Managed Care Plan Liaison - Hybrid / West Sacramento, California

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

 

Summary
This is a key role within the Population Health Management (PHM) project. The role will focus on the near term in California on a groundbreaking data platform for Medicaid that Gainwell has been selected to deliver, sponsored by the state of California. The ideal candidate has experience with managed care plans, population health management, and has familiarity working with the Department of Healthcare Services (DHCS) in California.

Your role in our mission

• Build relationships and facilitates an on-going dialogue with the target stakeholder groups on PHM service and ways the service could better achieve its goals of improving Medi-Cal members’ health and experience by offering a whole-system, person-centered service.
• Engages to surface unmet needs map and document opportunities for the PHM service to meet those needs.
• Provides input into developing and modifying systems to meet stakeholder needs and develops business specifications to support these modifications. Participates in technical reviews and inspections to carried out through the project.
• Develops recommendations to drive utilization and proficiency with the PHM Service, that increase benefit realization, and the achievement of results and outcomes tied to the wider PHM-CalAIM program. 

What we're looking for

• Bachelor's degree or equivalent combination of education and experience.
• 5 years of working experience in managing large-scale change or transformation initiatives xperience working with or at Managed Care Plans, with relevant knowledge of data, quality, and population health platforms
• Demonstrated knowledge of the Department of Healthcare Services (DHCS) and their programs and initiatives for the Medi-Cal population.
• Experience working with the interface of data and functional groups within an organization. Excellent presentation skills, and the ability to communicate complex technical concepts simply and effectively to all audiences. 

What you should expect in this role

• Hybrid work environment 1-2 days a week in the office as needed for face-to-face and client meetings with the remainder of time remote work.  The office is located in the West Sacramento area.

 

 

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The pay range for this position is $69,100.00 - $98,700.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

 

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry l