Location: Orange, CA
Cap-Exempt H-1B Position — No lottery required
Overview: **UCI Health** is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County. To learn more about UCI Health, visit www.ucihealth.org. Responsibilities: **Position Summary:** The position is responsible for representing UCI Health with respect to Medical Management for Managed Care. As a critical member of leadership, the incumbent will be responsible for collaborating to execute UCI Health goals and strategic plan initiatives. This role oversees and is accountable for the delegated Utilization Management (UM) and Quality Management (QM) Programs for a capitated, delegated medical group. The position provides high-level support and direction to ensure operational excellence, regulatory compliance, and optimal patient care through efficient resource utilization across the healthcare continuum. It encompasses the oversight of program compliance, quality management, performance improvement, and strategic leadership within the medical management domain. The incumbent plays a crucial role in shaping policies, monitoring industry trends, and driving contin