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Manage and configure capitation and DOFR agreements within the Facets platform, analyzing data for compliance and trends while collaborating with various departments.

This role involves managing capitation agreements, analyzing data, ensuring compliance, generating reports, and providing training within the healthcare system.

Provide after-hours behavioral health triage by fielding inbound member/provider calls, assessing psychiatric and substance use admissions, managing crisis calls, determining medical necessity and levels of care, coordinating inpatient treatment plans with facilities, documenting outcomes, and attending compliance training. Must work nights, weekends, and holidays and maintain an active California clinical license.