You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a Resident Vice President to provide leadership, direction, and oversight across various Health Services areas, including Case Management, Utilization Management, Quality Improvement, and more. The role is pivotal in ensuring organizational goals are met, maximizing health outcomes for health plan members, and fostering continuous improvement across departments.

Responsibilities / Job Duties

• Provide leadership and oversight in all Health Services areas to achieve organizational goals.
• Design and administer best practices to ensure healthcare quality and value.
• Develop and implement clinical policies and programs in collaboration with the Chief Medical Officer.
• Operationalize benefits and programs such as Palliative Care and Dual Eligible Special Needs Plan.
• Create and review departmental budgets and contribute to strategic planning.
• Ensure compliance with regulatory requirements from CMS, DHCS, DMHC, and NCQA.
• Develop innovative solutions for data management in Health Services.
• Train, mentor, and appraise staff performance effectively.
• Attend off-site meetings as necessary.

Minimum Education and Experience Qualification Requirements

Education

- Master's degree in business, healthcare, public health, or related field.

- Active unrestricted clinician license to practice in the State of California (RN, NP, PA, LCSW, or equivalent).

Qualifications

• Minimum of ten years of senior-level management experience.
• Knowledge of CMS, DHCS, DMHC regulations, and NCQA requirements.
• Successful leadership in program and change management.
• Strategic planning and development expertise.
• Experience in building and managing effective teams.
• Strong communication and relationship-building skills.
• Proficiency in applicable computer software, such as Outlook, Word, Excel, and PowerPoint.

Schedule / Shift

Monday - Friday, 8am - 5pm PST (Hybrid schedule; some days might be longer based on workload).

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Required Employment / Compliance Language

As part of the employment process, candidates will be required to complete a background check. All applicants applying must be authorized to work in the United States.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

^*As a job position within our Insurance division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing medical and confidential records, verifying financial information, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients