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Chief Medical Officer, Medicare
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Business Office Manager
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Customer Service Representative
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Business Office Assistant
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Broker Relations Representative
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Integrity Marketing Group Anaheim, United StatesIntegrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help peopl ...
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Intake Specialist
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Innovative Integrated Health Inc. Anaheim, United States**Who We Are** · Are you interested in working for an organization whose mission it is to enable frail, underserved, and multicultural senior communities to live independently at home and in their communities, for as long as possible? · Orange County Program of All-Inclusive Care ...
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Marketing Coordinator
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Intake Specialist
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Case Manager/lvn
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medical director
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Private Duty Home Care
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Continuity Care Home Nurses Anaheim, United StatesJob Description · Job DescriptionStable private duty home care agency in search of an experience and dependable LVNs to assist with shift care for a patient in the Hermosa Beach area. Experience with bowel program and ability to lift more than 100 lbs needed. · NO NEW GRADS PLEAS ...
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Chief Financial Officer(CFO)
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AHMC Healthcare Anaheim, CA, United StatesOverview: · Under the administrative direction of the Chief Executive Officer (CEO), the Chief Financial Officer (CFO) is the highest-level financial executive. The Chief Financial Officer (CFO) has complete oversight of all fiscal functions within AHMC Anaheim Regional Medical ...
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Director, International Brand Marketing
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Scan Health Plan Long Beach, CA, United StatesSCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than ...
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Director of Sales and Business Development
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SCAN Long Beach, CA, United StatesWork Mode: Mostly Remote About SCAN SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medica ...
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Customer Service
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Suezs Insurance Services Inc Anaheim, United StatesJob Description · Job DescriptionPart to full Time Position Open hours to start). Customer Service / Insurance Broker Assistant. Additional hours available during busy season, upto 40 hours per week (some overtime maybe required during busy season) · Pay: · $16-$18 an hour Base P ...
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Medical Collector
1 week ago
University of California - Irvine Health Anaheim, United States Regular, Full time· Updated: Mar 28, 2024 · Location: Anaheim · Job Type: · Department: PB Financial Services · UC Title: COLL REPR · Position Number: · Reports to: Billing Manager · Working Title: Collector · Cost Center: PB Financial Services · Bargaining Unit: Intl Brotherhood, Teamsters · ...
Chief Medical Officer, Medicare - Long Beach, CA, United States - HealthCHEC
2 weeks ago
Description
Chief Medical OfficerType:
Full Time
SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States.
SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada.
SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare.
SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere.
Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities.
SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts.
If you are interested in becoming part of an organization that is innovating senior healthcare visit or follow us on LinkedIn, Facebook, and Twitter.
At SCAN we believe that all our members deserve the highest quality of care that enables them to remain healthy and independent, we are on a mission to make that vision a reality.
We are seeking an inspirational and visionary leader to join us as Chief Medical Officer who shares our commitment to transforming the healthcare space.
As Chief Medical Officer you will be responsible for clinical strategy, medical policy, medical management, and other clinical operations to continuously improve the health services provided by SCAN Health Plan (SCAN).
You will direct and lead the implementation of medical programs and policies, while enhancing the relationships with health care providers, state and federal regulatory agencies, and other stakeholders.
As a key member of the Senior Leadership team, you will ensure the Medicare clinical strategy, tactics, and resources are in place to successfully advance the mission of SCAN.
As CMO, you will play a pivotal role in shaping the strategic direction of the SCAN medical services.Collaborate with executive leaderships to develop and implement innovative strategies that enhance the overall health and well-being of our members.
Intimately understand the nuances of Medicare industry and market performance in order to coach, manage, and support clinical leaders in each market on how to deploy models of care most effectively and efficiently.
Make valuable and insightful contributions to strategic development efforts that inform where and how to grow our care model over time as well as how to design partnership strategies that achieve desired quality outcomes.
Lead our clinical teams to deliver exceptional, evidence-based care that is centered around the unique needs of our diverse member and patient populations.
Drive initiatives to improve clinical outcomes, patient satisfaction and the overall quality of care provided.Collaborate with other executive clinical and operations leaders to develop and implement standardized care models, prioritize how to build required capabilities, and oversee the development of those capabilities over time.
Inspire, develop, and mentor high performing teams and local Medical Director(s) in a way that reinforces our culture focused on member and patient outcomes, quality, and experience.
Collaboration and Partnerships:
Forge meaningful partnerships with healthcare providers, community organizations and other key stakeholders to create a comprehensive and integrated approach to healthcare delivery.
Mentor and implement competencies for Medical Directors in the multiple domains of management and clinical care.Seek and foster relationships that advance our model with key external stakeholders that include policymakers, local strategic partners, and network partners.
Advocate for SCAN's members to hold stakeholders accountable for delivering quality outcomes that serve mutual interests.Embrace innovative technologies and data driven insights to optimize healthcare delivery. Sponsor the prioritization and selection of major operations and technology enablers of the care model (i.e.
, Compliance and Regulatory Oversight:
Doctorate Degree in Medicine (MD) with a valid and active medical license to practice in the State of California required.
~ Master's degree in business administration, Public Health, or Health Administration preferred.~ A comparable combination of education/experience and/or training will be considered equivalent to the education listed above.
~ Board certification in a medical specialty preferably in a primary practice field, such as Family Medicine or Internal Medicine
~10+ years of progressive working experience as a plan medical director with broad-based responsibility for medical affairs and regulatory compliance issues.
~ Proven leadership experience in a senior medical executive role, ideally within a managed care organization or health plan with the ability to inspire and motivate a diverse team.
~ Strong understanding of healthcare policy, value-based care models and population health management
~ Strong experience in utilization and quality management (preferably at the HMO level).
~ Demonstrated relationship building with physician, hospital, and ancillary organizations.
~ Comprehensive knowledge of medical regulations and healthcare administration
~ Eleven paid holidays per year, Plus your birthday and 1 additional floating holiday
Excellent 401(k) Retirement Saving Plan with employer match.
Tuition reimbursement
An opportunity to become part of a team that makes a difference to our members and our community every day
Each of us has a responsibility to drive Equality in our communities and workplaces.
We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law.
Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.
However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
