Sr Director, Managed Care/MSO
Job Posting for Sr Director, Managed Care/MSO at PIH Health
The Administrative Director of MSO is a seasoned, strategic and process minded leader. Directs and oversees the daily operations of the MSO, as well as all functions related to provider contracting, utilization management, quality management, network management and claims. Participates in the strategic planning process and works closely with the VP Managed Care Operations. Establishes and executes initiatives leading to growth, financial performance and provider relations.
PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.
Required Skills
- Strong working knowledge of current ambulatory healthcare industry, as well as, managed care experience working with Department of Managed Care.
- Excellent interpersonal and leadership skills, capable of earning respect, confidence and credibility of peers and team members.
- Excellent verbal, written, interpersonal and communication skills with the ability to make presentations to various groups of the organization(s) including presentations to multiple Board of Directors.
- Well organized and able to multi-task.
- Critical thinker who demonstrates problem solving skills for complex real world scenarios
- Understands, in detail, the daily, weekly, monthly and yearly metrics of the MSO and is able to make adjustments to hit predefined goals/objectives
- Strong understanding of computer systems that support the operations of the IPA
- Ability to build strong relationships with the health plans and the DMHC.
Required Experience
Required:
- Minimum of a bachelor’s degree; ideally with and MBA or MHA
- IPA and managed experience
- Excellent people skills with an ability to partner with a dynamic leadership team.
- Strong operational experience; ideally in a senior role in an integrated delivery system organization
Address
6557 Greenleaf Ave.
Salary
144206.40-237931.20
Shift
Days
FLSA Status
Professional-Exempt
Zip Code
90601
About the Company:
PIH Health
PIH Health is a nonprofit, regional healthcare network with two hospitals, numerous outpatient medical offices, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer and emergency services. Our leadership is dedicated to putting patients first—a cornerstone of our mission, vision and values—as we deliver top-quality healthcare.
PIH Health serves more than two million residents in Los Angeles and Orange Counties and throughout the San Gabriel Valley. Explore our history and review our current activities through our online newsroom. See the many ways you can contact PIH Health.
Company Size:
5,000 to 9,999 employees
Industry:
Healthcare Services
Founded:
1959
Website:
https://www.pihhealth.org/
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