Operations Manager Job in San Diego 92108, California Us
Care1st Health Plan is a managed care organization that strives to continuously improve the quality of services rendered to its members. Through better coordination of care, broadened access and quality services, Care1st has been instrumental in bringing more choices to those Californians who have not enjoyed such benefits in the past.
The mission of Care1st is exemplified in its commitment to the provision of health care that is medically excellent, ethically driven and delivered in a patient centered environment that recognizes the positive relationship between health education, a culture of wellness, an emphasis on prevention and cost effective delivery of care.
We currently have the following job opportunity in our Monterey Park, CA (Los Angeles County) office:
Description: Duties to include but not limited to assisting in the day to day operations of the San Diego office, including direct supervision of the Provider Network Operations staff and Administrative Assistant. Supports the provider relations and contracting efforts in the region to ensure network adequacy and compliance.
Qualification: Bachelor’s degree, preferably in Business Administration or Public Health. Minimum 3 years management experience of increasing professional responsibility in provider network development/contracting. Minimum 3 years work experience in a managed care environment, preferably in a Health Maintenance Organization (HMO). Thorough knowledge of the principles of provider relations and operations of an HMO and managed care contracting. Knowledge of provider rate setting, capitation, fee for service, payment methodology and Medi-Cal/Medicare managed care. Ability to establish and maintain positive working relationships with key providers and stakeholders in the community. Computer literate with intermediate skills and experience with Word, Excel and PowerPoint applications.
Care1st Health Plan offers a competitive and attractive benefits package. Qualified candidates can submit a resume, including salary history, to Jobs@Care1st.com or by fax to (323) 889-6300. Please reference the job opportunity in your submission. Care1st is an equal opportunity employer.