Central California Alliance for Health
2 open remote positions
(2 of 2 jobs with salary data)
Salary Distribution✨ Benefits Overview (2 of 2 jobs list additional benefits)
Reporting to the Chief Medical Officer, this position will provide clinical leadership and oversight for key medical management functions, including Utilization Management (UM) and Potential Quality Issue (PQI), and Provider Disputes. This position will support our five service counties: Santa Cruz, Monterey, Merced, San Benito, and Mariposa, California.
Manages the advancement of provider reimbursement methodologies to align with organizational strategies and objectives, including value-based payment, and advises executive leadership regarding the feasibility of various strategies and methodologies. Utilizes a variety of methods and models to evaluate the feasibility of reimbursement methodologies. Provides management oversight and guidance related to the provider reimbursement function.