About the Role
Hinge Health is seeking a Legal Operations Manager to join the legal team. This is an exciting opportunity for a motivated legal ops professional to join the market leader of Digital Health MSK services at a critical phase of the company's growth. The position offers the opportunity to work with a best-in-class Legal Ops function and a dedicated, talented and welcoming group of legal and compliance professionals.
As part of the Legal Ops team, the Legal Operations Manager will manage Legal and Compliance team operations by creating, managing, and improving processes for the efficient delivery of legal services by the Legal and Compliance team to stakeholders throughout the company. Duties will include managing strategic and high visibility projects, improving the use of legal technologies, improving workflows, developing process documentation and training. This position will also work cross-functionally across business teams and collaborate with a diverse group of stakeholders to maximize the efficiency of the Legal team, create and execute plans to improve Legal Ops functionality and impact, and scale processes to support our Legal team and enterprise goals.
What You'll Accomplish
Work cross-functionally in project managing key company-wide initiatives driven by our team, building and tracking project features, milestones, and dependencies
Create processes and templates to organize projects, legal advice and document business processes
Provide ongoing assistance to various legal functions, including product, commercial, employment and compliance, including managing administration of the company's patent program
Build, manage and improve legal self-service and knowledge management resources
Establish and maintain key performance indicators (KPIs) and metrics to measure the legal team's performance and efficiency; create and maintain dashboards and reports to provide leadership with insights into legal spend and operational trends
Lead the selection, implementation, and management of legal technology solutions, including AI, e-billing, and ticketing systems
Oversee the entire outside counsel and legal vendor management lifecycle, including onboarding, billing, and performance tracking; manage and administer the legal team's billing platform
Develop and manage the legal department's annual budget and forecasting processes in collaboration with Finance
Hinge Health Hybrid Model
We believe that remote work and in-person work have their own advantages and disadvantages, and we want to be able to leverage the best of both worlds. Employees in hybrid roles are required to be in the office 3 days per week, for the full 8 hours of a typical business day. The San Francisco office has a dog-friendly workplace program.
Basic Qualifications
B.A. or B.S. degree and legal operations management experience
2-3+ years experience in the areas of legal operations or project management, in-house or at a law firm preferred
Able to develop project plans and timelines, align key stakeholders and drive project completion
Experience breaking down processes and identifying key pain points to support business improvements
Able to prioritize effectively and handle multiple projects simultaneously
Detail-oriented, well-organized, and able to prioritize multiple high-importance activities, driving results
Exercise sound judgment, learn quickly and work well under time pressures
Preferred Qualifications
Experience working with a healthcare technology company
Able to provide executive-level project management
Proactive, resourceful and able to function independently with minimal supervision
Excellent oral and written communication, research, interpersonal and organizational skills
Able to cover a wide range and level of tasks - from thinking strategically to troubleshooting detail where needed
Desire and aptitude for learning new concepts on the job and taking on new responsibilities
Previous experience managing IP programs
Strong understanding of legal department metrics, budgeting, and financial analysis
Legal operations certification (e.g., CLOC, ACC Legal Ops) or Project Management Certification
Experience with legal technology:
Legal e-billing software (e.g., Brightflag, Legal Tracker, Team Connect, Passport, SimpleLegal, Onnit)
Contract lifecycle management or CLM (e.g., home-grown systems, Ironclad, Salesforce)
Workflow automation (e.g., Tonkean, Streamline, Checkbox)
Legal AI tools (e.g., GC AI, Ivo, Luminance)
Knowledge management software
Compensation
This position will have an annual salary, plus equity and benefits. Please note the annual salary range is a guideline, and individual total compensation will vary based on factors such as qualifications, skill level, competencies, and work location. The annual salary range for this position is $118,400 - $177,600.
About Hinge Health
Hinge Health leverages software, including AI, to largely automate care for joint and muscle health, delivering an outstanding member experience, improved member outcomes, and cost reductions for its clients. The company has designed its platform to address a broad spectrum of MSK care-from acute injury, to chronic pain, to post-surgical rehabilitation-and the platform can help to ease members' pain, improve their function, and reduce their need for surgeries, all while driving health equity by allowing members to engage in their exercise therapy sessions from anywhere. The company is headquartered in San Francisco, California.
Learn more at **************************
What You'll Love About Us
Inclusive healthcare and benefits: On top of comprehensive medical, dental, and vision coverage, we offer employees and their family members help with gender-affirming care, tools for family and fertility planning, and travel reimbursements if healthcare isn't available where you live.
Planning for the future: Start saving for the future with our traditional or Roth 401k retirement plan options which include a 2% company match.
Modern life stipends: Manage your own learning and development
Culture & Engagement
Hinge Health is an equal opportunity employer and prohibits discrimination and harassment of any kind. We make employment decisions without regards to race, color, religion, sex, sexual orientation, gender identity, national origin, age, veteran status, disability status, pregnancy, or any other basis protected by federal, state or local law. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. We provide reasonable accommodations for candidates with disabilities. If you feel you need assistance or an accommodation due to a disability, let us know by reaching out to your recruiter.
By submitting your application you are acknowledging we are using your personal data as outlined in the personnel and candidate privacy policy.
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$118.4k-177.6k yearly 3d ago
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Strategy & Operations Lead - Hybrid & High Impact
Hinge-Health 4.4
San Francisco, CA jobs
A health technology company based in San Francisco is seeking a Business Operations and Strategy professional to drive strategic initiatives and manage operational excellence. The ideal candidate will have strong analytical skills, 4+ years of experience in business strategy, and a proven track record in managing projects. This position offers a salary range of $129,600 - $194,400, plus equity and benefits in a hybrid work environment.
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$129.6k-194.4k yearly 3d ago
TechOps Analyst - Hybrid IT Support & Automation
Persona 4.3
San Francisco, CA jobs
A leading technology company in San Francisco is seeking a TechOps Analyst who will provide essential support for IT operations. The ideal candidate should have 4-6+ years of experience and a strong passion for technology and problem-solving. They will assist employees with technical issues, manage onboarding processes, and contribute to improving internal efficiencies. This role offers a hybrid work model, with benefits including medical and wellness offerings.
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$42k-87k yearly est. 1d ago
Client Delivery Specialist (Hybrid)
Hinge Health, Inc. 4.4
San Francisco, CA jobs
About the Role
This fast-paced, internal operational role is essential to driving efficiency for the Client Success Team. You will provide administrative and operational support to Client Success Leads, ensuring they can meet client deliverables to drive retention and satisfaction. Strong project management and organizational skills are key, as you will support multiple Client Success Leads at once. This cross-functional role will partner with Growth, Sales, Analytics, Marketing, Operations, Product, and Clinical to provide excellent support to our client-facing Leads. A strong customer-centric mindset, coupled with excellent communication and collaboration skills, is essential to fostering strong relationships with the Client Success team and cross-functional departments.
What You'll Accomplish
* Operational Execution: Successful management and execution on a variety of owned projects and assisting on other department and cross-functional projects. Support multiple Client Leads to ensure efficient and error-free execution in their daily work.
* Relationship building: Build strong, trusting relationships with cross-functional stakeholders (legal, reporting, sales, member support, billing, marketing) to drive outcomes for our clients alongside our Client Success Leads.
* Event Organization: Support event organization and marketing efforts across teams (planning, scheduling, monitoring success and follow up). Work with marketing to develop, customize and review materials for client events.
* First-Contact Resolution: Successfully resolving client issues or inquiries from member support and billing..
* Data Management & Analysis:
* Entry and Accuracy: Enter and maintain accurate and up to date client information leveraging client success tools.
* Reporting preparation: Ability to generate client reports for CS Leads.
* Marketing & Reporting Segmentation: Ability to segment client data based on custom criteria.
*
Hinge Health Hybrid Model
We believe that remote work and in-person work have their own advantages and disadvantages, and we want to be able to leverage the best of both worlds. Employees in hybrid roles are required to be in the office 3 days per week, for the full 8 hours of a typical business day. The San Francisco office has a dog-friendly workplace program.
Basic Qualifications
Attention to detail: Extreme attention to detail and accuracy. Understands the downstream effects of careless errors and has a strong drive for flawless execution and delivery.
Action Oriented: Taking on new opportunities and tough challenges with a sense of urgency, high energy, and enthusiasm.
Communicate effectively: Able to communicate with other team members and cross functional stakeholders in ways that conveys both clarity of thought and rigor, while being concise - be that via written or verbal communication.
* Self-starter: Can work independently with little oversight, able to execute tasks and projects in an environment with competing demands.
* Create trust: Always acting in the best interest of our members, clients, and the company.
Preferred Qualifications
* Experience at a high-growth company and understand the associated challenges
* Digital health, and the startup work environment
Compensation
This position will have an annual salary, plus equity and benefits. Please note the annual salary range is a guideline, and individual total compensation will vary based on factors such as qualifications, skill level, competencies, and work location. The annual salary range for this position is $72,000 - $98,000.
About Hinge Health
Hinge Health leverages software, including AI, to largely automate care for joint and muscle health, delivering an outstanding member experience, improved member outcomes, and cost reductions for its clients. The company has designed its platform to address a broad spectrum of MSK care-from acute injury, to chronic pain, to post-surgical rehabilitation-and the platform can help to ease members' pain, improve their function, and reduce their need for surgeries, all while driving health equity by allowing members to engage in their exercise therapy sessions from anywhere. The company is headquartered in San Francisco, California.
Learn more at **************************
What You'll Love About Us
Inclusive healthcare and benefits: On top of comprehensive medical, dental, and vision coverage, we offer employees and their family members help with gender-affirming care, tools for family and fertility planning, and travel reimbursements if healthcare isn't available where you live.
Planning for the future: Start saving for the future with our traditional or Roth 401k retirement plan options which include a 2% company match.
Modern life stipends: Manage your own learning and development
Culture & Engagement
Hinge Health is an equal opportunity employer and prohibits discrimination and harassment of any kind. We make employment decisions without regards to race, color, religion, sex, sexual orientation, gender identity, national origin, age, veteran status, disability status, pregnancy, or any other basis protected by federal, state or local law. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. We provide reasonable accommodations for candidates with disabilities. If you feel you need assistance or an accommodation due to a disability, let us know by reaching out to your recruiter.
By submitting your application you are acknowledging we are using your personal data as outlined in the personnel and candidate privacy policy.
Workday ID
2025-2104
A leading biotech company is seeking an Executive Director, Managed Markets & Payer Strategy. This role involves shaping payer access strategy to ensure optimal coverage across various healthcare channels. Responsibilities include developing national strategies, managing vendor partnerships, and overseeing compliance with pricing programs. Candidates should have over 15 years of experience in managed markets, with a strong background in payment contracting and a relevant degree. The position can be based in San Diego or offered remotely, with a salary range of $265,000 - $310,000.
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$265k-310k yearly 3d ago
Senior People Insights Consultant - Hybrid, C-Level Impact
Betterup, Inc. 4.1
San Francisco, CA jobs
A transformative coaching company in San Francisco is seeking an experienced consultant to leverage behavioral science for enhancing client relationships and professional development strategies. Responsibilities include account planning, solution design, and collaborating with executives to optimize performance. Candidates should hold an M.A. or PhD in a related field with at least 7 years of business experience. This position offers a competitive salary range of $142,500 - $242,000 alongside comprehensive benefits, including flexible PTO and coaching opportunities.
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$142.5k-242k yearly 4d ago
Hybrid: Assistant Director, Budgets & FP&A
Accreditation Council for Graduate Medical Education 4.7
San Francisco, CA jobs
A regional transportation authority in San Francisco is seeking an Assistant Director for Budgets and Financial Planning. In this role, you'll lead a team in developing and managing budgets while ensuring strategic alignment with organizational goals. The ideal candidate has strong analytical skills and a deep understanding of governmental accounting and grant management. Experience with ERP systems is a plus, along with a Master's degree in a related field. This position offers flexible/hybrid work options.
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$89k-123k yearly est. 3d ago
National Account Director, Payer (United/Optum/Emisar)
Revolution Medicines 4.6
Redwood City, CA jobs
Revolution Medicines is a clinical-stage precision oncology company focused on developing novel targeted therapies to inhibit frontier targets in RAS-addicted cancers. The company's R&D pipeline comprises RAS(ON) Inhibitors designed to suppress diverse oncogenic variants of RAS proteins, and RAS Companion Inhibitors for use in combination treatment strategies. As a new member of the Revolution Medicines team, you will join other outstanding Revolutionaries in a tireless commitment to patients with cancers harboring mutations in the RAS signaling pathway.
The Opportunity:
Reporting directly to the Senior Director, Payer Account Team & Access Marketing, the National Account Director (NAD) is responsible for establishing and maintaining strategic relationships to secure optimal market access for our innovative oncology medicines with national payers, Pharmacy Benefits Managers (PBMs), and payer-driven clinical pathways. This person will lead engagement with the NAD will develop and execute account plans and strategies that drive rapid formulary placement, reimbursement, and support patient access while representing the company's interests with key decision-makers. In addition to securing positive policy decisions, the NAD will help to coordinate cross-functional workstreams to ensure products are included when appropriate in payer-driven clinical pathways, this is a field-based remote position, and the candidate can live anywhere in the United States.
Key Responsibilities:
Translates national, brand-level payer strategy to key accounts across National Payers/PBMs, Regional Payers/PBMs/IDNs, VA/DoD, and state Medicaid plans, and work with Market Access leadership to refine value story and messaging as needed.
Leads and oversees account activities such as driving rapid payer coverage and payer clinical pathways inclusion post launch in close collaboration with Medical Affairs.
Leads cross-functional team across Commercial Field to pro-actively identify and resolve payer policy and pathway issues.
Negotiates with customers to enable favorable formulary positioning and net revenue profitability.
Creates medium to long term strategic payer/PBM/pathway engagement plan spanning multiple product and indication launches, and focuses on engaging beyond traditional rebates with tactics such as facilitating executive exchanges.
Champions voice of customer to internal stakeholders and Commercial leadership.
Required Skills, Experience and Education:
Bachelor's degree.
Strong existing relationships with the UHC/Optum/Emisar organization and 10+ years in account management.
Deep understanding of pharmacy benefit management, economic flows, and oral oncolytic trends within Medicare Part D, Commercial, Medicaid FFS and Managed Medicaid plans.
Strong communication skills to educate and influence other Commercial stakeholders, including the executive leadership team, Access Marketing, and Strategic Pricing.
Ability to clearly and efficiently communicate the value proposition of novel oncology therapies to customers.
Excellent negotiation skills and pride in P&L and enterprise stewardship.
Prior experience with pipeline products and product launches.
Ability to partner effectively with Medical Affairs, Sales, and FRM teams.
~30-50% travel required to customer meetings, industry conferences, and RevMed's home office in Redwood City, CA.
Preferred Skills:
Advanced degree (MBA, Master's, PharmD, PhD).
Existing relationships with key regional plans that are OptumRx clients.
Comprehensive understanding of federal accounts and VA/DoD processes and procedures.
Experience in GI oncology, PDAC and/or NSCLC, including oral targeted therapies.
Successful coordination of leadership exchanges and strategic partnerships beyond traditional contracting and rebate agreements.
Desire to continuously learn, develop, and stay abreast of the evolving healthcare landscape.
Passion for establishing high-functioning, collaborative relationships with new and rapidly growing teams.
Prior experience or demonstrated development interest in payer marketing.
Prior people leadership experience and ability to build team as company grows.
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$112k-156k yearly est. 3d ago
Physician Assistant / Cardiology / North Carolina / Locum Tenens / Hospital Medicine Hybrid APP - Lake Norman
Atrium Health 4.7
Cornelius, NC jobs
Department:
04170 GCMG Hospitalist Group: Lake Norman - Hospitalists
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Varies
If it's possible, you will find it at Atrium Health?the leading community-focused academic healthcare system serving North Carolina, South Carolina, and Georgia. We invite Advanced Practice Providersto discover all that we can do when we bring healing hearts, inquisitive minds and progressive visionaries together in our Carolinas Hospital Groupteam at Atrium Health.
Position Highlights:
100% inpatient adult medicine.
Join our current team of 6 Physicians.
Hospital based practice with team-based panel of physicians and ACP providers
7 days on and 7 days off, or unless otherwise specified by the specific site
Call is not required
Procedures not expected
Designated clinical support staff including RNs and staff administrative assistants
Teaching opportunities with ACP students and ACP fellows
Eligible year-end bonus based on yearly physician/ACP team goals
Centralized professional support from the Center for Advanced Practice
$2500 of CME allowance
Candidate Qualifications:
Graduation from an accredited NP or PA program. Current license to practice as a NP or PA in North Carolina. Current prescriptive privileges and DEA license required. BLS for healthcare provider from AHA required.
Nurse practitioners are required to have a master's degree or doctorate in nursing practice. Certification as an Adult Acute care NPfrom a nationally recognized certifying body required.
Physician Assistants with master's degree and certification from the National Commission on Certification of Physician Assistants preferred.
2+ years of experience preferred.
Demonstrates appropriate critical thinking and interpersonal skills when working in a fast paced, complex hospital environment.
NC or SC Licensure, depending on practice locations
Nurse Practitioner Candidates:
Master's Degree or Doctor of Nursing Practice required. Acute care certification required.
License to practice as a Registered Nurse required.
Certification in the area of practice from a nationally recognized certifying body required.
ACNP, AGACNP, AGNP, PNP, or PNP-AC board certification preferred based population served.
Physician Assistant Candidates:
Graduate from an accredited Physician Assistant program required. Master's Degree preferred.
Certification from the National Commission on Certification of Physician Assistants preferred.
When you join Atrium Health, you will be welcomed into an inclusive culture that celebrates and respects the contributions a diverse team can make together. Practice where your voice is valued, your passion for advancing medicine is rewarded, and you get the resources and support you need to thrive personally and professionally. In our nationally-renowned integrated health system, you can work alongside the most advanced minds in medicine to improve medicine, elevate hope and advance healing?for all.
Pay Range
$50.05 - $75.10
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more ? so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation?s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Hospital Medicine Hybrid APP - Lake Norman
A leading precision oncology company in Palo Alto seeks a Senior Manager of Cost Accounting to oversee inventory and cost accounting processes, ensuring compliance with GAAP. Successful candidates will have over eight years of experience, including in-house manufacturing, and must hold a Bachelor's degree in accounting, CPA or MBA preferred. The role involves leading a team and improving financial reporting processes. This position supports a hybrid work model, requiring on-site collaboration.
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$125k-173k yearly est. 1d ago
Regional Operations Supervisor
Shared Imaging, LLC 3.8
Fremont, CA jobs
Shared Imaging is a privately held organization that has been committed to growing organically and has doubled our revenue in the past 10 years and is committed to having the best technology possible to help support our clients. We pride ourselves on our "White Glove" service model by delivering the best patient experience possible.
Shared Imaging is looking for a Full Time Regional Operations Supervisor in Northern California (Bay Area).
The ideal candidate must possess:
Clinical experience in the imaging field (radiology, MRI, CT, Nuclear Medicine, PET/CT, Sonography) Effective organizational and interpersonal skills, ability to communicate and manage at all levels of the organization.
Strong problem solving and critical thinking skills.
Formal process and quality management training such as lean six sigma.
A solid understanding of P&L reports and the drivers behind profitability.
A positive track record of B2B customer engagement and management, preferably with healthcare providers.
Experience creating and cultivating engaged, self-directed teams.
Above average skill-level with Microsoft Word, Excel and PowerPoint
Education, Experience and Travel
Bachelor's degree minimum
Knowledge of the US healthcare industry, diagnostic imaging trends and technology, along with imaging safety knowledge
Graduate of an approved radiology technology program and is registered by ARRT, NMTCB, or ARMRIT required. Licensure from the state of California is preferred.
Minimum of 2-3 years as a technologist required. MRI experience preferred.
Imaging Management experience required (Supervisor, Manager or Director, 2-5 years preferred).
Work from home, with overnight travel (7-10 nights/month).
Must be willing to travel the following areas: Santa Clara, San Jose, Santa Rosa, Martinez, and South San Francisco
Must reside within the Northern California area: Bay area or other surrounding areas
We value our employees, and we want them to be healthy and happy. We offer competitive salaries, travel allowance and a diverse blend of benefits, incentives, and business practices and we are continually evaluating our offerings to ensure that Shared imaging is a truly great place to work!
Health, dental, and vision insurance
Company paid dental (with applicable health plans)
401k matching
Employee Assistance Program
Company sponsored and voluntary supplemental life insurance
Voluntary short term / long term disability options
Flex PTO & paid holidays
Company swag
Health club reimbursement
Wellness program with generous incentives
Employee recognition programs
Referral bonus program
Job training, professional development, & continued education
The annual salary range for this role is $145,000 - $155,000/year, with a variable bonus, based on performance. Base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. This position is also eligible for a performance-based merit increase annually. Candidates will be assessed and provided offers against the minimum qualifications for this role and their individual experience. This role will also include an annual bonus that is paid biannually, with a car allowance, milage reimbursement, and stipend for home internet
We require that all Shared Imaging LLC employees have a completed background check and drug screen on file.
Shared Imaging is committed to equal employment opportunity. The company offers a drug-free work environment to all qualified applicants without regard to race, color, religion, sex, age, national origin, sexual orientation, disability, marital status, veteran status or any other category protected by applicable law. Equal employment opportunity includes hiring, training, promotion, transfer, demotions and termination.
$145k-155k yearly 2d ago
Chief Medical Officer
Health Plan of San Joaquin/Mountain Valley Health Plan 4.6
French Camp, CA jobs
The Health Plan of San Joaquin is now hiring an experienced, mission-driven leader to serve as our Chief Medical Officer!
Location: This is a remote position. Must reside in California, preferably within our service area to effectively support operational needs. Must be able to attend monthly onsite meetings, and other meetings as needed for business and community purposes.
What You Will Be Doing:
As our Chief Medical Officer, under administrative direction, you will be responsible for leading efforts that will provide innovative solutions that support more affordable healthcare, promote personal accountability for health and wellness, and offer superior service and partnerships to the constituents served by HPSJ!
Supervises
Medical Directors
Director of Pharmacy
Director of Clinical Analytics
Executive Assistant
Essential Functions:
Identifies, develops, plans and executes short, medium and long-range strategies that drive and support corporate objectives; ensures the development and implementation of associated business plans, tactics and policies.
Develops and oversees the implementation of medical management policies.
Ensures that medical decisions are rendered by qualified medical personnel and are not influenced by fiscal or administrative management considerations.
In collaboration with the Chief Heath Services Officer, will ensure consistent application of medical criteria to utilization management decision making.
Collaborates with the Chief Health Services Officer in the strategic planning, implementation and oversight of the Quality Improvement and Quality Management Programs.
Ensures that medical care provided meets acceptable medical care standards.
Ensures that medical protocols and rules of conduct for HPSJ medical personnel are followed.
Manages medical utilization through application of recognized medical and pharmaceutical guidelines and in collaboration internal and external stakeholders.
Oversees the development and management of department budgets.
Oversees accreditation and compliance activities to ensure agreed upon and mandated standards are met.
In collaboration with the Chief Heath Services Officer, will identify medical delivery system quality issues; develops and oversees implementation of corrective action plans.
Collaborates with network providers and the provider community in a manner that engenders positive relationships, provider support and network stability.
Advises on complex, controversial and/or unique claims that are outside the realm of medical policy.
Co-Chairs the Quality Improvement and Health Equity Transformation Committee and Chairs the Peer Review and Credentialing committee; serve on other committees as required.
Ensures that effective collaborative work and problem-solving routines are maintained between assigned departments, and other internal and external stakeholders.
Oversees the identification, preparation and maintenance of appropriate and required data, records and reports.
Represents HPSJ in a manner that promotes a positive image of HPSJ in the community; serves on internal and external committees and other leadership forums.
Promotes and maintains and ensures that direct reports promote and maintain an environment that supports HPSJ's strategy, vision, mission and values.
Hires, develops and retains, and ensures that line managers hire, develop and retain, a competent staff.
What You Bring:
Knowledge, Skills, Abilities and Competencies
Required
Expert knowledge of the principles, practices and techniques of managed care, utilization management and quality.
Knowledge of laws and regulations governing managed care.
Expert knowledge of contemporary health issues, and the healthcare, economic or other issues affecting Medi-Cal and/or Medicare populations, providers and the underserved in San Joaquin and surrounding areas.
Knowledge of quality improvement and utilization management procedures and techniques.
Knowledge of the management and best practices techniques of a medical practice or office.
Strategic mindset: Sees ahead to future possibilities and translates them into breakthrough strategies; identifies, plans, leads and executes meet changing organizational and community needs, and regulatory requirements.
Cultivates innovation: Creates new and better ways for the organization to be successful.
Drives results: Consistently achieves results, even under tough circumstances.
Drives engagement: Creates a climate where people are motivated to do their best to help the organization achieve its objectives.
Drives vision and purpose: Paints a compelling picture of the vision and strategy that motivates others to action.
Courage: Steps up to address difficult issues, says what needs to be said.
Nimble learning: Actively learns through experimentation when tackling new problems, uses both successes and failures as learning fodder.
Situational adaptability: Adapts approach and demeanor in real time to match the shifting demands of different situations.
Uses Lean, Performance Improvement, Return on Investment and metrics to successfully manage the division.
Strong skills in budget development and management.
Communicates effectively: Develops and delivers multi-mode communications that convey a clear understanding of the unique needs of different audiences.
Strong presentation skills, including the ability to tailor presentations to a specific audience, and address and interact with large groups.
Very strong interpersonal skills, with the ability to establish and maintain effective working relationships with individuals at all levels inside and outside of HPSJ.
Strong assessment and analytical skills, including the ability to synthesize, distill concepts, draw conclusions and identify implications.
Manages complexity: Makes sense of complex, high quantity, and sometimes contradictory information to effectively solve problems.
Resourcefulness: Secures and deploys resources effectively and efficiently; organizes people and resources to solve problems and identify opportunities.
Plans and aligns: Plans and prioritizes work for self and others to meet commitments aligned with organization goals.
Very strong project management skills, with the ability to function as a sponsor and owner on complex projects; a track record of successful large project implementations.
Very strong collaboration skills with demonstrated ability to create and foster a collaborative work environment, maintain effective, high-performance teams, and organize people and resources to solve problems and identify business opportunities.
Strong customer service skills.
Ensures accountability: Holds self and others accountable to meet commitments.
Strong knowledge of change management theory, with ability to anticipate and implement effectively.
Promotes and maintains and ensures that direct reports promote and maintain an environment that supports HPSJ's strategy, vision, mission and values.
Very strong coaching/counseling skills, including the ability to function as a mentor to management and employees by assisting in the identification and resolution of issues.
Demonstrated ability to supervise staff in a manner that maximizes employee performance and business results.
Ability to speak and be understood in English.
Ability to handle confidential information with appropriate discretion.
What You Have:
Education and Experience
Required
MD degree from an accredited medical school.
Satisfactory completion of an American Council of Graduate Medical Education accredited residency program; and
At least ten years clinical experience in the practice of medicine in fields related to a managed care setting; and
At least five years clinical experience in the practice of medicine with MediCal and/or Medicare populations; or
Equivalent combination of education and experience.
Licenses, Certifications
Required
Unrestricted, active license to practice medicine in the State of California, issued by the State Board of Medical Examiners, which meets the Health Plan's credentialing and recredentialing requirements.
Board Certification in a medical specialty; and
Satisfactory completion of an American Council of Graduate Medical Education accredited residency program; and
Valid California driver license and reliable transportation or, the ability to obtain transportation on demand in the counties served by HPSJ if prohibited from getting a driver license due to a medically documented disability.
What You Will Get:
HPSJ Perks:
Competitive salary
Robust and affordable health/dental/vision with choices in providers
Generous paid time off (accrue up to 3 weeks of PTO, 4 paid floating holidays including employee's birthday, and 9 paid holidays)
CalPERS retirement pension program, automatic employer-paid retirements contributions, in addition to voluntary defined contribution plan
Two flexible spending accounts (FSAs)
Employer-Paid Term Life and AD&D Insurance
Employer-Paid Disability Insurance
Employer-Paid Life Assistance Program
Health Advocacy
Supplemental medical, legal, identity theft protection
Access to exclusive discount mall
Education and training reimbursement in addition to employer-paid elective learning courses.
A chance to work for an organization that is mission-driven - our members and community are at the core of everything we do.
A shorter commute - if you're commuting from the Central Valley to the Bay Area.
Visibility and variety - you have a chance to work with people at all levels of the organization, and work on diverse projects.
$224k-321k yearly est. 1d ago
Member & Recipient Services Clinician (Sun-Wed, Remote NC)
Vaya Health 3.7
North Carolina jobs
LOCATION: Remote - this is a home based, virtual position. This person must reside in North Carolina or within 40 miles of the NC border. Work Schedule: Sunday - Wednesday from 10am-9pm. Due to the nature of the Call Center and the Behavioral Health Crisis line, the job may require some holiday work throughout the year.
GENERAL STATEMENT OF JOB
This position is within the Member and Recipient Services Department at Vaya Health. The Member and Recipient Services Clinician is responsible for providing an array of functions to assist consumers in receiving clinically appropriate assessments and services. Telephone calls come to the unit via a 1-800 number from members, recipients, families, agencies, organizations, professionals and others within Vaya's catchment area. The Behavioral Health Crisis service line operates 24 hours per day, seven days per week, 365 days per year and the employee is subject to working holidays and holiday rotation as deemed necessary by the business.
The primary purpose of the position is to provide telephone screening and triage for callers and families who are seeking mental health, substance abuse, or developmental disability services. The unit assesses the nature of the caller's situation, determines the urgency of the caller's need, and makes a referral to the most appropriate service available based on the caller's location and insurance plan.
Duties include linking callers to needed services within clinically appropriate time frames, including telephonic clinical triage and referral which includes a determination of need for urgent or emergent services. In addition to providing clinical support the position will also directly handle any telephonic requests for services at times of heavy call volume.
The employee works productively and efficiently with a wide variety of consumers, families, agencies, professionals, law enforcement and others in the community. Callers may be in distress or in emergency or crisis situations requiring speedy assessment and intervention. Some callers are at risk to harm themselves or others and this risk must be accurately assessed. The high volume of calls requires the employee to balance the need to do a careful and accurate telephone assessment of the consumer's need and situation, with the need to be efficient in the use of time to complete the screening and triage interaction. The employee develops and maintains the knowledge and skills necessary to accurately assess and refer consumers from all disability areas, and also maintains a good working knowledge of resources available throughout Vaya's entire catchment area.
Note: This position requires access to and use of confidential healthcare information or protected health information (PHI) as described in laws addressing patient confidentiality, including, but not limited to, the federal HIPAA law, the Confidentiality of Alcohol and Substance Abuse Patient Records law, 42 CFR Part 2, and various state laws. As such, the individual filling this position shall be required to be trained regarding such laws and shall be required to observe those laws in his/her capacity as an employee of Vaya Health. The individual filling this position shall also sign a confidentiality statement as an employee of Vaya Health.
ESSENTIAL JOB FUNCTIONS
Handle telephonic requests for services, respond to member and recipient calls, and provide requested information:
Member and Recipient Svcs Clinician perform clinical screening, triage and referral to callers needing services, answer and provide disposition to service request calls at times of heavy call volume, and handle crisis calls in the Member and Recipient Services Call Center. Member and Recipient Svcs Clinicians triage calls for urgency and facilitate access to crisis services when risk indicators are present. Where safety is at risk, the employee initiates immediate intervention via law enforcement or emergency medical assistance. Member and Recipient Svcs Clinicians will provide information and educate callers about the involuntary commitment process, as appropriate based on assessment of risk.
The employee provides brief crisis interventions and/or support when indicated to facilitate the assessment process, encourages compliance, addresses safety issues, etc. Clinical functions are performed by the Member and Recipient Services Clinicians.
Member & Recipient Svcs Clinician will inquire about the caller's needs, determine clinical urgency, review and confirm member and recipient eligibility, collect necessary demographic information, offer choice of available providers based upon the consumers request and service needs, and schedule appointments within established access time standards.
The Member & Recipient Svcs Clinician will inform a Member Services Manager and/or appropriate Network Development staff of gaps and needs associated with trends that are detected within the services system for timely analysis and resolution.
For information calls, this position will provide information about Vaya, the Vaya provider network, community resources, and about Medicaid services in the State of NC. Member & Recipient Svcs Clinician shall receive extensive training on customer services skills such as the use of appropriate tone, cadence, inflection, and choice of recovery oriented and/or person-centered wording. All Member and Recipient Services Representatives must adhere to NCMT Call Grading Rubric provided by NCDHHS.
This position requires a high degree of communication skills and professionalism with various parties- members, recipients, providers, vendors, community organizations, legal guardians, and more. The Member and Recipient Svcs Clinician will complete warm transfers and linkages to a variety of different parties to assist the caller with correct linkage.
Documentation in the electronic information system:
The Member & Recipient Svcs Clinician completes call notes, forms, reports and other documentation as required. The Member and Recipient Services Clinician will complete required documentation at the time of call. This position requires a high degree of technical skills with utilization of multiple systems/logins throughout a phone call.
Specialized projects and reviews:
The Member & Recipient Svcs Clinician will assist in specialized Member Services Departmental projects as requested by the Member and Recipient Services Managers or Directors, and/or the Vice President of Member and Recipient Services.
Other duties as assigned.
KNOWLEDGE, SKILLS, & ABILITIES
A high level of diplomacy and discretion is required to effectively negotiate and resolve issues with minimal assistance. This will require exceptional interpersonal skills, highly effective communication ability, and the propensity to make prompt independent decisions based upon relevant facts. Problem solving, negotiation, arbitration and conflict resolution skills are essential to balance the needs of both internal and external customers.
Mastery of utilization review principles to resume continuity of care and clinical evaluations as needed for appropriate provision of intensive, crisis services and other levels of care to ensure linkage to correct services;
Knowledge of documentation and clinical protocols for utilization purposes.
Knowledge of linage, authorization and level of care determinations, assisting providers with creative problem solving to suggest alternative approaches to care.
Clinical knowledge of managed systems of mental health and substance abuse. Knowledge of managed behavioral care practices.
Ability to collaborate with providers and other agencies.
Clinical knowledge of mental health and substance abuse treatment as a basis for clinical triage and referral decisions
Comprehensive knowledge of resources and the ability to use a personal workstation.
Knowledge of databases and data entry is essential. A degree alone does not prepare an applicant for this position. Experience providing mental health, substance abuse, or intellectual/ developmental disabilities services are essential. This employee should have knowledge of individual and group dynamics, and will learn de-escalation of telephonic situations, and a thorough knowledge risk indicators. Considerable knowledge of governmental and private organizations and resources in the community is beneficial. Considerable knowledge of the laws, regulations, and policies that govern MCO operations is beneficial. Skill in establishing rapport with staff/consumers in discussing their issues in a sensitive, supportive and nonjudgmental way is necessary. Ability to establish and maintain effective working relationships with community members and provider agency staff is necessary.
Other skills or abilities require are as follows:
Knowledge of behavioral health principles, techniques, and practices, and their applications to complex treatment and service provision.
Considerable knowledge of person-centered and recovery philosophies.
Familiarity with mental health, developmental disability and substance abuse disorders.
The ability to remain professionally responsive in an ethical and sensitive manner to individual's needs throughout the course of the work day/shift.
The ability to work responsibility and effectively with others for a timely resolution of the caller's needs.
The ability to interact professionally and effectively with persons who are upset and who disagree.
Knowledge of the laws, regulations, and policies which govern human services and utilization management.
The ability to express ideas clearly and concisely orally and in writing, and to plan and execute work effectively and efficiently.
The ability to utilize complex telephone and computer systems, and to read and document information electronically.
EDUCATION & EXPERIENCE REQUIREMENTS
Master's degree in a Human Services field (such as Psychology, Social Work, etc.) and at least two (2) years of post-degree-progressive experience providing services in the population served OR graduation from a State accredited school of nursing and two years of experience in psychiatric nursing which provides the knowledge, skills, and abilities needed to perform the work; or an equivalent combination of education and experience.
Must possess a current and valid professional license or certificate in North Carolina; or possess a current and valid license or certificate from another state or be certified by the national accrediting body appropriate to their profession. (URAC HCC 5)
Experience in the public mental health field and a thorough understanding of the services available in the catchment area is highly desired due to the complexity of the work of the organization. Prior experience in a Call Center environment in Behavioral Healthcare would be valuable for this employee.
A degree alone does not prepare an applicant for this position. Experience providing mental health or substance abuse services are essential.
No experience can be substituted for the formal degree.
Licensure/Certification Required:
Must possess a current, active, unrestricted professional license or certification from North Carolina in a Human Services field (such as Psychology, Social Work, Counseling, Marriage and Family Therapy, Addictions, etc.). Acceptable licenses include Licensed Clinical Social Worker (LCSW), Licensed Clinical Mental Health Counselor (LCMHC), Licensed Clinical Addictions Specialist (LCAS), Doctor of Psychology (Psy. D.), PhD. Psychologist, Licensed Marriage and Family Therapist (LMFT) or Licensed Psychological Associate (LPA). For RN candidates, the employee must have a current, active, unrestricted professional license to practice as a registered Nurse in North Carolina by the NC Board of Nursing.
PHYSICAL REQUIREMENTS
Close visual acuity to perform activities such as preparation and analysis of documents; viewing a computer terminal; and extensive reading.
Physical activity in this position includes crouching, reaching, walking, talking, hearing and repetitive motion of hands, wrists and fingers.
Sedentary work with lifting requirements up to 10 pounds, sitting for extended periods of time.
RESIDENCY REQUIREMENT: The person in this position is required to reside in North Carolina or within 40 miles of the North Carolina border.
SALARY: Depending on qualifications & experience of candidate. This position is exempt and is not eligible for overtime compensation.
DEADLINE FOR APPLICATION: Open Until Filled
APPLY: Vaya Health accepts online applications in our Career Center, please visit ******************************************
Vaya Health is an equal opportunity employer.
WORK SCHEDULE: Sunday -Wednesday from 10am-9pm. Due to the nature of the Call Center and the Behavioral Health Crisis line, the job may require some holiday work throughout the year.
$25k-31k yearly est. 5d ago
Hybrid System Engineer I - MedTech Testing
El Camino Health 4.4
San Francisco, CA jobs
A leading digital healthcare company in San Francisco is seeking a System Engineer I to support development of innovative testing solutions for medical devices. This hybrid role requires collaboration across multiple engineering disciplines, and provides a unique entry-level opportunity within the MedTech industry. Candidates should have a Bachelor's degree, familiarity with lab equipment, and basic programming skills.
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$101k-134k yearly est. 1d ago
Director, HR Business Partner - Commercial (Hybrid)
Gilead Sciences, Inc. 4.5
Foster City, CA jobs
A global healthcare company located in Foster City, California, is looking for a Director, HR Business Partner. This role involves partnering with the U.S. Commercial organization, providing strategic HR support, and participating in leadership teams while promoting an inclusive culture. Candidates should have extensive experience in HR, strong communication skills, and the ability to manage complex organizational dynamics. The position offers a hybrid work model, a competitive salary range, and comprehensive benefits.
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A biotechnology firm based in California seeks a candidate for a supervisory role requiring excellent attention to detail and strong communication skills. Responsibilities include supervising personnel, maintaining lab inventory, and performing administrative duties. The ideal candidate should have at least 3 years of experience in supervising teams and GMP manufacturing with a focus on liquid handlers and reagent formulations. The position supports a hybrid work model to ensure work-life balance while advancing innovative science for patients.
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$65k-83k yearly est. 2d ago
Senior Enterprise Security Engineer - Hybrid SF
Persona 4.3
San Francisco, CA jobs
An innovative technology company in San Francisco seeks a Security Lead to fortify their defenses against evolving threats. In this role, you'll develop and implement security tools, collaborate across teams on best practices, and manage insider threat programs. Candidates should have 3+ years in IT security, experience with endpoint hardening, and strong coding skills in Ruby or Python. The company offers a competitive benefits package, promoting a supportive work culture.
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$135k-181k yearly est. 2d ago
Remote Board-Certified Genetics Lab Director (Sign-Out & QA)
Quest Diagnostics 4.4
San Juan Capistrano, CA jobs
A leading diagnostics company is seeking a Board Certified Sign Out Director of Genetics. Responsible for interpretation of molecular genetic assays and implementing new assays. Candidates must have California Clinical Genetics Molecular Certification and a strong background in NGS. This role allows for remote work, making it a versatile option for qualified candidates. Join a vibrant team dedicated to quality assurance in genetic testing and contribute your expertise in a dynamic environment.
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A healthcare technology company is seeking a Senior Product Marketing Manager to drive market differentiation and growth. This role involves executing go-to-market strategies, enhancing product messaging, and enabling sales teams for optimal performance. The ideal candidate has over 8 years in product marketing, especially within healthcare or B2B SaaS. A strong narrative and cross-functional collaboration with teams is essential. Compensation ranges from $144,000 to $175,000 annually, reflecting experience and qualifications.
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$144k-175k yearly 3d ago
Senior Technical Systems Analyst
Home Care 4.0
San Francisco, CA jobs
Senior Technical Systems Analyst page is loaded## Senior Technical Systems Analystlocations: San Francisco, CAtime type: Full timeposted on: Posted 30+ Days Agojob requisition id: JR1423IOA is on the forefront of revolutionary healthcare models, reshaping the way people can age in place. Our innovative models transform lives, enhance communities, and save healthcare systems millions of dollars. Rather than focusing on archaic outdated design, we strive to consistently question the “status-quo” and create new and more innovative ways to help aging adults and adults with disabilities maintain their quality of life.With over 23 programs, we offer multiple ways to aid seniors maintain their health, well-being, independence and participation in the community, fulfilling our mission.The Senior Technical Systems Analyst will be responsible for analyzing business processes and identifying opportunities for optimization through automation and AI solutions. Will work closely with cross-functional teams, including IT, product management, and stakeholders, to design and implement systems and solutions that enhance operational efficiency, reduce manual tasks, and support the overall business transformation goals. Your work will directly contribute to the modernization of our internal processes, improving service delivery to our employees and clients. This role is based in our San Francisco office, located on Geary Blvd, with the flexibility to work remotely as needed.**This is a Hybrid role (3days onsite required)**Key Responsibilities:**Process Analysis & Improvement:*** Conduct in-depth analysis of current business processes across various departments, focusing on identifying areas for automation and AI integration.* Work with business and technical teams to document business requirements, map processes, and develop detailed system specifications.* Develop and maintain workflows, system diagrams, and documentation for business process automation and AI initiatives.* Partner with stakeholders to define pain points and bottlenecks, recommending technical solutions that align with business goals.**AI and Automation Implementation:*** Lead the design and implementation of business automation solutions and AI capabilities, leveraging existing platforms such as Microsoft Azure, HubSpot, and other enterprise systems.* Collaborate with IT and AI teams to ensure that AI models, tools, and processes are effectively integrated into business operations.* Evaluate emerging AI and automation technologies to determine their potential fit within the organization, ensuring that they align with our security, compliance, and operational standards.**Technical Expertise & Leadership:*** Provide technical leadership and guidance to junior analysts, developers, and project teams, ensuring that system designs meet the company's objectives and technical requirements.* Work closely with project managers and IT teams to deliver automation and AI-driven projects on time and within scope.* Assist in system testing and validation of AI and automation tools, ensuring they meet functional and performance requirements.**Collaboration & Communication:*** Communicate effectively with both technical and non-technical stakeholders, translating complex technical information into clear, actionable insights.* Collaborate with internal teams to gather feedback, continuously refining and improving systems and processes.* Document and present analysis, recommendations, and progress reports to senior leadership and other key stakeholders.Required Qualifications:**Experience:*** Bachelor's degree in Computer Science, Information Technology, or a related field.* 7+ years of experience in systems analysis, with at least 3 years focusing on AI, automation, or digital transformation initiatives.* Proven experience working on automation, process optimization, and business transformation projects.* Strong background in analyzing and improving business processes, preferably within the healthcare industry.**Technical Skills**:* Experience with business automation platforms (e.g., Microsoft Power Automate, n8n, or similar).* Familiarity with cloud platforms (Microsoft Azure, AWS, etc.) and tools for system integration.**COMPENSATION:*** $106,996 - 135,000/Annual*This amount is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any specific employee, which is always dependent on actual experience, education and other factors.***Beware of Hiring Scams**We are aware that some third parties have reposted our job listings in an attempt to scam applicants. Please be cautious and only apply through our official channels.* Institute on Aging will never request payment or sensitive personal information such as Social Security numbers during the hiring process.* All official communication will come from a verified IOA email address.* If you receive any suspicious communication or requests, report them to *********************************.* All legitimate job openings can be found on the .*We encourage you to learn more about IOA by visiting .**IOA reserves the right to adjust work hours or duties when appropriate.**Institute on Aging is an Equal Opportunity Employer. Institute on Aging is committed to cultivating a diverse and inclusive work environment and providing equal opportunities to all employees and job applicants without regard to age, race, religion, color, national origin, sex, sexual orientation, gender identity, genetic disposition, neuro-diversity, disability, veteran status or any other protected category under federal, state and local law.**Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.*A job with benefits that goes above and beyond.From competitive salaries to investment and retirement opportunities, we offer our employees first-rate benefits. Coupled with outstanding health coverage, robust wellness programs, and additional perks, we make a rewarding career even more rewarding.
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