- Salary
- $91k – $136k/yr
- Location
- HSA - Admin - 917 Oakdale Road Modesto Ca. 95355, CA, CA, US
- Type
- Full-time
- Department
- Healthcare
- Seniority
- Manager
- Source
- GovernmentJobs
Description
Gain insights into Stanislaus County's application process. Review our application process and quick guide to applying.
Questions? We're Here to Help!
If you are interested in learning more about this opportunity, the recruitment process, or need assistance with your application, please contact 209-558-7192.
- Work with Health Services Agency and Chief Executive Office leadership to reinstate and update the Stanislaus County Indigent Health Care Program;
- Ensure that an Indigent Health Care Program delivery model is focused on medical necessity, cost-effective and compliant with mandates;
- Develop and coordinate scope, eligibility and utilization for Indigent Health Care Program;
- Review and monitor utilization trends and in conjunction with program scope;
- Coordinate and oversee provider and administrative services contracts;
- Manage the day-to-day operations of the Indigent Healthcare Program;
- Develop and maintain program standards, workflows, and policies for processing medical referrals, claims, and treatment authorizations;
- Collaborate with physicians, hospitals, clinics, and contracted providers regarding treatment plans, utilization levels, and documentation requirements;
- Oversee program budget activities, monitor expenditures, and ensure compliance with funding limitations;
- Prepare statistical and financial reports, analyze trends, and recommend program improvements;
- Ensure compliance with HIPAA, state indigent care requirements, and other applicable regulations;
- Train, supervise, and evaluate assigned staff; provide coaching and guidance to ensure service quality and regulatory compliance;
- Act as a subject-matter resource for internal departments, leadership, and external partners regarding indigent health services;
- Respond to escalated client issues, appeals, or provider concerns in a timely and professional manner; and
- Participate in audits, quality assurance reviews, and performance evaluations of contracted providers.
- Customer Satisfaction
- Health Administration
- Public Policy
- Law and Government
- Management and Leadership
- Customer and Personal Service
- Judgement and Decision Making
- Systems Analysis
- Complex Problem Solving
- Management of Personnel Resources
- Time Management
- Critical Thinking
- Oral and Written Expression
- Graduation from an accredited four-year college or university with a degree in Public Health, Healthcare Administration, Nursing, Social Services, Public Administration, or a closely related field; and
- Two (2) years of management level experience in/with Medi-Cal fee for service, with a Medi-Cal Managed Care Plan or other medical health care insurance provider.
Proof of education may be required for verification purposes at the time of application. Applicants who are unable to submit proof must call 209-558-7192 to make other arrangements before 5pm on the final filing date. Failure to submit proof or make other arrangements before the final filing deadline will result in disqualification.
- Application Review and Screening. Applications are carefully screened based on information provided. Those who submit incomplete applications that lack relevant qualifications or do not submit all required documents will not be invited to move on.
- Written Examination. Applicants will be invited to participate in a written exam that tests knowledge for the position.
- Oral Examination. Applicants are invited to a panel interview in which they will be evaluated by County subject matter experts.
- Eligible Lists. Candidates who pass the examination will be placed on an eligible list for that classification. Eligible lists are effective for six months, but may be extended up to eighteen months.
GENERAL INFORMATION
CLASSIFICATION INFORMATION
Unless otherwise provided, this position is part of the Unclassified Service of the County and considered “at will” for labor relations purposes. The individual selected will participate in the Stanislaus County Pay-for-Performance program, as well as receive additional benefits.
The Job Task Analysis provides information detailing the physical and functional demands of the classification. For the complete job task analysis, visit the Risk Management website at http://www.stancounty.com/riskmgmt/ under the "Disability" tab.
Note: The eligible list generated from this recruitment may be used to fill future extra-help, part-time and full-time vacancies throughout Stanislaus County.
Incumbents may also be subject to overtime, standby, callback, weekend, holiday and shift assignments as identified in their MOU (Memorandum of Understanding).
RECRUITMENT ACCOMMODATIONS
Arrangements may be made to accommodate disabilities and religious convictions. Applicants requiring testing accommodations are required to complete and submit the Testing Accommodations Request Form prior to the test administration date. Special arrangements for religious convictions should be included in the "Additional Information" section of the application form.
GENERAL QUALIFICATIONS
- Pass County-paid pre-employment job-related background investigation.
- Perform job duties in a manner assuring a safe working environment for oneself and others.
- Maintain confidential information according to the legal standards and/or County regulations as required.
- Some positions may be required to possess and maintain a valid California Driver’s License and meet County insurability requirements.
APPLICATION AND/OR EXAMINATION APPEAL RIGHTS
Application and/or examination results may be appealed by applicants presenting facts alleging irregularity, fraud and/or error in application screening or in exam scoring. Appeals must be in writing and submitted to the Chief Executive Officer within seven (7) days after the examination results are emailed.
DISCLAIMER