ABOUT MOLINA HEALTHCARE, INC.
Molina Healthcare Inc., is among the most experienced national managed healthcare companies serving patients who have traditionally faced barriers to quality healthcare—including individuals covered under Medicare, Medicaid, the Healthy Families Program, the State Children’s Health Insurance Program (SCHIP) and other government-sponsored health insurance programs.
DIRECTOR UTILIZATION MANAGEMENT – MIAMI, FL
This position has oversight responsibility to plan, develop, and direct the Utilization Management Department, including the sections for authorizations, concurrent review and case management. Develop and implement effective and efficient standards, protocols and processes; department decision support systems; and reports and benchmarks that support continual enhancement of utilization management functions and promote quality health care for members. Develop and manage inpatient/outpatient activities to meet key initiatives. Oversight of HEDIS Disease Management and Health Education programs. Prepares analysis of Member Satisfaction surveys and related projects for improvement.
DIRECTOR QUALITY IMPROVEMENT – MIAMI, FL
Responsible for strategic planning, development, implementation and monitoring of the quality portion of the Quality Improvement (QI) plans. Individual will initiate within all Molina departments, collaborative activities based on sound data analysis to promote the development, implementation, monitoring and evaluation of quality-related programs and services. Ensure the standards of the National Committee for Quality Assurance (NCQA) and all applicable State and Federal Regulatory Agencies are appropriately integrated into QI Programs. Oversight of HEDIS Disease Management and Health Education programs. Prepares analysis of Member Satisfaction surveys and related projects for improvement. Develop systems for close coordination of QI related functions with departments whose activities are directly a part of the QI Program, including Credentialing.
Email resumes in an MS Word attachment to firstname.lastname@example.org. Molina Healthcare is an Equal Opportunity Employer (EOE).
CHIEF FINANCIAL OFFICER California Pacific Medical Center San Francisco, CA - California Pacific Medical Center (CPMC), with $1.3 billion in net revenues is one of the largest and most prestigious, private, not-for-profit, tertiary medical centers in Northern California and an affiliate of Sutter Health. Recent completion of an affiliation with the Dartmouth School of Medicine will add importantly to CPMC's contribution to the training of next generation practitioners. Over its long history, CPMC has been continually recognized for its clinical quality, service excellence and culture. For two consecutive years, CPMC has been named one of the top 50 hospitals in the US by the non-profit Leapfrog Group. 2008 also represents an exciting time in the evolution of CPMC as its $2.4 billion Institutional Master Plan (IMP) has now entered the public approval phase. Russell Reynolds Associates has been retained to recruit a Chief Financial Officer for CPMC. The CFO here plays a vital role in the tightly knit senior management team and reports jointly to CPMC's EVP/Administrator and to the CEO. The CFO will assume accountability for the full range of financial functions including the Controller and Directors of Patient Financial Services, Health Records, Worker's Compensation/Insurance and Managed Care Contracting. CPMC is seeking a strategic CFO who has experience in a multi-sited healthcare system of similar size and scale to CPMC. This should include a track record of provision of excellent analytic skills supporting an efficient, profitable enterprise with an extremely sophisticated board and finance committee.
Send resumes or nominations in confidence to:
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Healthcare Retroactive Audits, Inc (HRA) specializes in Managed Care Payment Review in addition to the auditing of zero balance managed care accounts. HRA is driven by a commitment to excellence and complete client satisfaction. We thrive to find more revenue for your company by manually auditing accounts, identifying, and recovering underpayments.
As a turn-key operation, we tailored our services to each institution's operational needs. And because our audits are conducted in-house, we keep disruptions to your hospital's operations at a minimum.
Additionally, HRA has serviced several metropolitan areas for the past ten years, fostering relations with payers and improving the turnaround time for our collections.
If you would like to see a return on your zero-balance managed care accounts, let Healthcare Retroactive Audits, Inc. go to work for you. Contact us at 888-756-9090.
Opening with a prestigious Central-East Coast Florida Hospital!
SERVICE LINE DIRECTOR OF PERIOPERATIVE SERVICES - Provides overall direction for surgical services, infusion, PACU and pre-admission testing. Opportunity to grow the service line! Oversees 98 FTEs with seven large operating room suites, four endoscopy room suites and state-of-the-art equipment. Master's degree preferred. Seeking an entrepreneurial and business minded individual with exceptional leadership skills to grow a service line.
Excellent compensation and benefits!! Apply today!
Rose Wagner, RN, MHS
Vice President, Executive Search