ACM Administrative Manager - Care Management - Position #2017-264

ACM ADMINISTRATIVE MANAGER - CARE MANAGEMENT - Position #2017-264

Date Posted:
Classification:
Administrative
Type
Full Time
Location
OPEN UNTIL FILLED - Redlands - Monday - Friday - 8:00a.m. - 5:00p.m.

Job Description

The ACM Administrative Manager oversees and coordinates all administrative activities of ACM Pre-service, Inpatient, and Centralized Compliance staff in collaboration with the ACM Executive Director, the CMO, and the client Medical Directors. Coordinates staff to ensure that effective services are provided, quality standards are met, and ACM data integrity standards are maintained. The ACM Administrative Manager assists the UM Executive Director, the CMO, the client Medical Directors, and all ACM Department staff to ensure compliance of all Medical Management functions with state and federal regulations and requirements.

Qualifications

Bachelor’s degree in healthcare administration or other healthcare related field or current equivalent related work experience. Master’s degree preferred. At least 3-5 years progressive experience in the health care or similar service industry with at least 1-2 years of supervisory responsibilities, and 1-2 years of experience in an IPA/Medical Group or health plan managed care environment.  Working knowledge of guidelines and regulations relevant to managed care (including case management and utilization management), including but not limited to Medicare, DMHC, NCQA, and MCG. Must be proficient in the application and use of all Microsoft Office programs including Word, Excel, PowerPoint, and Outlook with the ability to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Excellent written and verbal communication skills.

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