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						<title>ALUMNI CAREER CENTER Search Results (&#39;employer:&quot;Morgan Consulting Resources Inc.&quot;&#39; Jobs)</title>
						<link>https://alumnijobs.cofc.edu</link>
						<description>Latest ALUMNI CAREER CENTER Jobs</description>
						<pubDate>Tue, 28 Apr 2026 01:23:14 Z</pubDate>
						
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									<link>https://alumnijobs.cofc.edu/jobs/rss/22227798/director-of-analytics</link>
								
								<title>Director of Analytics | Morgan Consulting Resources, Inc.</title>								
								<guid isPermaLink="true">https://alumnijobs.cofc.edu/jobs/rss/22227798/director-of-analytics</guid>
								<description>Nationwide,  Morgan Consulting Resources. Inc. has been retained by  UNITE HERE HEALTH  to recruit a hands-on  Director of Analytics  to help advance analytics capabilities and drive a more proactive, data-driven approach to managing healthcare cost trends. This position is remote with occasional travel to the office in Aurora, IL. 
 ABOUT THE COMPANY 
 UNITE HERE HEALTH serves more than 200,000 workers and their families across the hospitality and gaming industry nationwide. As a mission-driven, nonprofit health plan, the organization is known for its innovative approach to benefits design and its commitment to improving health outcomes while&#xa0;managing costs for a unique and diverse member population. 
 ABOUT THE POSITION 
 Reporting to the Senior Director of Analytics, the Director of Analytics will play a central role in shaping and advancing enterprise analytics capabilities focused on managing healthcare cost trends across UHH&#8217;s multi-market, multi-plan environment. This role is responsible for translating complex data into clear, actionable insights that inform cost containment strategies, vendor performance, clinical programs, and market-specific interventions. 
 This leader will help shift the organization from retrospective reporting to proactive trend management, building predictive and prescriptive analytics that identify cost drivers, quantify opportunity, and measure impact across a portfolio of initiatives, while also supporting day-to-day analytic needs across the business. 
 The ideal candidate is a highly organized, intellectually curious, and collaborative health plan analytics leader who brings experience from large, complex organizations, is comfortable working both strategically and hands-on, and can quickly establish credibility as a trusted partner by translating data into clear, actionable business and financial insights. 
 QUALIFICATIONS  
 
 Bachelor&#8217;s degree required; master&#8217;s strongly preferred 
 Project Management Institute Certification (PMP or similar) preferred 
 6+ years of experience in healthcare analytics, managed care, or health plan environments required 
 3+ years of department management experience required 
 Demonstrated experience analyzing medical and pharmacy claims data at scale required 
 Demonstrated experience in the use of leading analytics, predictive modeling and machine learning models and methods 
 Demonstrated and deep financial acumen and experience in demonstrating return on investment through provider network, population health, risk adjustment and payment integrity initiatives. 
 Deep understanding of healthcare cost structures, utilization drivers, and fee for service and value-based reimbursement models is required 
 
 EXCEPTIONAL BENEFITS  
 
 5 hour work week 
 Medical, Dental, Vision with premiums as low as $50/mo. for individuals and $100/mo. for families 
 Progressive Paid Time-Off (PTO) 
 11 Paid Holidays 
 401(k) 
 Generous Pension 
 Short- &#38; Long-term Disability, Life, AD&#38;D 
 Flexible Spending Accounts (healthcare &#38; dependent care) 
 Commuter Transit 
 Internal Development Opportunities 
 Tuition Reimbursement</description>
								<pubDate>Fri, 24 Apr 2026 17:38:43 -0400</pubDate>
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									<link>https://alumnijobs.cofc.edu/jobs/rss/22215758/chief-operating-officer</link>
								
								<title>Chief Operating Officer | Morgan Consulting Resources, Inc.</title>								
								<guid isPermaLink="true">https://alumnijobs.cofc.edu/jobs/rss/22215758/chief-operating-officer</guid>
								<description>Nationwide,  Morgan Consulting Resources, Inc. has been retained to conduct the search for the  Chief Operating Officer (COO) with America&#8217;s Physician Groups . 
 Location: Remote with base of operations being the Washington, DC office of APG and with links to APG&#8217;s Los Angeles office. This position is mainly remote with 10% travel for meetings with Corporate in Washington, DC and other key meetings and conferences. 
 About the Organization: 
 America&#8217;s Physician Groups (APG) is the leading national association of physician groups with decades of experience in value-based care &#8211; clinically integrated, comprehensive, risk-based and coordinated health care that is accountable for costs and quality. APG membership consists of more than 300 physician organizations with roughly 300,000 physicians and other clinicians who collectively care for roughly one in four Americans. The organization&#8217;s mission is to assist accountable physician groups in continuing to improve the quality and value of the health care that they provide to their patients. APG&#8217;s motto is &#8220;Taking Accountability for The Nation&#8217;s Health.&#8221; 
 Membership benefits for belonging to APG include engaging in the organization&#8217;s extensive advocacy on behalf of accountable care models; education about participation in these models, including two annual conferences and multiple virtual meetings and webinars; and opportunities to engage in leadership within the field through advocacy and other activities. &#xa0; 
 About the Position: 
 The Chief Operating Officer will&#xa0;be a highly motivated and skilled individual reporting directly to the CEO and responsible for overseeing, executing, and achieving excellence and efficiency in APG&#8217;s day-to-day operations.&#xa0;&#xa0; 
 The COO is the second highest ranking officer of the organization, playing a key role in management of APG&#8217;s finances, budgeting, membership operations management and growth, human resources, and other critical areas. The desired candidate will have expertise and experience in operations and financial management; a strategic approach and sensibility; a strong analytical mindset; experience in developing and implementing operational policies and procedures; experience in managing to a set of organizational objectives and key results/key performance indicators; and experience in adopting new technology tools to improve operations. Previous experience in a membership organization and in health care will be a plus. 
 Key Responsibilities: &#xa0; 
 Oversight of Operations 
 
 Working closely with the CEO, the COO will help to develop and implement operational policies, procedures, and strategies to assure organizational success and enhance productivity and performance. 
 Working directly with the CEO, the COO will be responsible for the financial soundness of the organization, developing budgets, monitoring financial performance, managing cash flow, helping to produce periodic operational and financial reports to the APG Board of Directors, serving as the primary liaison to APG&#8217;s outside accounting, audit, and legal firms, and serving as a key liaison to the APG Board of Directors&#8217; Finance Committee. 
 Working with the CEO, the COO will assist in the development of objectives and key results/key performance indicators for the organization and tracking these over time. 
 Recognizing that APG is a first and foremost membership organization, the COO will oversee and maintain collection of member and partner dues and other key revenue sources for the organization. The COO will also play a key role in developing and adapting the membership dues structure and related policies. 
 Working closely with several direct and dotted-line reports, the COO will oversee key operational functions and capabilities such as the organization&#8217;s customer relations management system, which serves as the primary mode of contact with members. 
 Together with the CEO, the COO will serve as a liaison to the investment advisory service that helps to manage APG&#8217;s investment accounts. 
 Together with the CEO, the COO will serve as the operational lead on key human resources functions of the organization, acting as the primary liaison and supplier of data and information to the Professional Employment Organization (PEO) that coordinates APG&#8217;s HR functions. The COO will also be the primary liaison to the investment advisor on APG employees&#8217; 401(k) accounts and the account holder (Empower). 
 
 Advancement of Operational Innovation   
 
 As a relatively small nonprofit, APG must continue to seek ever-greater operational efficiencies; thus, the COO will play a lead role in investigation and adoption of appropriate AI-related and other tools that can enhance performance of multiple organizational functions. 
 The COO will assist the CEO in exploring the potential of expansion of some operations to yield additional revenue sources beyond member dues and conference revenues. 
 
 Leadership and Team Development 
 
 Working with both direct and dotted-line reports, the COO will provide guidance and mentorship for other key APG personnel and help to foster a culture of accountability and collaboration. 
 The COO will be especially attentive to cross-functional collaboration and will work with other APG personnel to achieve requisite cross-training of staff and needed redundancy in key operational areas. 
 The COO will positively represent APG at all times by maintaining a success-oriented and professional demeanor. 
 
 Skills and Qualifications 
 
 Master&#8217;s or other advanced degree in business administration, law, management, accounting, or other related areas. 
 15 years of experience in operations and/or financial management of an organization; experience and expertise in budgeting, accounting and preparation of financial statements. Some experience in human resource management a plus. 
 Strategic and analytical thinker with strong decision-making skills. 
 Familiarity with or experience in membership organization. 
 Familiarity with, or willingness to learn, value-based health care and value-based provider payment models, and the ability to engage in deep and rapid learning about the goals and priorities of APG and its leadership. 
 Familiarity with and expertise in use of key business tools including project management software, Excel, customer relations management systems, PowerPoint. 
 Self-starter, comfortable with working and leading in a relatively small organization of ~20 individuals. 
 Demonstrated track record of integrity in financial and operations management. 
 Excellent verbal and written communications skills; ability to communicate clearly to the board of directors and other key stakeholders. 
 
 Benefits &#xa0; 
 Health, vision, dental, life, and disability insurance; 401(k) plan with employer contribution to profit-sharing regardless of employee contributions; generous Paid Time Off (PTO) program, as indicated in attached documentation from APG&#8217;s Professional Employment Organization, TriNet. 
 Short-Term Goals (First 6 Months): 
 
 Rapidly assess the current organizational landscape, develop a comprehensive understanding of existing structures and arrangements, and achieve operational fluency as quickly as possible. 
 Ensure timely preparation and delivery of monthly financial reports to the Board. 
 Address critical deadlines related to next year&#8217;s benefits structure, with key decisions required by August. 
 Oversee and support the audit process as it gets underway. 
 Assume responsibilities immediately, demonstrating agility and effectiveness in managing priorities from the outset. 
 Salary will be in the $285k to $300k range, commensurate with experience, plus annual performance bonus linked to achievement of objectives and key results (OKRs/KPIs).</description>
								<pubDate>Mon, 20 Apr 2026 12:02:12 -0400</pubDate>
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									<link>https://alumnijobs.cofc.edu/jobs/rss/22189021/director-medical-management</link>
								
								<title>Director, Medical Management  | Morgan Consulting Resources, Inc.</title>								
								<guid isPermaLink="true">https://alumnijobs.cofc.edu/jobs/rss/22189021/director-medical-management</guid>
								<description>Nationwide,  Morgan Consulting Resources, Inc. has been retained to lead the search for a  Director, Medical Management  for  TECQ Partners . This position is fully remote with an opportunity for quarterly travel to Houston, TX. 
 About the Company: 
 TECQ Partners operates as a value-based care organization supporting Medicare Advantage populations through direct contractual relationships with national and large enterprise health plans. The organization focuses on full-risk care models that align clinical outcomes, provider performance, and financial accountability. Its operating approach is designed to support coordinated care delivery while creating alignment between member needs and provider incentives. 
 Through its administrative and clinical platform, TECQ Partners enables provider groups to dedicate greater time and attention to patients with complex medical needs. Providers work within a single, integrated framework rather than managing multiple payer relationships, and participate in structured quality and performance programs tied to outcomes and cost management. 
 TECQ Partners provides an end-to-end set of operational and clinical support services in compliance with Centers for Medicare &#38; Medicaid Services (CMS) regulations and National Committee for Quality Assurance (NCQA) standards. These services include utilization management and case management activities, claims adjudication and payment operations, provider credentialing, regulatory and compliance support, financial and revenue cycle services, network oversight, population health management, quality and HEDIS performance improvement, and value-based care program execution. 
 Learn more at tecqpartners.com. 
 About the Position:  
 The Director of Medical Management provides operational oversight and performance leadership for Intake, Prior Authorization, Utilization Review, and related medical management correspondence, ensuring compliance with all regulatory, contractual, and accreditation requirements. The role also oversees Care and Case Management functions and is responsible for the strategic planning, scalability, and ongoing growth of the Medical Management department to support the current and future needs of TECQ Partners. 
 In this capacity, the Director of Medical Management serves as the primary liaison to contracted vendors and health plans for medical management related activities, including delegation oversight and audit coordination, particularly for plans that delegate credentialing and other medical management functions to TECQ Partners. 
 The Director of Medical Management works collaboratively across the organization and demonstrates the ability to foster strong communication and teamwork among physicians, medical management staff, corporate departments, external vendors, and senior leadership to support effective, compliant, and high-quality medical management operations. 
 This position, along with team members within assigned units and across the organization, fosters an engaging and professional environment committed to respect, inclusivity, continuous improvement, and teamwork. 
 Key Responsibilities: 
 
 Quality Programs &#38; Performance Improvement 
 Utilization &#38; Appeals Oversight 
 Delegation Oversight &#38; Health Plan Relations 
 Policies, Procedures &#38; Regulatory and Accreditation Compliance 
 Operational &#38; Workforce Management 
 Leadership, Budgeting &#38; Strategic Planning 
 Professional Judgment &#38; Development 
 
 Required Experience: 
 
 5+ years in a leadership position in care management in a health plan or medical group setting 
 5+ years of experience supervising clinical staff 
 2+ years of Medicare Advantage experience 
 Experience working in a health plan or an integrated health model 
 Current experience with CMS regulations and NCQA standards survey protocols 
 Experience with process development and program implementation 
 Comfortable working with partnered clinical health plans to support regulatory compliance and quality improvement programs 
 
 Required Qualifications: 
 
 Active and unrestricted Texas RN licensure; if not currently licensed in TX, must have a current RN license and obtain TX RN within six months of hire date 
 Bachelor&#8217;s degree required; master&#8217;s preferred 
 Current knowledge of Texas State and CMS regulations; knowledge of NCQA standards</description>
								<pubDate>Thu, 09 Apr 2026 15:03:36 -0400</pubDate>
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									<link>https://alumnijobs.cofc.edu/jobs/rss/22155658/director-configuration</link>
								
								<title>Director, Configuration | Morgan Consulting Resources, Inc.</title>								
								<guid isPermaLink="true">https://alumnijobs.cofc.edu/jobs/rss/22155658/director-configuration</guid>
								<description>Los Angeles, California,  Morgan Consulting Resources, Inc. has been retained by  L.A. Care Health Plan  to conduct the search for a  Director, Configuration . This position is based in Los Angeles, CA, with a hybrid schedule. 
 About L.A. Care Health Plan 
 Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation&#8217;s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. 
 About the Director, Configuration 
 Reporting to the Senior Director, Core Administrative Operations, the Director, Configuration will play a key leadership role in L.A. Care&#8217;s multi-year transformation of its core administrative operations, focused on improving accuracy, reliability, and performance across the claims ecosystem. This role is central to repositioning configuration as a true preventative control function, strengthening upstream processes to reduce downstream defects and drive more consistent, high-quality claims outcomes. 
 This leader will be responsible for building and advancing a more disciplined, scalable, and enterprise-integrated configuration capability within the QNXT platform. With broad cross-functional visibility, the Director will partner across operations, IT, and compliance to elevate governance, standardization, and execution, helping shape a more predictable, efficient, and high-performing operating environment. 
 Experience Requirements &#xa0; 
 This leader brings deep expertise in managed care configuration (QNXT preferred), along with a track record of leading teams and implementing structured, high-reliability processes in complex, regulated environments. 
 The ideal candidate is both technically grounded and strategically oriented, with the ability to translate operational and regulatory requirements into scalable system solutions. 
 
 At least 7 years of experience in a system configuration or managed care operations involving core administrative platforms (e.g. Cognizant QNXT). 
 At least 5 years of experience leading, supervising and/or managing staff in technical or operational environments. 
 Significant experience configuring benefits, pricing methodologies, provider payment logic, and related adjudication rules. 
 Extensive knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), International Classification of Diseases (ICD)-10, DRG/ Ambulatory Payment Classification (APC), and pricing methodologies. 
 Advanced knowledge of and experience with American Health Information Management Association (AHIMA) coding standards. 
 Knowledge of and experience with utilizing Systems Development Life Cycle (SDLC), configuration change management methodologies, testing protocols, document standards, and best practices. 
 Experience supporting audits, corrective actions, and regulatory reviews. 
 
 Mission &#xb7; Vision &#xb7; Values &#xa0; 
 L.A. Care&#8217;s mission is to provide access to quality healthcare for Los Angeles County&#8217;s vulnerable and low-income residents to support the safety net required to achieve that purpose. 
 L.A. Care&#8217;s vision is a healthy community in which all have access to the health care they need. 
 Organizational Values: 
 
 Accountable and responsive to the communities&#xa0;we serve and focus on making a difference. 
 Reflects a commitment to cultural diversity&#xa0;and the knowledge necessary to serve our&#xa0;members with respect and competence. 
 Driven by continuous improvement and&#xa0;innovation and aims for excellence and integrity. 
 Demonstrates L.A. Care&#8217;s leadership by active&#xa0;engagement in community, statewide and&#xa0;national collaborations and initiatives aimed at&#xa0;improving the lives of vulnerable low-income&#xa0;individuals and families. 
 Fosters and honors strong relationships with&#xa0;our health care providers and the safety net. 
 Empowers our members, by providing health&#xa0;care choices and education and encouraging&#xa0;their input as partners in improving their health. 
 Puts people first, recognizing the centrality of our members and the staff who serve them. 
 
 Benefits: Paid Time Off (PTO; tuition reimbursement; retirement plans; medical, dental &#38; vision; wellness program; volunteer time off (VTO). Salary range: $135,136 (min.) - $175,676 (mid.) - $216,218 (max.) with annual bonus potential. The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.</description>
								<pubDate>Fri, 27 Mar 2026 17:30:02 -0400</pubDate>
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									<link>https://alumnijobs.cofc.edu/jobs/rss/22155657/senior-manager-clinical-and-regulatory-operations</link>
								
								<title>Senior Manager, Clinical and Regulatory Operations | Morgan Consulting Resources, Inc.</title>								
								<guid isPermaLink="true">https://alumnijobs.cofc.edu/jobs/rss/22155657/senior-manager-clinical-and-regulatory-operations</guid>
								<description>Los Angeles, California,  Morgan Consulting Resources, Inc. has been retained by  L.A. Care Health Plan  to conduct the search for a  Senior Manager, Clinical and Regulatory Operations . This position is based in Los Angeles, CA, with a hybrid schedule.&#xa0;&#xa0; 
 About L.A. Care Health Plan 
 Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation&#8217;s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. 
 L.A. Care operates in a highly regulated environment where clinical decision-making and regulatory interpretation are central to ensuring compliance, quality of care, and member experience. The Clinical and Regulatory Operations function plays a critical role in maintaining defensible, consistent, and timely case handling across all lines of business, particularly in complex grievance and appeal scenarios. 
 About the Senior Manager, Clinical and Regulatory Operations. &#xa0; 
 Reporting to the Senior Director and Grievance Officer, Appeals and Grievances, the Senior Manager, Clinical and Regulatory Operations will play a critical role in ensuring clinical defensibility, reducing regulatory risk, and strengthening audit readiness across L.A. Care&#8217;s Appeals &#38; Grievances function. This leader oversees clinical case operations and regulatory interpretation, ensuring consistent, accurate, and compliant decision-making across all grievance, appeal, and State Fair Hearing cases. 
 This role partners closely with clinical, compliance, and operational leaders to reinforce high-quality case handling, elevate documentation standards, and ensure alignment with evolving regulatory requirements. The Senior Manager will help advance a more disciplined, reliable, and audit-ready environment, supporting the organization&#8217;s ability to deliver timely, equitable, and high-quality outcomes for members. 
 Education &#38; Experience Requirements &#xa0; 
 
 Registered Nurse (RN), active, current and unrestricted California License required. 
 Bachelors degree in nursing or related field required. 
 Masters degree in business administration or related field preferred. 
 6+ years of experience working in managed care operations, quality assurance, audit readiness, compliance, or related regulatory roles. 
 5+ years of experience in leading, supervising and/or managing staff. 
 Experience in Medicaid, Medicare, and Commercial managed care lines of business. 
 Demonstrated experience overseeing quality assurance programs, internal controls, or audit readiness functions within a health plan or similar setting. 
 Strong experience with DHCS, DMHC, CMS, and NCQA requirements related to grievances, appeals, quality-of-care processes, and audit expectations. 
 Experience developing and managing corrective action plans and driving sustainable remediation. 
 Experience collaborating with delegated entities, plan partners, or subcontracted networks. 
 Experience leading teams, projects, initiatives, or cross-functional groups. 
 Experience with analytic dashboards and visualization tools (Power BI, Tableau) preferred. 
 
 Mission &#xb7; Vision &#xb7; Values &#xa0; 
 L.A. Care&#8217;s mission is to provide access to quality healthcare for Los Angeles County&#8217;s vulnerable and low-income residents to support the safety net required to achieve that purpose. 
 L.A. Care&#8217;s vision is a healthy community in which all have access to the health care they need. 
 Organizational Values: 
 
 Accountable and responsive to the communities&#xa0;we serve and focus on making a difference. 
 Reflects a commitment to cultural diversity&#xa0;and the knowledge necessary to serve our&#xa0;members with respect and competence. 
 Driven by continuous improvement and&#xa0;innovation and aims for excellence and integrity. 
 Demonstrates L.A. Care&#8217;s leadership by active&#xa0;engagement in community, statewide and&#xa0;national collaborations and initiatives aimed at&#xa0;improving the lives of vulnerable low income&#xa0;individuals and families. 
 Fosters and honors strong relationships with&#xa0;our health care providers and the safety net. 
 Empowers our members, by providing health&#xa0;care choices and education and encouraging&#xa0;their input as partners in improving their health. 
 Puts people first, recognizing the centrality of our members and the staff who serve them. 
 
 Position Values: 
 
 This position requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in critical situations and work on-call. 
 This position requires handling various caseloads and flexibility to adapt to changing priorities which may include but not limited to redistributed work assignments, team projects, and other priorities as assigned. 
 
 Benefits: Paid Time Off (PTO; tuition reimbursement; retirement plans; medical, dental &#38; vision; wellness program; volunteer time off (VTO). Salary range: $117,509 (min.) - $152,762 (mid.) - $188,015 (max.) with annual bonus potential. The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.</description>
								<pubDate>Fri, 27 Mar 2026 17:25:00 -0400</pubDate>
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									<link>https://alumnijobs.cofc.edu/jobs/rss/22152656/senior-director-and-grievance-officer-appeals-and-grievances</link>
								
								<title>Senior Director and Grievance Officer, Appeals and Grievances | Morgan Consulting Resources, Inc.</title>								
								<guid isPermaLink="true">https://alumnijobs.cofc.edu/jobs/rss/22152656/senior-director-and-grievance-officer-appeals-and-grievances</guid>
								<description>Los Angeles, California,  Morgan Consulting Resources, Inc. has been retained by  L.A. Care Health Plan  to conduct the search for a  Senior Director and Grievance Officer, Appeals and Grievances . This position is based in Los Angeles, CA, with a hybrid schedule.&#xa0;&#xa0; 
 About L.A. Care Health Plan 
 Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation&#8217;s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. 
 L.A. Care continues to operate in an increasingly complex and highly regulated environment, where Appeals &#38; Grievances functions are under heightened scrutiny and play a critical role in ensuring regulatory compliance, operational integrity, and member experience. 
 About the Senior Director and Grievance Officer, Appeals and Grievances 
 Reporting to the Chief Operating Officer (COO), the Senior Director and Grievance Officer will lead the ongoing evolution of the organization&#8217;s Appeals &#38; Grievances function into a highly reliable, audit-ready, and enterprise-integrated capability, ensuring consistent, accurate, and compliant case handling across all lines of business. 
 This role carries enterprise-level accountability for grievance and appeal operations, including regulatory compliance, clinical decision oversight, audit readiness, and governance. The Senior Director will be responsible for strengthening internal controls, improving documentation quality, and ensuring the organization can consistently meet regulatory expectations in a high-volume, high-stakes environment. 
 Education &#38; Experience Requirements &#xa0; 
 
 Bachelor&#8217;s degree required. In lieu of degree, equivalent education and/or experience may be considered. 
 Master&#8217;s degree in business administration or related field preferred. 
 Registered Nurse (RN) &#8211; Active, current and unrestricted California license preferred. 
 9+ years of experience in health plan operations, managed care, appeals &#38; grievances, utilization management, clinical operations, or regulatory compliance. 
 8+ years of supervisor/management experience leading staff. 
 Experience leading teams, projects, initiatives, or cross-functional groups. 
 Extensive leadership experience in Medicaid, Medicare, and Commercial managed care lines of business, with deep understanding of their operational, regulatory, and service requirements. 
 Experience navigating regulatory and accreditation requirements, with a strong track record of applying complex regulatory standards to grievance, appeal, and quality-of-care operations. 
 Experience improving operational accuracy, strengthening documentation quality, and ensuring consistent alignment with federal and state regulatory expectations. 
 Experience leading organizations through high-stakes regulatory audits, with a consistent record of achieving compliant outcomes and driving sustainable remediation. 
 Extensive experience working within delegated, plan-partner, or subcontracted network environments, with demonstrated ability to oversee performance, ensure compliance, and manage complex accountability structures preferred. 
 Experience leading vendor management activities, including performance oversight, Service Level Agreement (SLA) adherence, quality monitoring, and alignment with regulatory and contractual requirements preferred. 
 Experience developing analytic dashboards and visualization tools (e.g., Power BI, Tableau) to support trend analysis, performance monitoring, and decision making preferred. 
 
 Mission &#xb7; Vision &#xb7; Values &#xa0; 
 L.A. Care&#8217;s mission is to provide access to quality healthcare for Los Angeles County&#8217;s vulnerable and low-income residents to support the safety net required to achieve that purpose. 
 L.A. Care&#8217;s vision is a healthy community in which all have access to the health care they need. 
 Organizational Values: 
 
 Accountable and responsive to the communities&#xa0;we serve and focus on making a difference. 
 Reflects a commitment to cultural diversity&#xa0;and the knowledge necessary to serve our&#xa0;members with respect and competence. 
 Driven by continuous improvement and&#xa0;innovation and aims for excellence and integrity. 
 Demonstrates L.A. Care&#8217;s leadership by active&#xa0;engagement in community, statewide and&#xa0;national collaborations and initiatives aimed at&#xa0;improving the lives of vulnerable low-income&#xa0;individuals and families. 
 Fosters and honors strong relationships with&#xa0;our health care providers and the safety net. 
 Empowers our members by providing health&#xa0;care choices and education and encouraging&#xa0;their input as partners in improving their health. 
 Puts people first, recognizing the centrality of our members and the staff who serve them. 
 
 Position Values: 
 
 The Senior Director, Appeals and Grievances requires work after hours, on weekends, and holidays. Please anticipate on-call work with occasional flexibility in hours/shift in critical situations. This position will work remotely with 1-4 days on-site monthly in Los Angeles. 
 
 Benefits: Paid Time Off (PTO; tuition reimbursement; retirement plans; medical, dental &#38; vision; wellness program; volunteer time off (VTO). Salary range: $171,925 (min.) - $232,100 (mid.) - $292,274 (max.) with annual bonus potential. The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.</description>
								<pubDate>Thu, 26 Mar 2026 15:39:14 -0400</pubDate>
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									<link>https://alumnijobs.cofc.edu/jobs/rss/22124085/senior-director-healthcare-procurement-and-contract-strategy</link>
								
								<title>Senior Director, Healthcare Procurement and Contract Strategy | Morgan Consulting Resources, Inc.</title>								
								<guid isPermaLink="true">https://alumnijobs.cofc.edu/jobs/rss/22124085/senior-director-healthcare-procurement-and-contract-strategy</guid>
								<description>Nationwide,  Morgan Consulting Resources, Inc.  has been retained to conduct the search for the  Senior Director, Healthcare Procurement and Contract Strategy  for  UNITE HERE HEALTH . This is a fantastic opportunity to join a deeply committed organization that serves 200,000+ workers and their families in the hospitality and gaming industry nationwide. 
 Location: This is a remote role with a strong preference for candidates in the Chicago area, with 15% to 25% travel to the Aurora, IL office (where the team resides) as well as other sites based on business needs. 
 About the Organization: 
 UNITE HERE HEALTH (UHH) is a multi-employer Taft-Hartley Trust Fund governed by a Board of Trustees composed of union and employer representatives. 
 Mission:  UHH&#8217;s mission is to provide health benefits that offer high-quality, affordable healthcare to their participants at better value with better service than is otherwise available in the market. UHH believes their success depends on innovation and engaging their participants. 
 For several decades, UNITE HERE HEALTH has served UNITE HERE! union workers in the hospitality, food service and gaming industries. Their benefits and innovative programs are designed to meet the triple aim of better care, better health, and lower costs while empowering participants to better manage their health and healthcare. 
 For more information about the organization, please visit:  https://www.uhh.org . 
 About the Position: 
 Reporting to the Senior Vice President of Network Strategy and Market Development, the Senior Director, Healthcare Procurement and Contract Strategy is responsible for all managed care contracting and vendor administration (MCVA) activities for the Aurora-based Plan Units. This exciting and important position will work alongside and directly manage a tenured Aurora-based MCVA team as well as work with executive leadership and operational management to develop and manage the MCVA&#8217;s strategic goals. Vendors include a wide range of managed care partners (see &#8220;External Relationships&#8221; below). 
 The Senior Director will provide their expertise in innovative contracting which will help UHH explore new opportunities to increase quality and decrease cost. We are looking for someone who loves to research creative ways to build relationships, create and enhance contracts, and who will take the initiative to research and learn markets that are important to UHH so they can become a subject matter expert. 
 The director will shepherd and support the Aurora-based MCVA team that finalizes negotiations; coordinate with internal and external stakeholders to implement contracts; and oversee the management of day-to-day contractual relationships with a wide range of managed care partners (contracted network carriers, vendors, and preferred providers). 
 Culture : UHH is a very hands-on, fast-paced, flat organization that prides itself in being innovative and progressive. Taking care of their participants is of highest priority. 
 Ideal candidate : This position requires more than expertise in contracting. Someone who enjoys reviewing and translating data, looking for opportunities in different markets to implement innovative programs for the benefit of the participants and the Fund. Candidates should demonstrate the ability to work with multiple stakeholders internally as well as externally. Knowledge of key markets &#8211; Chicago, Boston, New York, New Jersey &#8211; is a plus. 
 Reporting to this position:  Sr. Manager of Managed Care Contracting. 
 Essential Qualifications: 
 
 10-12 years or more of experience in a healthcare, managed care, or insurance organization 
 Excellent understanding of, and experience in leading, contracting efforts of the full range of managed care and healthcare approaches, including innovative models such as risk-sharing arrangements and capitation, as well as more unique and/or direct-provider arrangements 
 Working knowledge of current legislative requirements under ACA, COBRA, HIPAA, DOL, as related to health benefits, eligibility, payment, appeals, etc. 
 Strong data and financial analysis acumen and experience 
 Strong report writing and presentation experience 
 Demonstrated strong leadership and interpersonal skills to lead others to achieve results in a team-oriented environment 
 Knowledge of and experience working with union, Taft-Hartley Trust Funds or mission-driven non-profit organizations are a plus 
 Bachelor&#39;s degree in Business, Healthcare Administration, related field or equivalent work experience required (master&#8217;s degree preferred) 
 
 Benefits:  UHH fosters an inclusive and engaging workplace and achieves results through teamwork with integrity, collaboration, and innovative thinking. They believe their people is their strength, and learning from one another makes them better, so they invest in employee development and offer exceptional benefits including: 
 
 Incredible medical, dental and vision benefits with premiums as low at $50/month for individuals and $100/month for families 
 A generous Pension plan and a 401(k) option for retirement 
 A 37.5 hour work week 
 11 paid holidays and progressive PTO 
 Tuition reimbursement and internal development opportunities 
 Short and long term disability, life insurance, AD&#38;D, flexible spending, commuter transit, employee assistance program and  so much more! 
 Salary expectations: The salary range for this position is $153,600 - $195,900. Actual base salary may vary based upon, but not limited to: relevant experience, qualifications, expertise, certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location.</description>
								<pubDate>Mon, 16 Mar 2026 17:19:15 -0400</pubDate>
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									<link>https://alumnijobs.cofc.edu/jobs/rss/22073439/chief-financial-officer</link>
								
								<title>Chief Financial Officer | Morgan Consulting Resources, Inc.</title>								
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								<description>Los Gatos, California,  Morgan Consulting Resources, Inc. has been retained to conduct the search for the  Chief Financial Officer  for  El Camino Health Medical Network .   The position is based in Los Gatos, CA. This is an excellent opportunity to join a highly engaged and collaborative executive leadership team within an organization that is deeply committed to clinical excellence, strong financial stewardship and advancing the long-term health and sustainability of the communities it serves. 
 About the Organization: &#xa0; 
 El Camino Health Medical Network, a leading/growing physician organization and an affiliate of El Camino Health, is a California Medical Foundation and currently operates 30 community-based ambulatory care clinics and medical practices in Los Gatos, San Jose, Cupertino, and Mountain View. With a commitment to teamwork and quality, together we can offer exceptional care to our patients. We strive to coordinate care that meets the unique needs of the diverse communities we serve, partnering with like-minded professionals who are passionate about simplifying the healthcare experience. 
 ECHMN seeks to coordinate care that best fits the needs of the communities we serve, with like-minded people who want to simplify the healthcare experience. To accomplish this goal, El Camino Health Medical Network (ECHMN) has developed a healthcare network comprised of providers from El Camino Medical Associates (ECMA), San Jose Medical Group (SJMG), Urology Surgeons of Northern California, and other providers, with clinics in Cupertino, Los Gatos, Morgan Hill, Mountain View and San Jose, California.  El Camino Health Alliance ( IPA) was formed less than three years ago and is growing rapidly. El Camino Health Alliance now stands at over 180 members and is continuing to expand. 
 We foster a culture of teamwork, innovation, and excellence. By working together, we provide exceptional care to our patients while creating a supportive and rewarding environment for our team members. For more information about El Camino Health, please visit:   https://www.elcaminohealth.org/ . 
 About the position: 
 The Chief Financial Officer (CFO) provides strategic and operational financial leadership for the Medical Network, supporting affiliated physician groups, clinics, and ambulatory services within an integrated healthcare delivery system. Reporting to the Chief Administrative Officer of the Medical Network, with a dotted-line relationship to Enterprise Finance leadership, the CFO is responsible for financial strategy, performance management, budgeting, forecasting, revenue cycle oversight, and long-term financial sustainability. 
 The CFO serves as a key member of the Medical Network executive leadership team and is a trusted advisor to physician leaders, operational executives, and governing boards. This role ensures alignment between Medical Network financial objectives and broader enterprise strategies while supporting growth, acquisitions, service line expansion, and operational excellence. 
 The ideal candidate will bring a growth mindset and a proven ability to integrate, expand and scale financial functions to support evolving organizational needs. This leader will streamline processes while strengthening partnerships and collaboration across the health network and broader health system. The successful candidate will offer deep expertise in physician compensation models and value-based care, along with practical experience leveraging AI capabilities and a genuine passion for advancing AI-driven initiatives. The CFO will be proactive, operate with the highest level of integrity, and excel in a team-oriented, highly collaborative culture. &#xa0; 
 Essential Functions &#xa0; 
 Board &#38; Fiduciary Governance 
 
 Serve as primary financial liaison to the Medical Network Board and relevant committees. 
 Present financial performance, forecasts, risk assessments, and capital planning updates. 
 Ensure appropriate internal controls, audit readiness, and GAAP-compliant reporting. 
 Support board-level review of physician compensation models and fair market value analyses. 
 Partner with Enterprise Finance to ensure alignment with system-wide financial policies and controls. &#xa0; 
 
 Strategic Financial Leadership 
 
 Develop and execute a multi-year financial strategy aligned with enterprise growth objectives. 
 Provide scenario modeling and capital allocation analysis for:
 
 Clinic expansion 
 Physician recruitment and integration 
 Service line growth 
 Joint ventures and affiliations 
 
 
 Guide financial decision-making during periods of growth, acquisition, and network maturation. &#xa0; 
 
 Financial Stewardship &#38; Performance 
 
 Oversee budgeting, forecasting, and financial reporting for all Medical Network entities. 
 Ensure disciplined expense management and margin improvement initiatives. 
 Monitor cash flow, liquidity, capital planning, and investment strategy. 
 Maintain sustainable financial performance while supporting high-quality patient care. &#xa0; 
 
 Revenue Cycle &#38; Reimbursement Oversight 
 
 Provide executive oversight of revenue cycle operations and reimbursement strategy. 
 Ensure optimization across fee-for-service and value-based care models. 
 Monitor payer mix, contract performance, and reimbursement trends. 
 Support documentation integrity and regulatory compliance. &#xa0; 
 
 Physician Economics &#38; Compensation Governance 
 
 Oversee financial modeling for physician compensation plans. 
 Ensure commercial reasonableness and regulatory compliance (Stark, Anti-Kickback). 
 Partner with HR and Legal in structuring recruitment packages and long-term incentive alignment. &#xa0; 
 
 Enterprise Partnership 
 
 Collaborate closely with Enterprise CFO and system finance leaders. 
 Align Medical Network financial reporting and controls with enterprise standards. 
 Support enterprise-wide financial initiatives and integration efforts. &#xa0; 
 
 Minimum Requirements 
 
 12&#8211;15+ years of progressive financial leadership experience. 
 Bachelor&#8217;s degree in Accounting or Finance required. 
 MBA, MHA, or equivalent advanced degree preferred. 
 Minimum 7-10 years in senior healthcare finance within a medical group, ambulatory network, or integrated delivery system. 
 Demonstrated board-facing experience. 
 Deep knowledge of healthcare reimbursement, physician practice finance, and regulatory frameworks. 
 Demonstrated experience supporting physician practices, medical networks, or clinically integrated delivery systems. 
 Strong knowledge of healthcare finance, revenue cycle operations, and reimbursement models. 
 A reasonable starting salary expectation is between $330,000 and $385,000 based upon related/relevant experience and internal equity.</description>
								<pubDate>Tue, 24 Feb 2026 11:51:35 -0500</pubDate>
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