VP, Health Services Medical Management & Strategy

AltaMed Health Services Corporation; Commerce (CA); Hybrid; USD 316,000 - 396,000; Full time

Benefits offered by this job

Health insurance

Dental & Vision

403(b) plan

Commuter benefits

Paid PTO & holidays

CME days

Tuition reimbursement

Job summary

AltaMed Health Services Corporation in Commerce, CA seeks a visionary Vice President, Health Services Medical Management to lead UM, CM and related clinical programs. This role directs strategy, governance, and operational execution to deliver high-quality, cost-effective care.

You will partner with executive leaders to advance value-based care, ensure regulatory compliance, and oversee multidisciplinary teams across clinics and plans.

Qualifications

• MD or DO with board certification and CA license.
• 10+ years in physician leadership within managed care or health plans.
• 7+ years leading Medical Management, Utilization Management, Care Management, Population Health, or related clinical operations.
• Experience with Medi-Cal, Medicare Advantage, NCQA, DMHC, CMS, and DHCS preferred.

Responsibilities

• Provide executive leadership for Medical Management functions including UM, CM, and related programs.
• Develop enterprise strategies for high-quality, cost-effective, evidence-based care.
• Ensure regulatory and contractual compliance across health plans and providers.
• Collaborate with executive and clinical leadership to drive performance improvement and value-based care.
• Lead multidisciplinary teams and advise senior leadership on medical management.

Skills

Executive leadership

Medical management

Utilization management

Population health

Regulatory compliance

Delegated managed care

Education

MD or DO

Job description

AltaMed Health Services Corporation in Commerce, CA seeks a visionary Vice President, Health Services Medical Management to lead UM, CM and related clinical programs. This role directs strategy, governance, and operational execution to deliver high-quality, cost-effective care.

You will partner with executive leaders to advance value-based care, ensure regulatory compliance, and oversee multidisciplinary teams across clinics and plans.