HealthCare Support Staffing

Manager, Medical Management Services HealthCare Support is actively seeking a Manager, Medical Management Services to fill an opening in Fresno, California.  Daily Responsibilities for Manager, Medical Management Services

• Manage and oversee the review and revision of Medical Management policies and procedures to ensure they address current and new applicable statutes and/or regulations.
• Manage directly reporting Medical Management staff and oversee department activities.
• Manage the review, preparation, and submission of documents and policies for the DHCS/DMHC Medical Audits.
• Monday to Friday 8 AM - 5PM PST

Required Qualifications for Manager, Medical Management Services

• Registered Nurse preferred or Healthcare related bachelor’s degree.
• Current driver’s license
• 5+ progressive experience in Healthcare Quality Improvement and/or Project Management, strong preference for MCO experience
• Must have reliable transportation, may be required to travel between Kings, Madera and Fresno counties as well as between offices for meetings.

Preferred Qualifications for Manager, Medical Management Services

• Master’s degree –MPH or MPA-- is highly desirable.
• Certification in Healthcare Quality (CPHQ) desirable.

Benefits for Manager, Medical Management Services

• Health Insurance
• Dental Insurance
• Life Insurance
• Employee Assistance Program (EAP)
• Access to Investment Accounts
• Career and educational tools within our Ingenovis ACT (advocacy) Program

Pay Details: $45 - $59/ Hour Interested in Being Considered? If you are interested in applying to this position, please click Apply Now for immediate consideration. For additional questions, you may contact us at [email protected]. Please include your phone number, Job Title, and location and our recruiters will reach out. Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.