Top 34 Vice president of clinical services Jobs in Sunnyvale Ca

Vice President, Health Services
Santa Clara Family Health Plan —San Jose, CA
- $260,809 - $417,294 a year
- Full-time
- Hybrid work
- RN License
- Licensed Clinical Social Worker
- Master's degree
- Health insurance
- Dental insurance
Quick Apply
2d
Vice President Medical Affairs
Precise Behavioral INC. —California
- $300,000 - $350,000 a year
- Full-time
- Remote
- Medicine
- Psychiatry
- Outpatient experience
- Health insurance
- Dental insurance
Quick Apply
Vice President, Strategy, Greater Silicon Valley Division
Sutter Health —Los Altos, CA
- $173.68 - $234.98 an hour
- Weekends as needed
- Customer service
- Word processing
- 11+ years
Executive Assistant II to the CMIO (Chief Medical Information Officer)
Stanford Health Care —Palo Alto, CA
- $50.67 - $65.87 an hour
- Full-time
- High school
- Basic math
- English
3d
Senior Director, Technology Enablement (Infrastructure & Operations)
Corcept Therapeutics —Redwood City, CA
- $256,000 - $312,000 a year
- Full-time
- 5 years
- Bachelor of Science
- Office
Quick Apply
Vice President, Sales Executive - West Emerging Client Portfolio
Deloitte —San Jose, CA
- $171,600 - $338,300 a year
- Full-time
- Bachelor of Science
- Bachelor's degree
- Mentoring
7d
Executive Director/Vice President, Commercial Operations (Tumor HI Program)
Rezolute —Redwood City, CA
- $290,000 - $340,000 a year
- Full-time
- Office
- Bachelor's degree
- Neurology
- Paid holidays
- Disability insurance
Quick Apply
VP Trade Compliance
Intuitive Surgical —Sunnyvale, CA
- $214,400 - $378,400 a year
- Day shift
- Surgery
- Bachelor of Science
- 11+ years
Vice President, Information Technology
PROCEPT BioRobotics Corporation —San Jose, CA
- $280,590 - $330,105 a year
- Full-time
- HIPAA
- 11+ years
- Machine learning
- Opportunities for advancement
Quick Apply
Healthcare Operations Manager
DAVITA —San Leandro, CA
- $96,200 - $151,000 a year
- Full-time
- CPR Certification
- RN License
- BLS Certification
- Paid training
- Health insurance
Director of Academic Integrity and Resolution
Palo Alto University —Palo Alto, CA
- $115,000 - $135,000 a year
- Full-time
- 5 years
- Residential
- Master's degree
Quick Apply
Senior Director - Construction
Stanford Health Care —Palo Alto, CA
- $106.01 - $140.47 an hour
- Weekends as needed
- Construction site
- Hospital
- Bachelor's degree
11d
Executive Director - Senior Living
HumanGood —Los Altos, CA
- $190,000 - $225,000 a year
- 5 years
- Master's degree
- Bachelor's degree
- Health savings account
- Health insurance
Quick Apply
Managing Staff Systems Analyst
Intuitive Surgical —Sunnyvale, CA
- $184,700 - $312,700 a year
- Day shift
- Surgery
- Computer Science
- Doctor of Philosophy
Director, Physician Recruitment
Silicon Valley Medical Development —Los Gatos, CA
- $218,000 - $249,000 a year
- Full-time
- Marketing
- Office
- Master's degree
Install Base Manager - Midwest
ACCURAY —Sunnyvale, CA
- Full-time
- Up to 50% travel
- Bachelor's degree
- Travel
Quick Apply
Clinical Pharmacist
Option Care Health —Hayward, CA
- $63.89 - $106.49 an hour
- Full-time
- Microsoft Word
- Driver's License
- Team management
- Continuing education credits
- Health savings account
Director, Corpsmember Support (MSW)
SAN JOSE CONSERVATION CORPS —San Jose, CA
- $100,000 - $121,000 a year
- Weekends as needed
- Background check
- Clean driving record
- Current TB test
- Paid jury duty
- AD&D insurance
Clinical Pharmacist
Option Care Enterprises, Inc. —Hayward, CA
- $63.89 - $106.49 an hour
- Full-time
- Microsoft Word
- Driver's License
- Supervising experience
- Continuing education credits
- Health savings account
Quick Apply
Hybrid BCBA
CENTER FOR SPEECH, LANGUAGE, AND OCCUPATIONAL THERAPY, INC., A PROFESSIONAL CORPORATION —San Jose, CA
- $45 - $50 an hour
- Part-time
- Hybrid work
- CPR Certification
- Management
- Mid-level
Quick Apply

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Vice President, Health Services

Santa Clara Family Health Plan -
San Jose, CA

Quick Apply

Job Details

Full-time
$260,809 - $417,294 a year
2 days ago

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Employee discount
Life insurance
Referral program
Retirement plan

Qualifications

Strategic management
RN License
Employee relationship building
Master's degree
Case management
Utilization management
Quality improvement
Healthcare management
Senior leadership

Full Job Description

About Us:

Santa Clara Family Health Plan (SCFHP) is a local, community-based health plan dedicated to improving the health and well-being of the residents of Santa Clara County. Working in partnership with providers and community organizations, we serve our neighbors through our Medi-Cal and SCFHP DualConnect (HMO D-SNP) health care plans.

About the role:

The Vice President, Health Services is responsible for optimizing the quality and value of health care received by health plan members by providing consistent, innovative leadership and direction to design, implementation, analysis, monitoring and reporting of effective and efficient health management services across all lines of business. This includes management and oversight of all strategic and operational functions of the Case Management, Utilization Management, Quality Improvement, Behavioral Health, Pharmacy and Long Term Supports Services departments. The position is also responsible for ensuring compliance with the state and federal requirements for these departments as well as related vendors. This position is also responsible for working in close collaboration with various Departments of Santa Clara County and Santa Clara Valley Health.

Day to Day:

To perform this job successfully, an individual must be able to satisfactorily perform each essential duty listed below.

Provides leadership, direction, and oversight to all of the Health Services areas (Case Management, Utilization Management, Quality Improvement, Behavioral Health, Pharmacy, Long Term Services and Supports, Process Improvement) and vendor(s) to ensure achievement of organizational, departmental and individual goals and maximize health outcomes for health plan members.
Designs, implements and administers best practices to ensure health care quality and value is maximized at the plan through appropriate utilization of health care services and contracts and relationships with delegates and vendors.
Assures effectiveness of departments by designing and monitoring key metric to continuously improve outcomes, and take targeted actions when metrics indicate improvement is warranted.
In conjunction with the Chief Medical Officer, develops and implements appropriate clinical policies and procedures and programs. Plans and prepares designated Committee meetings (Pharmacy and Therapeutics, Utilization Management, Quality Improvement). As well as assist with meeting.
Operationalizes new benefits, pilots and existing programs such as Palliative Care, Dual Eligible Special Needs Plan (DSNP), CalAIM, Student Behavioral Health Incentive Program (SBHIP) and Housing and Homeless Incentive Program (HHIP) among others.
Creates and reviews budgets of assigned departments as part of the annual planning and budgeting cycle and ongoing.
Contributes to the development of strategic planning for short and long term health plan goal development in conjunction with integration of Health equity measures to decrease disparities.
Develops innovative solutions to management and sharing of data needed for Health Services for operational and programmatic initiatives.
Drives new health services initiatives and collaborations across departments to support continuous improvement and health plan goals.
Instills a culture of Continuous Process Improvement, identify, design and implement Process Improvement opportunities, implement new systems required to support health services operations.
Supports and builds cross-functional relationships with key partners across the organization. Motivates teams and individuals to achieve goals, while enforcing accountability.
Ensures ongoing audit readiness and compliance with regulatory requirements from Centers for Medicare and Medicaid Services (CMS), CA Department of Health Care Services (DHCS), CA Department of Managed Health Care (DMHC) and National Committee for Quality Assurance (NCQA).
Develops and maintains positive collaborative relationships with providers, delegates, community-based groups (CBO), Santa Clara County Departments to enhance plan community presence and build mutual partnerships.
Manages, coaches, and trains staff including hiring, firing, and performance evaluation.
Attend off-site meetings or events as necessary. Perform other related duties as required or assigned.

About You:

The requirements listed below are representative of the knowledge, skill, and/or ability required or desired.

Clinician with active unrestricted license to practice in the State of California (RN, NP, PA, LCSW, or equivalent clinical licensure).
Master’s degree in business, health care, public health, or related field.
Minimum of ten years of experience in senior-level management or director-level positions demonstrating increased levels of accountability.
Minimum of ten years of experience in mid to senior-level management positions demonstrating increased levels of accountability.
Certification in process improvement (Six Sigma, Lean, TQM). (Desired)
Demonstrated knowledge of CMS, DHCS and DMHC regulations.
Demonstrated knowledge of NCQA requirements and implementation.
Demonstrated successful leadership in program implementation and management and change management. Ability to plan, organize, administer and coordinate a variety of large and complex services, projects and programs.
Proven ability to exercise sound business judgment in determining priorities and resolving problems. Proven track record of success in plan management. Experience in strategic planning and development.

Please review the full job description on our Career’s page:: https://phf.tbe.taleo.net/phf04/ats/careers/v2/viewRequisition?org=SANTCLAR2&cws=38&rid=3149

Pay: $260,809.00 - $417,294.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Employee discount
Flexible spending account
Health insurance
Life insurance
Paid time off
Referral program
Retirement plan
Tuition reimbursement
Vision insurance

Application Question(s):

Do you have a minimum of ten years of experience in senior-level management or director-level positions demonstrating increased levels of accountability?
Do you have a minimum of ten years of experience in mid to senior-level management positions demonstrating increased levels of accountability.
Do you have demonstrated knowledge of CMS, DHCS and DMHC regulations?
Do have demonstrated knowledge of NCQA requirements and implementation?

Education:

Master's (Required)

License/Certification:

CA. (RN, NP, PA, LCSW, or equivalent clinical licensure) (Preferred)

Work Location: Hybrid remote in San Jose, CA 95119

Quick Apply

Refine Your Search

vice president of clinical services jobs in sunnyvale ca

Vice President, Health Services

Vice President Medical Affairs

Vice President, Strategy, Greater Silicon Valley Division

Executive Assistant II to the CMIO (Chief Medical Information Officer)

Senior Director, Technology Enablement (Infrastructure & Operations)

Vice President, Sales Executive - West Emerging Client Portfolio

Executive Director/Vice President, Commercial Operations (Tumor HI Program)

VP Trade Compliance

Vice President, Information Technology

Healthcare Operations Manager

Director of Academic Integrity and Resolution

Senior Director - Construction

Executive Director - Senior Living

Managing Staff Systems Analyst

Director, Physician Recruitment

Install Base Manager - Midwest

Clinical Pharmacist

Director, Corpsmember Support (MSW)

Clinical Pharmacist

Hybrid BCBA

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