Clinical Operations Policy Analyst (San Francisco)Insight Global • San Francisco, CA, United States
Clinical Operations Policy Analyst (San Francisco)
Insight Global • San Francisco, CA, United States
7 days ago
Job type
- Full-time
Job descriptionDevelop and revise Clinical Operations policies and present these policies to UM Committee and the Policy and Compliance Committee for approval. Monitor new and updated regulations, APLs, and CMS rules and perform gap analyses to identify compliance risks. Develop and deliver training on new or updated UM policies to internal staff. Prepare pre-onsite documentation for external audits (DHCS, DMHC, CMS, NCQA). Provide administrative support for UM Committee (agendas, minutes, compliance tracking) and ensure UM Committee actions are implemented and documented. Draft member and provider-facing UM communications (e.g., website and newsletter content). Develop work plans for achieving goals and implementing projects helping the Clinical Operations team. Help develop reports and conducting analysis to manage Clinical Operations process improvements and quality efforts. Work with UM Program Manager and Clinical Operations leadership to facilitate Clinical Operations regulatory and accreditation audit processes. Create Clinical Operations documents such as DeskTop Processes and reference materials.
Annual Salara between 60-90k depending on experience
Create a job alert for this search
Policy Analyst • San Francisco, CA, United States
Related jobs
A company is looking for a VP of Clinical Operations.Key Responsibilities Provide leadership and oversight to clinical teams to achieve performance metrics Implement standards and processes to i...Show more
Direct Hire! 100% Paid Benefits! For the last 53 years, this 14 Provider Clinic, has been one of the top Clinics, supporting the entire Bay Area.
They partner with the likes of CPMC, UCSF, Stanford,...Show more
Country Clinical Operations Excellence Lead.At Roche / Genentech Pharma Product Development Global Clinical Operations (PDG), we are determined to transform drug development and realize our Pharma Am...Show more
Synergy Medical Staffing is seeking a travel Physical Therapy Assistant for a travel job in San Rafael, California.Job Description & Requirements.
Location : San Rafael, California.Shift : 5x8 Day...Show more
The Pharma Product Development (PD) Global Clinical Operations (PDG) team is committed to realizing Roche’s bold ambition of delivering 20 transformative medicines by 2029.Joining our Clinical Oper...Show more Global Senior Clinical Operations Excellence Leader.In Pharma Product Development (PD) Global Clinical Operations (PDG), we are committed to transforming drug development and realizing Roche's ambi...Show more 
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better.
Our mission is to help people lead healthier, more fulfilling lives...Show more
Medical Solutions Allied is seeking a travel Physical Therapy Assistant for a travel job in San Rafael, California.Job Description & Requirements.
We’re seeking talented healthcare profess...Show more
The Clinic Operations Manager (COM) manages or assists in managing one or more facilities providing ambulatory care services.
Ensures staff provides high quality, cost-effective, accessible, and pat...Show more
Are you ready to take your career to the next level by joining a global medical device market leader in diabetes care? At Insulet Corporation, we are transforming lives with innovative products tha...Show more
Triage Staffing is seeking a travel Physical Therapy Assistant for a travel job in San Rafael, California.Job Description & Requirements.
Travel Rehab : Physical Therapy San Rafael.Location : ...Show more
Septerna is a biotechnology company based in South San Francisco, CA on a mission to develop life-changing medicines for patients with the vision to become the industry-leading G protein-coupled re...Show more
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better.
Our mission is to help people lead healthier, more fulfilling lives...Show more
Reporting to the Manager, Clinical Operations, the Clinical Operations Policy Analyst is an experienced Utilization Management (UM) role responsible for developing UM policies, procedures, and comp...Show more
Develop and revise Clinical Operations policies and present these policies to UM Committee and the Policy and Compliance Committee for approval.
Monitor new and updated regulations, APLs, and CMS ru...Show more A company is looking for a Director of Clinical Operations.Key Responsibilities Update and approve job descriptions Oversee clinical operations and ensure alignment with organizational goals Co...Show more 
Grata is building the first AI-native addiction clinic combining virtual medication-assisted treatment (MAT), therapy, and peer support with.
Were backed by top venture investors and were scaling n...Show more
Ascentia Staffing is seeking a travel Clinic Physical Therapy Assistant for a travel job in Pinole, California.Job Description & Requirements.
A Travel Physical Therapy Assistant is needed in Pi...Show more
Arizona Licensed VP of Clinical Operations
VirtualVocations • Concord, California, United States
Full-time
Last updated: 1 day ago • Promoted
Clinical Operations Director
MediQuest Staffing • El Cerrito, California, US
Permanent
Last updated: 11 days ago • Promoted
Country Clinical Operations Excellence (CoE) Lead
Genentech • South San Francisco, CA, US
Full-time
Last updated: 24 days ago • Promoted
Travel Physical Therapy Assistant
Synergy Medical Staffing • San Rafael, CA, US
Permanent
Last updated: 30+ days ago • Promoted
Global Clinical Operations Excellence Lead
Genentech • San Francisco, CA, United States
Full-time
Last updated: 18 days ago • Promoted
Global Senior Clinical Operations Excellence Leader
Genentech • South San Francisco, CA, US
Full-time
Last updated: 18 days ago • Promoted
Clinical Psychologist (PsyD, PhD) - Moss Beach, CA
LifeStance Health • Moss Beach, CA, US
Full-time
Last updated: 7 days ago • Promoted
Travel Physical Therapy Assistant
Medical Solutions Allied • San Rafael, CA, US
Full-time
Last updated: 30+ days ago • Promoted
Clinic Operations Manager (San Francisco)
North East Medical Services • San Francisco, CA, United States
Full-time
Last updated: 5 days ago • Promoted
Clinical Services Manager - San Francisco, CA (Field Based)
Insulet Corporation • San Francisco, CA, US
Full-time
Last updated: 18 days ago • Promoted
Travel Physical Therapy Assistant
Triage Staffing • San Rafael, CA, US
Full-time
Last updated: 30+ days ago • Promoted
Director, Clinical Operations
Septerna • South San Francisco, CA, US
Full-time
Last updated: less than 1 hour ago • Promoted • New!
Licensed Mental Health Therapist (LMFT, LCSW, LPCC) - Moss Beach, CA
LifeStance Health • Moss Beach, CA, US
Full-time
Last updated: 30+ days ago • Promoted
Clinical Operations Policy Analyst
San Francisco Health Plan • San Francisco, CA, United States
Full-time
Last updated: 16 days ago • Promoted
Clinical Operations Policy Analyst
Insight Global • San Francisco, CA, United States
Full-time
Last updated: 10 days ago • Promoted
Director of Clinical Operations
VirtualVocations • Fremont, California, United States
Full-time
Last updated: 30+ days ago • Promoted
Clinical Operations Lead (San Francisco)
Grata Health • San Francisco, CA, United States
Full-time
Last updated: 2 days ago • Promoted
Travel Clinic Physical Therapy Assistant
Ascentia Staffing • Pinole, CA, US
Full-time
Last updated: 30+ days ago • Promoted