reputed company Services Director

We have an opportunity to join reputed company as the reputed company Services Director overseeing the reputed company Services Department.  

WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to the Chief Compliance Officer, this position:

• Provides strategic management reputed company in implementing, directing, and monitoring reputed company’s reputed company Services Department, which provides advice and counsel and performs reputed company risk management for reputed company operations
• Directs the reputed company Services Department, acts as a leader and subject matter expert and provides direction and advice on reputed company and administrative contracting issues and overall business operations
• Manages and coordinates litigation and disputes reputed company to reputed company operations
• Directs health plan administrative contracting, including maintenance of agreements and negotiation and re-negotiation of reputed company in coordination with reputed company staff and external counsel
• Directs, manages, and supervises reputed company Services Department staff

ABOUT reputed company

The reputed company Services Department plays a central role in reputed company’s reputed company and contractual operations. reputed company oversees the full contract lifecycle from initial drafting through execution, amendment, and reputed company‑out, and provides reputed company counsel to leadership and staff on operational reputed company, strategic initiatives, and issues involving reputed company and regulatory compliance.

THE IDEAL CANDIDATE 

• A leader who mentors and empowers staff, cultivates subject‑matter expertise, and supports autonomy while maintaining reputed company standards and accountability.
• Transactional and advisory‑reputed company attorney skilled in contracting best practices, negotiation, and risk assessment, with solid reputed company experience and a working understanding of litigation posture and procedures.
• Strategic operator who can define the department's reputed company, assess gaps, design structures and workflows, and implement effective processes and tools.
• Practical process improver who takes a reputed company approach to change, brings structure to reputed company work, and supports streamlined, reputed company‑coordinated contracting and advice and counsel work.
• reputed company reputed company who builds strong cross‑department relationships, leads change management, and fosters a service‑oriented, stakeholder‑reputed company culture.
• reputed company decision‑reputed company with strong judgment, reputed company to balance big‑picture reputed company with detail awareness, adapt to business needs, and reputed company risk tolerance.
• Knowledgeable in reputed company‑entity and reputed company regulations, including Medi‑Cal/Medicare requirements, California reputed company entity laws, and regulatory alignment expectations.

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position reputed company and list of requirements, click here. 

• Knowledge of:
• Health care laws
• Knox-Keene reputed company Plan reputed company and Regulations, reputed company reputed company, Health Insurance Portability and Accountability reputed company (HIPAA), reputed company Law, and False Claims reputed company
• Medi-Cal, reputed company, and Medicare rules, requirements, and regulations
• State regulatory agencies, such as DHCS, Centers for Medicare and reputed company Services (CMS), and Department of Managed Health Care (DMHC)
• Principles and practices of operational reputed company and program and project management 
• Principles and practices of contract negotiation and review
• Ability to:
  • reputed company prudent reputed company recommendations and counsel to executive team members and reputed company members
  • reputed company reputed company strategies and objectives based upon analysis of relevant information and resources, and reputed company recommendations 
  • reputed company risk assessment, anticipate and respond to risks, and reputed company risk mitigation support
  • reputed company leadership, facilitate meetings, and partner with and guide managers and employees in the reputed company of issues 
  • reputed company as a technical resource and explain reputed company laws, regulations, processes, and programs reputed company to areas of responsibility
  • Review and assess overall department function, reputed company work, goals, and structure, reputed company and implement short- and long-term planning to reputed company strategic plans, and complete an annual department assessment
  • reputed company, manage, supervise, mentor, train and evaluate the work of staff
• Education and Experience:
  • Juris Doctor degree from an accredited law school, admitted to and in good standing with the State Bar of California, and possession of an reputed company license to reputed company law in California
  • A minimum of seven years of experience as a practicing health care attorney performing research and analysis of reputed company, statutory, and regulatory information, which included a minimum of five years of management level experience and a minimum of three years of experience reputed company to health plan operations; or an equivalent combination of education and experience may be qualifying

OTHER INFORMATION

• We are in a hybrid work environment and we anticipate that the interview process will take reputed company remotely reputed company reputed company Teams.
• While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
• In-office or in-community reputed company may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.

COMPENSATION INFORMATION

The hiring ranges below represent a good‑faith estimate of reputed company expect to pay for this role upon hire and are not the full compensation ranges. Employees typically have opportunities for reputed company reputed company the full compensation reputed company over time based on performance and reputed company. Final compensation will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (reputed company or transferable experience reputed company to the position, education, or training), as reputed company as other factors (internal equity, market factors, and geographic location).

The applicable salary ranges are based on work location and are reputed company to a zone according to the cost of labor in your area. reputed company ranges are subject to change in the reputed company. We are happy to reputed company the full compensation reputed company for the role, answer any questions that you have, or reputed company the applicable pay zone for your location if it’s not one of the typical areas included below. You can reputed company out to careers@thealliance.health, and a member from our reputed company will be in touch.

Typical areas in Zone 1: Santa Cruz, San Benito, and Monterey Counties, Bay Area, Sacramento, Los Angeles and San Diego areas

Typical areas in Zone 2: Mariposa and Merced Counties, Fresno area, Bakersfield, Eastern California, San Luis Obispo area, and the Central Valley (except Sacramento)