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Quality Improvement Manager (Austin, TX)
Company: Sendero Health Plans
Director of Compliance (Austin, TX)
Company: Sendero Health Plans
Sendero Health Plans is recruiting to fill the position of Director of Compliance. In this position you will be responsible for government relations and compliance with state and federal laws and regulations. Key responsibilities include development of a compliance plan to identify and respond to all regulatory requirements from the Texas Health and Human Services Commission (HHSC) and Texas Department of Insurance (TDI) as well as the federal Centers for Medicare and Medicaid (CMS). This position works closely with staff in all functional areas and with affiliated organizations. This position is expected to maintain strong working relationships with HHSC (Health and Human Services Commission) and TDI.
Account Manager, Medical Management (Nevada)
Company: Qualis Health
Is a collaborative, supportive work environment important to you?
Do you want variety in what you do, every day, including collaboration with boards and committees?
To learn more and apply, visit:
Qualis Health is an Equal Employment Opportunity Employer that embraces and practices diversity, reflecting the communities we serve. We encourage minorities, veterans, and those with disabilities to apply.
Chief Medical Officer (Austin, Texas)
Company: Sendero Health Plans
Chief Medical Officer, Austin, TX
This senior executive position is the Chief Medical Officer (CMO) of the Sendero Health Plans, Inc. In addition to the core role as the CMO of Sendero, the CMO serves in a key leadership role within an innovative new organization formed in Travis County, the Community Care Collaborative (CCC). Through this role, the Sendero CMO will closely coordinate and collaborate with the CCC CMO, who has ultimate responsibility for care delivery re-design within the CCC. The CCC is a non-profit joint venture between the Travis County Health District (Central Health), Sendero's parent organization, and the Seton Healthcare Family. It is planned to be Travis County's new integrated delivery system, envisioned as a multi-institutional, multi- provider system of healthcare providing a coordinated continuum of services to a defined patient population. The overarching goal of the Community Care Collaborative (CCC) is to provide high quality, cost effective, patient centered care that improves health outcomes through expanded care coordination, types of care, and patient management.
M.D. or D.O. Board Certified in a postgraduate clinical specialty, current license to practice by the Texas Medical Board. Must be free of sanctions or restrictions from Medicaid or any other government-funded programs.
Director of Marketing and Membership (Austin, TX)
Company: Sendero Health Plans
Assesses and oversees, through development, a comprehensive marketing and outreach program to achieve sustainable membership growth, membership retention and continued name recognition across all lines of business.
Oversight, following Chief Operations Officer's authority, of new strategy development to promote membership growth activities and develop collaborative working relationships with local leaders of community organizations, governmental agencies, nonprofit organizations and neighborhood groups.
Assess and oversee the quality of Outreach and Marketing activities while ensuring integrity.
Provide leadership, motivation and training for all Outreach / Marketing staff including brokers and agents categorized as inside or outside sales force.
Actively participates in regular training activities for all staff, sales force and developing program.
Assists in development of any new product or service line and the associated membership outreach for such new program.
Monitor and perform personnel actions including disciplinary actions, salary and performance reviews, terminations or other required departmental functions.
Perform other duties as required.
KNOWLEDGE, SKILLS AND ABILITIES
Expert knowledge of Marketing and Sales guidelines for Managed Care Organization across all lines of business.
In-depth experience with governmental regulated lines of business.
Substantive knowledge of local market dynamics.
Strong communication and negotiation skills, strong business relationships within service area.
College degree or high school diploma and extensive related work experience.
Significant experience of 7+ years in managed care with 5 years strategic operational experience in marketing and sales.
At least 3 years experience with sales force management and community outreach.
Minimum 2 years agent and broker trainer for managed care.
Director, Self-Funded Services (Menasha, WI)
Company: Network Health
At Network Health we opened our doors here in Menasha back in 1982. We started small, with just one employer as our customer. Since then, we've grown to serve more than 135,000 members throughout 17 counties in Wisconsin.
We are currently seeking a Director, Self Funded Services. This Director will be responsible for the overall direction of self-funded services and products, including all business process procedures for operations, finance, reinsurance products and sales support, including representing the product on various Network Health strategic and administrative committees.
Responsible for departmental/corporate business requirements that are necessary to compete in the ASO/TPA market. Has key sales role in new self funded groups, maintenance and retention efforts. Monitors business activities of the Self Funded product line for Network Health to include SPD development and maintenance, employer/sponsor finance reports, banking transactions, oversight of all administrative and financial requirements.
Responsible for market research for new product designs, trends, and services. Works in conjunction with Compliance Department for product compliance with all federal/state regulatory requirements. Works with marketing team for development of self funded group materials, advertising and product support.
Interested parties, go to ministryhealth.org and click on the Careers link.
Vice President, Strategy and Business Development (Fountain Valley, CA)
Company: Orange Coast Memorial Medical Center
Orange Coast Memorial Medical Center
VP, Strategy and Business Development
Senior executive team member accountable for identifying and implementing strategic business development initiatives that result in patient and membership growth for Orange Coast Memorial Medical Center. Plans, organizes and leads product-line business development teams to include cardiac, cancer, surgical and imaging services. Facilitates teams to achieve high levels of service, clinical outcomes, marketing, physician recruitment, and physician relations to achieve annual volume targets. Collaborates with senior leadership, medical staff leadership and the board of directors in the development and quarterly updating of the annual strategic plan. Oversees and provides strategic direction for marketing, communications, physician relations, community engagement and public relations.
Masters preferred or related business development experience required.
7-10 years of experience in the marketing/business development area within healthcare, with at least 5 years in a leadership role in a large hospital/medical center.
To apply for this excellent opportunity, please visit our website jobs.memorialcare.org and search for Requisition #314415. EOE.
Chief Financial Officer (Chicago, IL)
Company: Presence Health Partners
Presence Health Partners (PHP) is the clinical integration organization for Presence Health, the largest Catholic health system based in Illinois. Presence Health was created in November 2011 through the merger of Provena Health and Resurrection Health Care. The merged organization is made up of almost $3billion in net revenue, 12 hospitals and over 90 clinics throughout Chicago-land. In the new creation of PHP, Presence will be able to empower clinicians with timely data that informs useful measures of performance and outcomes. In doing so they can enhance the care provided by including evidence-based medicine, medical home services, bundled payments and shared savings throughout Presence Health. The ability to leverage information culled from the expansive data sets available across the continuum of care services to support population health management programs and physician alignment will be critical to the success of PHP under new value and risk based accountable care models.
Now with the formation of PHP, it is imperative to build a strategic leadership team for this new organization that has experience in driving a clinical integration organization. This CFO will report to both the CEO of PHP as well as the CFO of Presence Health. The PHP CFO will oversee the financial operations, reporting, and the maintenance of internal financial controls. This individual will develop and execute financial strategies to optimize current and future performance of PHP. The successful candidate should have experience in developing short and long-range strategic financial plans that include capital budgets and capital management that align with system-wide initiatives. Familiarity with managed care contracting and an understanding of new payment methodology will be critical for the successful candidate. Candidates should have a bachelor's degree in business, finance or accounting, with a master's preferred. A successful track record of financial leadership in healthcare is required.
You may be assured that all nominations will be handled with the utmost of professional courtesy and confidentiality. For more information please contact Donna M. Padilla or John B. McLean through the office of Michael R. Raddatz, Jr. at PresenceCFO@wittkieffer.com or 630-575-6106.
Chief Financial Officer (Fresno, CA)
Company: Saint Agnes Medical Center
Saint Agnes Medical Center, a member of Trinity Health, one of the largest Catholic healthcare systems in the United States seeks a Chief Financial Officer. Its commitment to meeting Central California's healthcare needs dates back to 1929, when its founders, the Sisters of the Holy Cross, opened its doors in Fresno. Now 84 years later, the 436-bed hospital enjoys a strong reputation for its delivery of high quality, compassionate care and is highly respected for its clinical and service excellence.
The Chief Financial Officer will provide financial stewardship and direction to the Ministry Organization, St. Agnes Medical Center, Fresno, through effective business leadership, strategy development, internal controls and operating and capital budget development, monitoring and management. The CFO is responsible for the integrity of all financial information and reporting. The position participates with other senior management to address, interpret, resolve and monitor a broad and diverse range of financial, operational and strategic issues. The CFO contributes to the overall management of the Ministry Organization by driving key strategies and financial performance as a member of the Senior Leadership Team. Proactively works in a collaborative manner with other members of the Senior Leadership Team and with Trinity Health Home Office and Unified Service Organizations to improve financial performance and attain strategic goals and objectives.
• BA; MBA or CPA preferred
• 10+ years in healthcare financial management
• 5+ years as CFO, Controller or Director
• California experience is desirable
Saint Agnes Medical Center has retained the services of Diversified Search for this assignment. Screening will begin immediately and continue until an appointment is made.
All communications will be treated confidentially. Inquiries, nominations and applications (current resumes and cover letters) should be directed electronically to: SAMC@divsearch.com. For further information, please contact:
Sandra L. Goldman, Vice President