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Editor. By e-mail: ddhealth@netzero.net. By phone: 760-696-3931. For other ques-tions, contact Erika Bryan, Assistant Managing Editor. By phone: 781-639-1872, ext. 3194. By e-mail: ebryan@healthleadersmedia.com

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February 22, 2016 | VOLUME 23 | NUMBER 8

T O P S T O R I E S

California Hospitals Report Decline in Most Types of Infections But C. diff rates still on the riseCalifornia hospitals reported a lower incidence of most healthcare-acquired infections in 2014 but were unable to reduce rates of Clostridium difficile diarrheal infections (CDI).

The February 10 report from the California Department of Public Health (CDPH) found that 19,200 hospital-acquired infections (HAI) were reported at 419 licensed acute care hospitals in the state in 2014. The report found the inci-dence of most HAIs in 2014 was about the same as in 2013 but were down sig-nificantly from totals reported in 2008 and 2011. "Though data shows California hospitals are getting better, there is still work to be done," said CDPH Director Karen Smith, MD.

The report found that C. diff infections were the most common type of HAI and accounted for more than half of all HAIs reported in 2014 with 10,588 cases, a 9% jump from 2011. C. diff can cause severe diarrhea and intestinal dis-tress in patients and has several potential sources.

The next most common type of infections were surgical site infections (SSI) with 4,316 cases, a 40% decrease from the number reported in 2008. They were followed by central line-associated bloodstream infections (CLABSI) with 2,809 cases reported, a 49% drop from 2008. The incidence of methicillin-resistant Staphylococcus aureus (MRSA BSI) has declined 24% from 2011 with 705 total cases reported.

For CLABSI, the number of cases in 2014 (2,809) was down slightly from 2013 (2,836) with the incidence of ICU infections dropping to .90 infections per 1,000 central line days in 2014 compared to .093 in 2013. The incidence of vancomycin-resistant Enterococci (VRE) cases was up slightly to .50 cases per 10,000 patient days compared to .48 in 2013.

Overall, the CDPH report found that "California hospitals are demonstrat-ing significant progress in preventing some types of HAI, including CLABSI, MRSA, BSI, and most types of SSI" but that "hospital-onset CDI incidence con-tinues to increase."

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California Hospitals cont. ° Two California healthcare districts

will ask voters to approve bond mea-sures to help finance construction of new hospitals. According to a February 8 report in the Fresno Bee, the Kaweah Delta Health Care District will ask voters on May 3 to approve a $327 million bond measure to finance con-struction of a six-story hospital in the city of Visalia to replace an aging structure. The new hospital will cost approximately $550 million to build. The Tulare Local Health Care District board also approved a bond measure to fund continued construction of a hos-pital tower but has not yet set an elec-tion date for a ballot measure or set an exact price on how much money it hopes to raise. The Tulare Local Health Care District began construction on a new hospital tower for Tulare Regional Medical Center in 2010 and needs approximately $55 million to finish the project. Voters approved an $85 million bond measure in 2005 to finance con-struction of the hospital tower. Benny Benzeevi, chairman of HealthCare Conglomerate Associates, the private company that manages the hospital for the Tulare Local Health Care District, said the "Initial report [in 2005 sup-porting a new hospital tower] always envisioned an additional bond."

° St. Joseph Health purchased 26 Nurse Next DoorTM Home Care Services franchise operations in Orange County. The Irvine-based health system said the acquisition will help St.

David Perrott, MD, senior vice president and chief medical officer for the California Hospital Association, said C. diff is a difficult infection to prevent because it has several potential sources and is transferrable among patients. "C. difficile is spread at the community-level and that makes it more difficult to prevent," said Perrott.

Perrot said the best ways to prevent C. diff are through good hand hygiene, which involves frequent hand washing, and reducing the use of antibiotics in the general public, since patients who have been overprescribed antibiotics are more prone to contract C. diff. He said the increase in cases may also be a product of how hospitals screen for CDI.

"The newer tests for screening C. difficile are more sensitive than the old tests so that's resulted in more cases being detected," said Perrott. "And the test doesn’t distinguish between a full-blown case of C. difficile and a situation where there's a positive test with no symptoms, so we may need to change the metrics for how C. difficile is measured."

There have also been studies that suggest many patients arrive at hospitals from long-term care facilities with undiagnosed cases of C. diff. Jeff Silvers, MD, medical director for quality, pharmacy, and infection prevention at Sutter Health, said Sutter is making an effort to reduce the chance of CDI being brought into hospitals as part of its program to reduce its overall incidence.

"In several of our Sutter Health-affiliated hospitals, we're using CDC-recommended technologies to better evaluate our hand washing and cleaning processes," said Silvers. "We're also partnering with assisted living facilities to improve communication with each other because learning earlier if a patient has C. diff, or any potentially contagious disease, helps care teams better care forpeople to prevent the transmission of disease."—DOUG DESJARDINS

Hollywood Hospital Pays Ransom to Restore Computer SystemRansomware attacks could become new problemHollywood Presbyterian Medical Center was forced to pay hackers a ransom of $17,000 to restore the hospital's information system following a ransomware attack that began on February 5. Hollywood Presbyterian shared little information about the event until February 17 when president and CEO Allen Stefanek issued a statement describ-ing the incident and how it was resolved by paying a ransom in Bitcoin currency to the hackers who launched the attack.

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Joseph hospitals manage the care of patients after they are discharged. The acquisition includes Nurse Next Door businesses located in Anaheim, Irvine, Laguna Beach, Mission Viejo, Newport Beach, Santa Ana, and Westminster. "Our calling to care for our patients doesn't end when they leave the hospi-tal," said John Bennett, chief admin-istrative officer for St. Joseph Health. "We want to help our patients improve their health and quality of life in a per-sonal way, on their terms. That can mean helping them recover at home after being discharged from the hospi-tal." Terms of the transaction were not disclosed. Nurse Next Door currently operates 57 locations in Canada and 80 in the U.S.

° MemorialCare Health System has entered into a joint venture with Fresenius Medical Care North America to operate 15 dialysis clinics in Los Angeles County and Orange County. Of the 15 centers, 13 are already oper-ational and two will be developed in San Juan Capistrano and Huntington Beach. "This is a major step forward in MemorialCare's strategy and com-mitment to the community to improv-ing the health and healthcare of those we serve by offering a full comple-ment of integrated services across our wide and expanding geographic cover-age area," said Barry Arbuckle, presi-dent and CEO of MemorialCare Health System. "Broadening our integrated system to cover all aspects of the care

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"The [ransomware] malware locks systems by encrypting files and demand-ing ransom to obtain the encryption key," said Stefanek. "The quickest and most efficient way to restore our systems and administrative functions was to pay the ransom and obtain the decryption key. In the best interest of restoring normal operations, we did this." Stefenak dismissed earlier reports that hackers demanded a payment of more than $3 million. "The reports of the hospital paying 9,000 Bitcoins, or $3.4 million, are false," said Stefanek. "The amount of ransom requested was 40 Bitcoins, equivalent to approximately $17,000." He said Hollywood Presbyterian was able to restore its computer system on February 15. "All clinical operations are now using the EMR system," said Stefanek. "All systems currently in use were cleared of the malware and thor-oughly treated. We continue to work with our team of experts to learn more about this event." Stefanek said the incident began on February 5 when workers reported problems with the hospital's computer network. "Our IT department began an immediate investigation and determined we had been subject to a malware attack," said Stefanek. "The malware locked access to certain computer systems and prevented us from sharing communications electronically." Stefenak added that "patient care was not compromised in any way" during the incident. The type of attack that hit Hollywood Presbyterian was cited in the 2016 Threats Predictions report from McAfee Labs. The report stated that “ransom-ware will remain a major and rapidly growing threat in 2016” due in part to the success of the "ransomware-as-a-service" business model. It also predicts that "we foresee a new focus on industry sectors including financials and local gov-ernment, which will quickly pay ransoms to restore their critical operations." Paul Stephens, director of policy and advocacy for Privacy Rights Clearinghouse in San Diego, said he's unaware of any past ransomware attacks targeting hospitals or medical groups but that the attack could be a bellwether. "Most incidents have involved individual computer systems being locked down and the owner having to pay to restore access, but it makes sense that the payoff would be much higher if a hacker were to do the same thing to an insti-tution," said Stephens. "In this case, how do you operate a hospital if you don't have access to any patient records?" Stephens said ransomware attacks tend to involve hackers freezing access to data rather than stealing it. That means the attacks are not considered data breaches, which businesses are required by law to report. "So it could be that there have been more of these attacks in the past that we don't know about because they weren't reported," said Stephens.—DOUG DESJARDINS

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continuum … allows us to ensure our patients receive convenient access to high quality and seamless coordination of care across our health system." The clinics are located in nine different cit-ies including Long Beach, Irvine, and Santa Ana. Fresenius Medical Care is an integrated provider of care for chronic kidney failure with more than 2,200 dialysis clinics in the U.S.

° The California Department of Insurance (DOI) has opened an inves-tigation into the business practices of insurance firm Zenefits following the resignation of its CEO last week. "The recent resignation of Zenefits' CEO Parker Conrad is an important development … but it does not resolve our ongoing investigation of Zenefits' business practices and their compli-ance with California law and regula-tions," said state insurance commis-sioner Dave Jones. "I have directed the Department of Insurance's Enforcement Branch to devote addi-tional investigative resources to the Zenefits investigation." Zenefits is being investigated on allegations that some of its brokers were not licensed to sell insurance in California and other states and some license requirements were falsified.

° The Murr ieta C ity Counc i l approved a plan to allow Kaiser Permanente to build its first hospital in Murrieta with a scheduled opening date in 2023. According to a February 8 report in The Press-Enterprise, Kaiser

Flu Vaccination Rates Among Hospital Employees Continue to Rise85% of healthcare personnel vaccinated in 2014–2015The percentage of hospital employees being vaccinated for influenza climbed to a record high of 85% during the 2014–2015 flu season due in part to new vac-cination policies.

A February 10 report from the California Department of Public Health (CDPH) found that vaccination rates for the 2014–2015 flu season climbed four percentage points to 85% compared to 81% in 2013–2014 and 74% in 2012–2013. Overall, flu vaccination rates have increased 21% since 2011 and the expan-sion of policies that require employees to wear surgical masks at work during the flu season if they decline a flu vaccine may have encouraged it. The report stated that “local public health policy may be influencing vac-cination coverage in California hospitals.” It noted that 31 California counties now have policies that require hospital employees who decline a flu vaccination to wear a mask at work, an increase from 23 counties in 2013–2014. The overall vaccination rate at hospitals in counties with mask policies was 82% in 2014–2015 compared to 78% at hospitals in counties that don't have a mask policy. The relatively high compliance rates in counties without mask polices may reflect the fact that some large health systems, including Kaiser Permanente, have adopted mask policies for their employees. A CDPH survey of flu vaccination policies and practices completed by 94% of California general acute care hospitals in 2014–2015 found that most hospi-tals are making it easier for employees to be vaccinated. It found that 91% of hospitals offer free flu vaccines to employees during all work shifts—including nights and weekends—and that 80% of hospitals deliver vaccines directly to employees on mobile carts. Among individual hospitals, Rady Children's Hospital in San Diego reported that 99.2% of its healthcare employees (excludes licensed independent practi-tioners, other contract personnel, and adult students/trainees, and volunteers) received flu vaccines followed by Menlo Park Surgical Hospital at 98.2% and Shriners Hospitals for Children at 97.4%. On the lower end, Kindred Hospital Riverside had a rate of 35.8% followed by Colorado River Medical Center in Needles at 50.9%. The CDPH report also broke down influenza hospital vaccination rates by county. The highest vaccination rates for hospital workers were reported by Madera County (96.7%), Inyo County (96.3%), Tehama County (96.2%), and Sutter County (95.6%). The lowest rates were reported by Mendocino County (63.3%), Glenn County (70.3%) and Kern County (71.2%). Among the state's larger counties, San Diego County hospitals reported a 91.2% vaccination rate among healthcare employees followed by Sacramento County (90.2%), San Francisco County (89.3%), and Los Angeles County (84.8%).—DOUG DESJARDINS

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of BLR, 75 Sylvan St., Suite A-101, Danvers,

MA 01923, and is transmitted solely to the sub-

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T O P S T O R I E SBlue Shield to Appeal State Decision

to Revoke Not-for-Profit Status

Insurer says appeals process could take two years

Blue Shield of California plans to appeal a state decision to rescind its tax-

exempt status in California as a not-for-profit insurer.

The ruling by the California Franchise Tax Board

Shield to pay millions of dollars in retroactive state taxes. Blue Shield vice president

of corporate communications Steve Shivinsky

decision. “We have filed a protest against the FTB ruling and this will take up to

two years to decide,” said Shivinsky. “Blue Shield as a company and a management

team firm believes it is fulfilling its not-for-profit mission and commitment to the

community. We are, and will remain, a not-for-profit company…”

Shivinsky noted that the decision only pertains to Blue Shield’s status in the

state. “Blue Shield has paid federal taxes since 1986,” said Shivinsky. “Blue Shield

of California’s e�ective tax rate on pre-tax profits exceeds 45% annually …” Blue

Shield of California and other Blue Cross and Blue Shield plans in the U.S. lost their

federal tax-exempt status under reforms to the federal tax code approved in 1986.

O¢cials for the Franchise Tax Board declined to comment on the ruling or

what prompted the state audit that led to its decision issued in August 2014. The

FTB added Blue Shield to a list of companies that had their tax-exempt status

revoked and posted the information on its website but did not comment on it at

the time. The decision will also require Blue Shield to file tax returns dating back

to 2013. While state and federal laws regarding not-for-profits have changed over

the years, the action taken against Blue Shield is unusual. “I am not aware of any

nonprofit health insurer that has been stripped of its tax-exempt status prior

to Blue Shield,” said Gerald Kominski, a professor of health policy at the

Fielding School of Public Health and director of the

Policy Research.

Kominski said Blue Shield has the option of converting to a for-profit insurer

but that it’s more likely to negotiate a settlement with state o¢cials if its appeal of

the Franchise Tax Board decision fails. “I imagine that Blue Shield will try to reach

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March 10–11. IMQ/PACE Platinum Training Program for Physician Leaders. Sheraton Hotel & Marina, San Diego. A two-day conference for physi-cians interested in improving leadership skills. Sponsored by the Institute for Medical Quality. To register, please visit http ://www. imq.org/Hospita ls/SteppingUptoLeadershipConference.aspx

March 14–15. California Self-Insurers Annual Meeting and Educational Conference. Disneyland Hotel , Anaheim. An educational conference for risk managers, claims profession-als, employers, and workers’ compensa-tion providers. To register, please visit http://caself-insurers.com/events-alt/

March 22. Second Annual Northern California Healthcare Real Estate Summit. Mission Bay Conference Center at UCSF, San Francisco. A one-day con-ference for medical facility developers, investors, capital sources, and healthcare/medical tenants. To register, please visit http://www.cre-events.com/norcalhcre

April 13–15. Hospital Association of Southern California Annual Meeting. Bacara Resort and Spa, Santa Barbara. A three-day conference for Southern California healthcare professionals that combines educational seminars and net-working events. Speakers will provoke thoughtful discussion on how to evolve and meet the challenges of the Triple Aim and beyond. To register, please visit http://www.hasc.org/2016-hasc-annual-meeting

will build a 114-bed hospital in Murrieta with an option to add a 140-bed expansion in 2030. At a February 7 city council hearing on the proposed hospital, some local residents complained of having to drive nearly 40 miles to Riverside for treatment because there are no Kaiser hospitals near Murrieta. Kaiser has already received a green light to build an 82,000-square-foot medical building near the hospital site, with the medical office scheduled to open in 2017.

° Health Net of California and the UC Health System are expanding an account-able care organization (ACO) to employees at UC campuses in Davis, Irvine, and San Diego in 2016. The ACO currently operated by Health Net is available only to employ-ees at UC Los Angeles and UC San Francisco. "Our arrangement [with Health Net] enables us to work as a team with Health Net to develop advanced care models and integrated systems and apply best practices at all five academic medical centers to provide the right care at the right time and in the right place," said John Stobo, MD, executive vice president for UC Health. "The expanded contractual relationship with Health Net provides even more transparency into our healthcare delivery system for the benefit of our employee population."

° A new report from Covered California shows that Blue Shield of California has the largest market share among all insurers selling plans on the exchange with a 28% market share. Data released on February 16 by Covered California shows Anthem Blue Cross is a close second with a 25% share followed by Kaiser Permanente with 24% and Health Net a distant fourth with 14%. In 2015, Anthem Blue Cross was the market leader with a 28% share followed by Blue Shield with 25%, Kaiser Permanente with 24%, and Health Net with 18%. Molina Healthcare now has a 6% market share compared to just 2% in 2015 and Chinese Community Health Plan, L.A. Care Health Plan, and Western Health Advantage each have a 1% share of the market.

° State assembly member Autumn Burke (D-Inglewood) has introduced a bill designed to make it easier for women to access reproductive healthcare services. Assembly Bill 1954 would allow patients to see a reproductive healthcare provider without a referral from a primary care physician and would allow women to go out-side a provider's network if necessary. "Women in California deserve timely access to quality, affordable reproductive healthcare," said Burke. "AB 1954 opens the door to better care for patients without unnecessary administrative barriers." Burke said the bill would address provisions in some health plans that don't allow direct access to reproductive services and require women to see a primary care physician first.

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F E A T U R E D E V E N T

CAPG Annual Conference 2016Sharing The Lessons of Innovative Payment ModelsJune 16-19, 2016 • Manchester Grand Hyatt, San Diego, CA

Taking risk is no longer just an option. The Medicare Access and CHIP Reauthorization Act of 2015—MACRA—is effectively making risk mandatory for physician organizations that want to stay in the game. And where Medicare goes, commercial payers will follow.

At our Annual Conference, you’ll gain hands-on knowledge and best practices from physician organizations who are thriving in both government and commercial risk arrangements, along with high-level insights on the political and legislative forecast for value-based care.

Don’t get left behind.

Register today! capg.org/conference2016

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F E A T U R E D C A R E E R O P P O R T U N I T I E S

Providence Facey Medical Foundation is calling a Regional Director, Utilization Management and Referral Operations in Mission Hills, CA.

Regional Director, Utilization Management and Referral Operations

IN THIS POSITION YOU WILL:

• Develop, coordinate and direct the operational activities of referral staff, workflows, processes and systems that are directly associated with the utilization management of medical services provided to PHS CA patients.

• Be accountable for the efficiency measures of the MSO Regional UM Department for all lines of business and all functional areas.

• Oversee processes, interventions and other system activities focused on operational management of referral services using a standardized set of industry and medical group/IPA metrics and standards.

• Develop and maintain constructive working relationships with providers, health plans, hospitals and regulatory agencies and PHA CA MSO departments.

REQUIRED QUALIFICATIONS FOR THIS POSITION INCLUDE:

• Masters or equivalent degree in healthcare related field.• Understanding of hospital and ambulatory patient care delivery

systems.• Minimum 7 years’ experience in utilization management,

discharge planning, ambulatory case management, quality management or clinical area in a managed care setting, preferably a health plan or medical group with 2 years in a management role.

• Demonstrated knowledge of operations.• A minimum of two years’ experience with EPIC or similar EHR

Referral systems operations and reporting.• Knowledge of California Health and Safety Act, NCQA, DMHC,

CMS and DHS regulations. Demonstrated ability to work and design work flows in a complex environment across PHS CA, medical groups/IPAs, Hospitals and care settings standardizing processes and goals.

• Experience assessing referral reporting needs for HMO compliance and Fee for service referral management.

• Able to evaluate software functionality and work with multidisciplinary teams to design systems work flow for UM Department functions in a managed care setting and fee for service patient care referral needs.

• Demonstrated strong oral and written communication, problem-solving and analytical skills as related to Utilization and Referral management data and analysis.

• Strong computer skills with MS Outlook, Word, Excel, use of Electronic Health Record and Referral software needs.

ANSWER THE CALL. PROVIDENCEISCALLING.JOBSWhen applying online, please reference job number 110693.

APPLY ONLINE:http://50.73.55.13/counter.php?id=61334

Providence Health & Services is an equal opportunity employer who provides competitive benefits, a drug-free workplace and supports work/life balance.

County of Santa Clara San Jose, California

Deputy Public Health Officer

Santa Clara Valley Health and Hospital System

Salary: $181,929 - $233,421 Annually DOQ Open Until Filled

The County of Santa Clara seeks a Deputy Public Health Officer to oversee the Infectious Disease and Response Branch and ensure effective delivery of services for the Public Health Department.

The Deputy Public Health Officer position requires a physician who is Board Certified in Internal Medicine and require a high degree of administrative experience that would provide strong management of the administrative and programmatic responsibility for the Infectious Disease and Response Branch. The Infectious Disease and Response Branch will include Communicable Disease Control and Prevention (including the Immunization Program), Tuberculosis Control and Prevention, STD/HIV Control and Prevention, Surveillance and Epidemiology, Public Health Disaster Preparedness and Response, Public Health Laboratory, and Public Health Pharmacy.

Qualifications: Must be a physician licensed in California and Board Certified in an appropriate medical specialty (e.g. Internal Medicine, Pediatrics, or Family Medicine) and have significant training and experience to perform the above tasks, at least 7 years of post-residency experience in disease control or public health, at least 3 of which involved significant administrative and managerial responsibilities. A Master in Public Health or completion of the CDC’s Epidemic Intelligence Service, and/or Board Certification in Infectious Disease is highly desirable.

This recruitment requires the submission of an online application. Completion of the Supplemental Questionnaire and a CV is required. For a complete job description and apply online, please go to: www.sccjobs.org.

If you have any questions regarding this position, contact Executive Services at (408) 299-5897. EOE

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F E A T U R E D C A R E E R O P P O R T U N I T I E S

California Health & Wellness is the first new Medi-Cal Managed Care Plan in California in nearly a decade. It is the California division of Centene Corporation (Centene) that has established itself as a national leader in the healthcare services field. Today, through a comprehensive portfolio of innovative solutions, we remain deeply committed to delivering results for our stakeholders: state governments, members, providers, uninsured individuals and families, and other healthcare and commercial organizations.

MEDICAL DIRECTOR Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.

Responsibilities

• Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective implementation of performance improvement initiatives for capitated providers.

• Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members. Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.

• Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership. Oversees the activities of physician advisors. Utilizes the services of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Participates in provider network development and new market expansion as appropriate. Assists in the development and implementation of physician education with respect to clinical issues and policies.

• Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice

patterns, and adequacy of benefit/payment components. Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care. Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality. Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.

• Develops alliances with the provider community through the development and implementation of the medical management programs. As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues. Represents the business unit at appropriate state committees and other ad hoc committees

Education/Experience: Medical Doctor or Doctor of Osteopathy, board certified preferable in a primary care specialty (Internal Medicine, Family Practice, Pediatrics or Emergency Medicine). The candidate must be an actively practicing physician. Previous experience within a managed care organization is preferred. Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is preferred. Experience treating or managing care for a culturally diverse population preferred.

License/Certifications: Board Certification through American Board Medical Specialties. Current state medical license without restrictions.

Please submit your resume to BGLICK@CENTENE.COM

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F E A T U R E D C A R E E R O P P O R T U N I T I E S

EXCEPTIONAL PEOPLE, EXTRAORDINARY CARE, EVERYTIME

MEMORIALCARE HEALTH SYSTEMAt MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. MemorialCare stands for excellence in Healthcare. Across our family of medical centers and physician groups, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork.

FEATURED OPPORTUNITIES

VP, Clinical Integration (Cardiology) #325453

Executive Director Clinical Risk & Patient Safety #325992

Executive Director, Perioperative Services #325726

Executive Director, Pharmacy Services #325290

Director Human Research Protections #325824

Executive Director, Decision Support #325481

Director Finance Research #325761

Manager, Contracts #325236

Clinical Risk Manager #324146

Manager, Lean Fellow #325321

APPLICATION PROCESS: To see full details of these opportunities and more or to

submit an application, please visit our website at http://www.memorialcare.org/careers

DIRECTOR, CLAIMS OPERATIONS Physicians Medical Group of San Jose

Established in 1980, Physicians Medical Group of San Jose (PMGSJ) cur-rently serves more than 100,000 Commercial, Medi-Cal and Medicare Advantage enrollees throughout Santa Clara County.

PMGSJ is seeking a seasoned individual to lead its claims operations depart-ment. S/he will have overall responsibility for efficiently leveraging tech-nology and ensuring accurate and timely payment of claims. This position provides leadership for the claims department and ensures compliance with State and Federal regulations.

S/he must possess experience in claims operations, be a collaborative team player with possess strong presentation and communication skills. This indi-vidual will play a key role in the on-going development and growth of team members.

The ideal candidate will be “hands on” and have progressive responsibility within the healthcare field. The preferred candidate will have a minimum of 5-7 years of related experience and possess a BS in Healthcare Management or Business Administration.

Email your resume and salary requirement in confidence to: val.wiley@excelmso.com.

For more information, please visit our website at: http://www.scanhealthplan.com/careers/

CARE PLANNER – MSSP Req. #15-0198

COMMUNITY HEALTH WORKER (LA COUNTY) Req. #16-0041

COMMUNITY HEALTH WORKER (VENTURA COUNTY) Req. #16-0039

COMPLEX CARE MANAGER-RN Req. #16-0062

COMPLEX CARE MANAGER – SOCIAL WORKER Req. #16-0001

DATA WAREHOUSE DEVELOPER, SR. Req. #15-0173

DIRECTOR RESEARCH & FACILITATION Req. #15-0207

INFORMATICS ANALYST II Req. #15-0181

MANAGER CLAIMS Req. #16-0024

MANAGER PHARMACY BENEFITS & FORMULARY Req. #16-0011

NURSE PRACTITIONER (STOCKTON, CA) Req. #15-0122

OPERATIONS MANAGER – MEMBER SERVICES Req. #16-0046

PHARMACY ANALYST Req. #15-0105

PHARMACY HEALTH COACH (TEMP) Req. #16-0021

PROJECT MANAGER – SHARED SERVICES Req. #15-0205

SALES REP (SAN DIEGO) Req. #16-0034

SECURITY ENGINEER Req. #15-0209

SUPERVISOR CARE COORDINATION – BILINGUAL Req. #15-0178

TABLEAU DEVELOPER Req. #15-0172

TABLEAU MANAGER Req. #15-0171

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F E A T U R E D C A R E E R O P P O R T U N I T I E S

Network Medical Management Inc. is a growing Management Services Organization based in Alhambra. The company provides comprehensive management services to Independent Physicians Associations and has the following openings for our Wellness Center located in Alhambra and City of Industry:

Health Educator

Responsible for planning, coordinating, presenting, and evaluat-ing the health message to Wellness Center members to promote preventative care and enhance patient healthcare. Candidate must have minimum of Bachelor’s degree, graduate degree preferred, and 2 years’ experience in wellness, social or human services working with seniors, or related field. Must be able to speak Mandarin and Cantonese fluently.

Program Coordinator

Responsible for administering wellness program classes/activi-ties offered to the senior patients to promote preventative care and enhance patient healthcare services. Candidate must have college degree, 2 years’ experience in wellness, social or human services working with senior, or related field. Must be able to speak Mandarin and Cantonese fluently.

Please email resume with salary history to humanresources.dept@nmm.cc.

We offer great benefits including company-paid medical/dental/vision insurances, vacation, 401(k)/PSP and educational reimburse-ment. We are proud to be an EOE.

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PAGE 8 February 8, 2016

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F E A T U R E D C A R E E R O P P O R T U N I T I E S

County of Santa Clara San Jose, California

Deputy Public Health Officer

Santa Clara Valley Health and Hospital System

Salary: $181,929 - $233,421 Annually DOQ Open Until Filled

The County of Santa Clara seeks a Deputy Public Health Officer to oversee the Infectious Disease and Response Branch and ensure effective delivery of services for the Public Health Department.

The Deputy Public Health Officer position requires a physician who is Board Certified in Internal Medicine and require a high degree of administrative experience that would provide strong management of the administrative and programmatic responsibility for the Infectious Disease and Response Branch. The Infectious Disease and Response Branch will include Communicable Disease Control and Prevention (including the Immunization Program), Tuberculosis Control and Prevention, STD/HIV Control and Prevention, Surveillance and Epidemiology, Public Health Disaster Preparedness and Response, Public Health Laboratory, and Public Health Pharmacy.

Qualifications: Must be a physician licensed in California and Board Certified in an appropriate medical specialty (e.g. Internal Medicine, Pediatrics, or Family Medicine) and have significant training and experience to perform the above tasks, at least 7 years of post-residency experience in disease control or public health, at least 3 of which involved significant administrative and managerial responsibilities. A Master in Public Health or completion of the CDC’s Epidemic Intelligence Service, and/or Board Certification in Infectious Disease is highly desirable.

This recruitment requires the submission of an online application. Completion of the Supplemental Questionnaire and a CV is required. For a complete job description and apply online, please go to: www.sccjobs.org.

If you have any questions regarding this position, contact Executive Services at (408) 299-5897. EOE

Charles R. Drew University of Medicine and Science (CDU) is a private, nonprofit, nonsec-tarian, medical and health sci-ences institution. The Physician Assistant Program is hiring for 2 FACULTY positions:

ASSISTANT PROFESSOR/CLINICAL COORDINATOR

Under the direction and supervision of both the Program Director and Medical Director, the Clinical Coordinator secures, develops and maintains clinical affiliations and oversees all clinical curricula. The position involves adminis-trative and clinical responsibilities. The clinical coordinator coordinates all clinical instruction for 2nd year PA students and along with the Director and Medical Director supervises clinical faculty

ASSISTANT PROFESSOR/ACADEMIC COORDINATOR

Under the general direction and supervision of the Program Director, Academic Coordinator oversees all academic cur-ricula, which include courses in the basic and behavioral sciences and curricula associated with history and physi-cal examination, as well as components of clinical medicine courses. Will assure documentation of curriculum delivery, and, together with the Curriculum Committee, oversees and facilitates the development, revision and evaluation of all program curricular content.

For further information and to apply please email the Program Director at katayounmoini@cdrewu.edu.

HEALTHLEADERS INC. 2/22/20161LA032122B

3.65 x 8.65 ” (4c process) CLIN CSI0000003

jts N/A

Cedars-Sinai is an Equal Opportunity Employer that welcomes and encourages diversity in the workplace. EEO/AA/F/Veteran/Disabled

Physician Network Development Manager Beverly Hills, CA

Exceptionally developed skills, a dedication to excellence

and a desire to transcend the ordinary. This is the source

of true art. It is also the foundation for the world-class

healthcare provided at Cedars-Sinai. Our people bring an

unmatched passion to their craft and it shows in everything

they accomplish. If you want to be your best, you owe it to

yourself to work with the best. You’ll have that opportunity

when you work at Cedars-Sinai Medical Network.

The position will take a lead role in building Cedars-Sinai

Medical Network’s HMO provider network and other affiliated

medical groups/physicians in strategic markets as defined by

the Cedars-Sinai strategic growth plan. This position will work

closely with the Executive Director of Network Development

to build a high quality, integrated delivery network in the

strategic markets poised to accept HMO, PPO and Medicare

patients and will also focus on relationship development with

and recruitment of PCPs, specialists and ancillary providers.

The ideal candidate will have a Bachelor’s degree in business

administration, health care administration, science or related

discipline with five or more years of health care experience

– preferably within a managed care setting, or equivalent

education and experience. Must possess knowledge and

understanding of the current local health care environment,

the competitive landscape, the organization, functions, policies

and procedures of Cedars-Sinai Medical Network and the

inter-relationship with the larger Cedars-Sinai Health System,

In addition to professional development opportunities,

Cedars-Sinai offers a competitive compensation and benefits

package. For more information or to apply, visit us online at:

https://www.cedars-sinaimedicalcenter.apply2jobs.com/

and reference job number: M10809.

www.cedars-sinai.edu/careers

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PAGE 11 February 22, 2016

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F E A T U R E D C A R E E R O P P O R T U N I T I E S

Providence is calling a Senior Contract Manager to Providence Health & Services in Burbank, CA.

Senior Contract ManagerWe are seeking a Senior Contract Manager to be responsible for leading or participating as a team member in negotiations with Payors for acceptable reimbursement terms and contract language for all entities within the continuum of care (i.e. hospitals, physician organizations, home health and hospice services) within the applicable PH&S Region (the Region) for the payors assigned to them. Payors include the revenue primarily associated with Commercial, Medicare Advantage, and managed Medicaid products. This includes development of negotiation strategy and securing acceptable terms, problem resolution, and obtaining applicable support of leaders within the Service Area, Regional, System, and/or with strategic partners, such as ACO’s and Joint Ventures.

IN THIS POSITION YOU WILL:• Conduct negotiations for Providence with payors as assigned and

complete contracting process in a timely manner in accordance with Providence contracting principles, organizational policies and procedures, and consistent with PH&S’s Mission.

• Maintain positive professional relationships with payor representatives. Responsible for asking and answering questions concerning contractual agreements and to resolve differences in understanding.

• Develop reimbursement strategies to maintain effective payor relationships, working closely with Contract Compliance/Reimbursement Auditing, Contract Analytics, Revenue Cycle, and applicable leadership.

• Be responsible for contract negotiations for Providence affiliated facilities as assigned, including acute and sub-acute facilities, Behavioral Health and Chemical Dependency facilities, Physician services, Ancillary services, Home Health Services, and Hospice.

• Communicate effectively with internal constituents on reimbursement strategies, mechanisms to improve payor compliance, and to communicate status and outcomes of negotiations.

• Demonstrate working knowledge of payor contracts and understanding of implications of contract changes.

REQUIRED QUALIFICATIONS FOR THIS POSITION INCLUDE:• Bachelor’s degree, preferably in Business Administration,

Healthcare Administration, Finance, Accounting, or equivalent combination of education and/or work experience.

• 8 years of related experience in contract negotiations, financial management, or related field.

• Demonstrated competency and working knowledge of the payor contracting environment, including the broader marketplace.

• Proficiency in computer skills and applications, including Word and Excel. EPIC, MS Access and PowerPoint.

PREFERRED QUALIFICATIONS FOR THIS POSITION INCLUDE:• Masters degree.

ANSWER THE CALL. PROVIDENCEISCALLING.JOBSWhen applying online, please reference job number 100984.

APPLY ONLINE:HTTP://50.73.55.13/COUNTER.PHP?ID=54700

Providence Health & Services is an equal opportunity employer.

MEMORIALCARE MEDICAL FOUNDATION / MEDICAL GROUP

MemorialCare Medical Group is a physician-based

organization established to provide advanced

comprehensive, effective and efficient health care. With over

30 locations from Long Beach to Dana Point, MemorialCare

Medical Group includes more than 250 physicians in the

areas of internal medicine, family medicine, pediatrics,

geriatric medicine, cardiology, cardio thoracic surgery,

gastroenterology, neurology, pulmonology, psychiatry,

psychology, rheumatology, sleep medicine and therapeutic

acupuncture. In addition to multiple locations throughout

Orange County, MemorialCare Medical Group offers Urgent

Care Centers that are open 365 days-a-year, Telephone

Advice Nurses available 24 hours-a-day, 7 days-a-week;

and lab and digital X-ray services available on-site at most

locations.

FEATURED OPPORTUNITIES

Director, Clinical Operations #325191

Associate Medical Director #325315

Manager, Coding & Compliance #323036

Manager, Clinical Services #325699

Practice Manager #323219

Project Management Specialist – Strategic Operations #324897

APPLICATION PROCESS: To see full details of these opportunities and more or to

submit an application, please visit our website at http://www.memorialcare.org/careers

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PAGE 12 February 22, 2016

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F E A T U R E D C A R E E R O P P O R T U N I T I E S

All qualified candidates must submit an online application. Online applications and full

job descriptions can be found at: http://www.goldcoasthealthplan.org/about-us/careers.aspx

Gold Coast Health Plan is currently accepting applications for the following positions:

√ Chief Diversity Officer

√ Clerk of the Board

√ Executive Assistant

√ Health Education Specialist

√ HR Generalist

√ Member Services Quality Auditor

√ Sr. Manager Delegation Oversight

√ Quality Improvement Manager

Kern Health Systems is currently accepting applications for the following positions

• Clinical Intake Coordinator Registered Nurse I

• Case Management Registered Nurse

• UM Registered Nurse Facility Based

• Database Administrator II/III

• Medical Director

• Deputy Director of Health Services

Compensation is based on experience, education and qualifications. For a complete position descrip-tion on these exciting career opportunities, please visit our career center at kernfamilyhealthcare.com or email resume to: recruitment@khs-net.com. E.O.E