Offer summary

Qualifications:

AA/AS degree or equivalent combination of education and work experience required., Preferred BA/BS in a related field., 4+ years of healthcare work experience required., 1+ years of supervisory experience with financial management preferred..

Key responsibilities:

Provide operational management of non-clinical staff supporting case management and utilization review activities.

Develop and maintain departmental policies, staffing protocols, and quality management programs.

Ensure compliance with legal, contractual, and accreditation standards.

Participate in business development and customer relations activities.

Job description

Category

Care Management

Job Location

Remote

Tracking Code

134778

Industry

Health Care

Job Level

Junior Management

Position Type

Full-Time/Regular

Years of Experience

2+ to 5 Years

Who is Comagine Health?

Comagine Health is a national, nonprofit, health care consulting firm. We work collaboratively with patients, providers, payers, and other stakeholders to reimagine, redesign and implement sustainable improvements in the health care system.

As a trusted, neutral party, we work in our communities to address key, complex health, and health care delivery problems. In all our engagements and initiatives, we draw upon our expertise in quality improvement, care management, health information technology, analytics, and research.

We invite our partners and communities to work with us to improve health and redesign the health care delivery system.

Provide operational management of non-clinical staff who support case management, utilization review, and/or specialty reviews activities.
Develop, implement, and maintain departmental policies and procedures, staffing protocols, training programs, quality management programs, and department budgets.
Ensure that department fully meets all required legal, contractual and accreditation standards as well as compliance with corporate policies.
Participate in business/product development, proposals and customer relations activities.
May also perform non-clinical work, e.g., processing providers’ requests for services, answering phone calls.
Monitor reports to ensure timely implementation and quality assurance for contract deliverables

Required Skills