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Medical Director (Managed Care)Association for Community Affiliated PlansOrange, CAThe incumbent will collaborate with the other Medical Directors and clinical, nursing and non-clinical leadership staff across the organization in areas including Quality Management, Utilization and Care Management, Health Education/Disease Management, Long Term Care, Pharmacy, Behavioral Health Integration, Program for All Inclusive Care for the Elderly (PACE) as well as support departments including Compliance, Information Services, Claims, Contracting and Provider Relations.Medical Director (Behavioral Health)Association for Community Affiliated PlansOrange, CADepartment(s): Medical ManagementReports to: Chief Medical Officer (CMO)FLSA status: ExemptSalary Grade: V - $221,400 - $331,200 The Medical Director for Behavioral Health (BH) is responsible for clinical oversight and management of CalOptima's behavioral health activities including, case management, utilization management, quality management, and contracted services.Director, CommunicationsAssociation for Community Affiliated PlansOrange, CADepartment(s): CommunicationsReports to: Executive Director, Public AffairsFLSA status: ExemptSalary Grade: R $144,000 $204,000 Job Summary This position is responsible for coordinating and implementing CalOptimas internal and external communications in a manner that promotes and preserves CalOptima, its mission, and strategic goals and objectives.Associate Director, Grievance & AppealsAssociation for Community Affiliated PlansOrange, CACo-Lead Grievance and Appeals quarterly committee meeting and attend all internal committees within the CalOptima Organization to report activities and trends. Maintains current knowledge of regulatory requirements pertinent to Grievance and Appeals (DHCS, CMS, DMHC, NCQA. $125 - $150
In the current candidate-driven job market, recruiters are looking for unique ways to attract talent. Some have resorted to even (dare we say it?) recruitment strategies on the border of weird and wacky. What can we learn from the unusual recruitment tactics that are being used and actually getting results? Here’s a rundown of some unique recruitment strategies that actually work.
Medical DirectorAssociation for Community Affiliated PlansOrange, CAMedical Director (Managed Care) (2 Openings) Medical Director (Managed Care) (2 Openings) Job Description Department(s): Medical Management Reports to: Chief Medical Officer (CMO) FLSA Status: Exempt Salary Grade: V – $221,400 – $331,200 The Medical Director is a key member of the medical management team and will be responsible for providing physician leadership in the Medical Affairs division, serving as liaison to other CalOptima operational and support departments.Chief Medical Officer (CMO)Association for Community Affiliated PlansSanta Ana, CAPreferred Qualifications: Sub-specialization or additional training and experience in substance use disorder with understanding of American Society of Addiction Medicine (ASAM) Levels-of-Care with the County Organized Delivery System Drug Medi-Cal (ODS DMC) preferred.Chief Medical Officer (CMO)Association for Community Affiliated PlansOrange, CASub-specialization or additional training and experience in substance use disorder with understanding of American Society of Addiction Medicine (ASAM) Levels-of-Care with the County Organized Delivery System Drug Medi-Cal (ODS – DMC) preferred. Starting at $250 Full-timeChief Information Officer (CIO)Association for Community Affiliated PlansSanta Ana, CADepartment(s): Information Services (IS) Reports to: Chief Operating Officer (COO) FLSA status: Exempt Salary Grade: W $246,000 $368,000 The CIO has complete ownership of and accountability for the establishment and execution of the enterprise wide technology needs, operations, and strategy and ensures its alignment with CalOptima s business strategy and the delivery of capabilities required to achieve business success.
Company: association for community affiliated plans in Orange, CA
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