Medical Director (MD) at Central California Alliance for Health

Hollister, California, United States -

Full Time

Start Date

Immediate

Expiry Date

26 Jun, 26

Salary

408000.0

Posted On

29 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical Leadership, Utilization Management, Quality Improvement, Population Health, Pharmacy, Care Management, Stakeholder Relations, Regulatory Compliance, Critical Thinking, Strategic Clinical Leadership, Medicaid Populations, Social Determinants Of Health, Program Development, Project Management, Change Management, Clinical Informatics

Industry

Hospitals and Health Care

Description

OUR COMMITMENT TO A HUMAN HIRING PROCESS We believe every candidate deserves thoughtful consideration. That’s why we do not use AI or automated systems to review applications. Every application is reviewed by a real human member of our team. Because we take the time to give each submission the attention it deserves, our review process may take a little longer — and we genuinely appreciate your patience as we work through applications carefully and respectfully. SERVICE AREA PREFERENCE While we encourage all interested applicants to apply, we do give priority to those who live in, or near, our service counties: Santa Cruz, Monterey, Merced, San Benito, and Mariposa. Our mission of accessible, quality health care guided by local innovation leads everything we do, and having team members who are connected to the communities we serve strengthens our ability to deliver on that commitment. We have an opportunity to join the Alliance as the Medical Director (MD). This is a hybrid position with the expectation to work in our service area(s) 2-3 days per month. The Alliance service area includes Merced, Santa Cruz, Monterey, San Benito, and Mariposa counties. WHAT YOU'LL BE RESPONSIBLE FOR Reporting to the Chief Medical Officer, this position: Provides clinical leadership within one or more of the Health Services functional areas, such as Utilization Management, Quality Improvement and Population Health, Pharmacy, Care Management, and Enhanced Health Services Develops and improves relationships with internal and external stakeholders, including the professional medical community, and maintains and enhances communications with similar Health Plan organizations Participates in all aspects of regulatory compliance related to Health Services functions THE IDEAL CANDIDATE Enjoys a fast-paced, demanding environment that requires critical thinking to develop and implement effective solutions in a timely manner Is dedicated to providing strategic clinical leadership for Medicaid populations, ensuring high‑quality, equitable care while integrating social determinants of health into program and policy decisions Works with a broad and diverse group of stakeholders to problem-solve and build innovative programs Has the latitude to think broadly, make operational and strategic decisions, and oversee the implementation and continuous process improvement related to key internal and external priorities Leverages clinical informatics experience to interpret data, guide program design, and support technology-enabled care delivery WHAT YOU'LL NEED TO BE SUCCESSFUL To read the full position description and list of requirements, click here. Knowledge of: The methods of designing, operationalizing, evaluating, and iterating workflows and programs Data collection and management practices, as related to utilization and quality of medical care The principles and practices of program development and project management Applying and promoting change management principles The Managed care, Medi-Cal, Medicaid, and Medicare programs and healthcare regulatory processes Ability to: Independently navigate complex systems to effectively and efficiently implement new programs in a timely manner Communicate clearly and consistently and work collaboratively with stakeholders and partners, such as patients, community-based organizations, and healthcare providers Evaluate, qualitatively and quantitatively, a broad variety of programs and processes and use these evaluations to ensure ongoing quality improvement Analyze issues and think critically to ensure success in leading system change, make informed operational and strategic decisions, and oversee implementation and continuous process improvement related to key internal and external priorities Manage multiple projects simultaneously, organize work, and achieve goals and timelines Education and Experience: Doctor of Medicine or Doctor of Osteopathy from an accredited medical school and a current active and unrestricted license to practice medicine issued by the State of California, Board certification in a specialty recognized by the American Board of Medical Specialties, and a minimum of three years of experience working in medical programs administration, including experience with the peer review process; or an equivalent combination of education and experience may be qualifying. OTHER INFORMATION We are in a hybrid work environment, and we anticipate that the interview process will take place remotely via Microsoft Teams. While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected. In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process. COMPENSATION INFORMATION The hiring ranges below represent a good‑faith estimate of what we expect to pay for this role upon hire and are not the full compensation ranges. Employees typically have opportunities for growth within the full compensation range over time based on performance and merit. Final compensation will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferable experience related to the position, education, or training), as well as other factors (internal equity, market factors, and geographic location). The applicable salary ranges are based on work location and are aligned to a zone according to the cost of labor in your area. All ranges are subject to change in the future. We are happy to provide the full compensation range for the role, answer any questions that you have, or share the applicable pay zone for your location if it’s not one of the typical areas included below. You can reach out to careers@thealliance.health, and a member from our Talent Acquisition team will be in touch. Typical areas in Zone 1: Santa Cruz, San Benito, and Monterey Counties, Bay Area, Sacramento, Los Angeles and San Diego areas Typical areas in Zone 2: Mariposa and Merced Counties, Fresno area, Bakersfield, Eastern California, San Luis Obispo area, and the Central Valley (except Sacramento) Zone 1 (Monterey, San Benito and Santa Cruz) $330,000—$408,000 USD Zone 2 (Mariposa and Merced) $320,000—$385,000 USD OUR BENEFITS Medical, Dental and Vision Plans Ample Paid Time Off 12 Paid Holidays per year 401(a) Retirement Plan 457 Deferred Compensation Plan Robust Health and Wellness Program Onsite EV Charging Stations And many more ABOUT US We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us. The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer Join us at Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors and people with disabilities in Mariposa, Merced, San Benito and Santa Cruz counties. We currently serve more than 418,000 members. To learn more about us, take a look at our Fact Sheet. At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.

Responsibilities

The Medical Director provides clinical leadership across functional areas like Utilization Management, Quality Improvement, and Population Health, while developing and improving relationships with internal and external medical community stakeholders. This role also participates in all aspects of regulatory compliance related to Health Services functions.