The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.
Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.
Minimum Qualifications:
- Minimum of 5 years experience in Utilization Management or related managed care functions.
- Minimum of 5 years prior verifiable experience in training and development in the healthcare or managed care industry, specifically in systems training.
- Bachelor’s degree in Business, Healthcare Administration, IT, or a related field. Equivalent experience in training or technical systems support may be considered in lieu of a degree.
- Familiarity with managed care systems and documentation processes.
- Ability to train on complex technical systems and assist staff in using the system efficiently.
- Strong Knowledge of utilization management workflows, authorization processes, and technical systems.
- Proficiency in using managed care platforms or healthcare systems.
Preferred Qualifications:
- Proficiency in managed care systems, particularly platforms like EZCAP or other systems used in utilization management preferred.
- Experience working with clinical operations teams, including collaboration with clinical workflows and training related to compliance and technical operations preferred.
- Master’s degree in Healthcare Administration, Business Administration, or related field preferred.
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