Supervisor, Health Plan Clinical Operations, RN
Sacramentohybrid$199K – $278K
Posted today · via Workday
About this role
We are so glad you are interested in joining Sutter Health! Organization: Sutter Health Alliance - Valley Position Overview: Supervises the overall operations of the Health Plan Clinical Operations. The ideal candidate will have experience working within a commercial health plan environment, preferably in California, with a strong understanding of DMHC (Department of Managed Health Care) and NCQA (National Committee for Quality Assurance) regulatory and accreditation requirements. Experience in Utilization Management, including medical necessity reviews, authorization processes, and coordination with providers and members, is highly desirable.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
For this role: monday, teams
2
Level fit
We check your title trajectory against the seniority signal of the role.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is based in Sacramento. We weight your proximity and willingness to relocate.
Score yourself on this role.
Free · no card · written explanation included
Skills in this role
Pulled from the job description. These are the keywords we'll weight when scoring your fit.
mondayteams