Program Manager, Sr. (Student Behavioral Health Incentive Program)
By CalOptima At Orange, CA, United States
3 years of experience in managed care contracting for Medi-Cal with a health plan or large provider delivery system required.
3 years of Medi-Cal managed care contracting experience in Southern California market.
Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
Severs as the lead contact representing the Contracting department as a subject matter expert for SBHIP’s contract documents and requirements.
Analyzes, identifies, implements and manages changes to project scope, schedule and resources.
Works with providers and their related business personnel to negotiate and manage provider contracts.
Program Specialist Sr (Student Behavioral Health Incentive Program)
By CalOptima At Orange, CA, United States
Experience in the management of high-level organizational initiatives.
3 years of experience in project coordination on high level projects/programs required, preferably in a managed health care organization.
Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
Experience working with school based mental health.
About Our Benefits & Wellness Options
(Temporary Full-Time up to 1 Year)***
Program Manager Sr. (Behavioral Health)
By CalOptima At Orange, CA, United States
Project Management Professional (PMP) certification.
4 years of experience working in a managed care environment with specific experience in BH program and project management.
Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department.
Maintains current knowledge of applicable regulations or clinical guidelines related to program and project development.
2 years of experience and aptitude for working in a highly matrixed, mission-driven organization required.
Experience in a government or public environment.
Program Specialist Sr. (Behavioral Health)
By CalOptima At Orange, CA, United States
3 years of professional experience in a managed health care organization required.
Strong computer skills and experience working with Microsoft Word, Excel, Visio and PowerPoint required.
Assists the team in carrying out department responsibilities and collaborates with others to support short and long-term goals/priorities for the department.
About Our Benefits & Wellness Options
Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
Leads and/or participates on cross-functional teams responsible for the identification, implementation and evaluation of various behavioral health projects, activities and reports.
Behavioral Health Program Supervisor
By Kern County At Bakersfield, CA, United States

Oral Exam: will be conducted on August 2, 2023

If an additional day is necessary: oral exam will be continued on August 3, 2023

Medical Director, Behavioral Health (Part-Time)
By CalOptima At Orange, CA, United States
Experience in Utilization Management required.
Ensures medical decisions are rendered by qualified medical personnel and are not influenced by fiscal or administrative management considerations.
Utilizes assigned data analysts to produce tools used to report, monitor and improve utilization management.
Manages medical review processes; reviews prior authorization requests and conducts retrospective reviews of claims and appeals.
5 years of active clinical practice experience required.
Experience working with Medicare, Medi-Cal and MCG (Medicare Milliman Clinical Guidelines) required.
Assistant Deputy Director Of Behavioral Health (Open Until Filled)
By County of Napa, CA At , Napa, 94558, Ca $148,054 - $178,277 a year
County of Napa as an Employer
Assistant Deputy Director of Behavioral Health Job Brochure
This position is open until filled.
Please apply ASAP for first consideration.
Behavioral Health Program Director
By Planned Parenthood Mar Monte At San Jose, CA, United States
Monitor and evaluate the supervisee’s assessment, diagnosis and treatment decisions and providing regular feedback.
Ensure compliance with all laws governing the practice of marriage and family therapy.
Reviewing the supervisee’s progress notes, process notes, and other patient treatment records, as deemed appropriate by the supervisor.