of 10 years of progressive physician leadership experience in managed care, integrated delivery systems, or health plans.
• Minimum of 7 years leading Medical Management, Utilization Management, Care Management, Population Health, or related clinical operations.
• Experience leading multidisciplinary teams through multiple layers of management.
• Experience with delegated managed care, value-based care, quality improvement, utilization review, and regulatory compliance.
• Experience with Medi-Cal, Medicare Advantage, NCQA, DMHC, CMS, and DHCS requirements strongly preferred.
• Federally Qualified Health Center (FQHC) or integrated delivery system experience preferred.

Compensation

$316,426.24 - $395,532.80 annually

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.

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.

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.