AHN Medical Services Operations, Supervisor

Grow Healthy

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.

Job Overview

The Supervisor, Operations (Medical Management) is responsible for coordination of efforts in key areas of focus including Health Plan audits, corrective action plans, internal audits, and ICE work plans. Assists in the preparation, approval, and management of policies in the designated policy system. This position is essential to maintaining an effective and efficient working relationship with all internal departments and external clients. Supervisors and directs staff dedicated to execution of operational functions and execution of projects to maintain and support strategic objectives of managed care medical management division. Incumbent should possess comprehensive knowledge of managed care industry standards, familiarity with government regulations, experience in interpreting full-service health plan contractual DOFR and delegation logic requirements, understanding of regulatory and accreditation compliance, and experience in managing projects.

Minimum Requirements

• Bachelor’s Degree in a health affiliated or business affiliated field or high school diploma and 10 plus years relevant health care experience.

• Minimum of five (5) years of managed care experience, including Medi-Cal managed care, Medicare and Commercial insurance payor systems that preferably includes health plan level.

• Project management experience in the planning, implementation, and controlling of medical projects is preferred.

Compensation

$72,448.77 - $90,560.97 annually

Compensation Disclaimer

Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits & Career Development

• Medical, Dental and Vision insurance
• 403(b) Retirement savings plans with employer matching contributions
• Flexible Spending Accounts
• Commuter Flexible Spending
• Career Advancement & Development opportunities
• Paid Time Off & Holidays
• Paid CME Days 
• Malpractice insurance and tail coverage
• Tuition Reimbursement Program
• Corporate Employee Discounts
• Employee Referral Bonus Program
• Pet Care Insurance

Job Advertisement & Application Compliance Statement

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.