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Hmo information

What are the typical responsibilities of an HMO medical officer on a daily basis?

As an HMO Medical Officer, your daily tasks often include reviewing patient medical records for pre-authorization or claims, consulting with physicians and healthcare providers on case management, and conducting medical audits to ensure compliance with policies. You’ll also participate in utilization review meetings and help develop clinical guidelines to improve care quality and operational efficiency. This role is highly collaborative, requiring regular interaction with both clinical and administrative staff. By balancing clinical expertise with healthcare management, you play a key role in delivering effective and sustainable patient care within the HMO structure.

What is an HMO?

An HMO (Health Maintenance Organization) job typically refers to a role within a healthcare organization that provides managed care services to patients. Employees in HMO roles may work in various capacities, such as case management, claims processing, provider relations, or patient coordination. Their primary responsibility is to ensure efficient healthcare delivery while managing costs and maintaining compliance with healthcare regulations.

What are the key skills and qualifications needed to thrive in the HMO position, and why are they important?

To thrive as an HMO (Health Maintenance Organization) Medical Officer, a medical degree with appropriate licensure and experience in clinical medicine are essential. Familiarity with healthcare management systems, medical auditing tools, and utilization review protocols are typically required. Strong analytical thinking, decision-making, and interpersonal communication skills help HMO Medical Officers navigate complex cases and work collaboratively with providers and administrative teams. These competencies are vital for ensuring high-quality, cost-effective patient care and compliance with organizational standards.

More about Hmo jobs
What are the most commonly searched types of Hmo jobs? The most popular types of Hmo jobs are:
What states have the most Hmo jobs? States with the most job openings for Hmo jobs include:
Infographic showing various Hmo job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.

Transfer Request Only--Generic Filing

County of Nevada, CA

Nevada City, CA • On-site

Full-time

Medical, Dental, Vision, Life

Re-posted 25 days ago


Job description

Salary : $0.00 Annually
Location : Eric Rood Government Center (Western County), 950 Maidu Avenue, Nevada City, CA
Job Type: Full Time
Job Number: 2026-999
Department: Human Resources
Opening Date: 01/20/2026
Closing Date: 12/31/2026 11:59 PM Pacific
Definition and Class Characteristics
This is a generic posting used for selected recruitments, such as when an internal employee seeks to apply to a position which represents a transfer, or when an applicant requests to apply for a position which represents an underfill.
Benefits Guide
The is a comprehensive document for employees of the County of Nevada. Information contained in this summary of benefits is not a binding document. Refer to specific unit for additional benefit information.
Health Insurance
The County sponsored plan is the PERS Gold PPO, but you can also choose plans from providers such as Anthem, Blue Shield, and PORAC (if you are a member) to suit your needs.
Health Insurance Plans
  • Anthem Blue Cross Select HMO
  • Anthem Blue Cross Traditional HMO
  • Blue Shield CalPERS Access+ HMO
  • Blue Shield Trio HMO
  • Kaiser HMO
  • PERS Gold PPO (County sponsored plan)
  • PERS Platinum PPO
  • PORAC (Available to PORAC members only)
Flexible Spending Accounts
The County offers employees the option to contribute to a pre-tax medical FSA and dependent Care FSA.
Life Insurance
Voya is the County's life insurance provider. We offer the following products through Voya:
  • Basic Accidental Death and Dismemberment
  • Basic Term Life
  • Optional Accidental Death and Dismemberment plans
  • Optional Dependent Term Life
  • Optional Term Life
Dental & Vision Insurance
Nevada County employees can opt to receive dental and vision insurance without opting for health insurance coverage as well. This will give employees more flexibility to match their choice of insurance plans to their specific needs. Ameritas Dental is the dental provider offered through Nevada County and Ameritas VSP Vision Care is our vision care provider.
Retirement
The County is a member of the CalPERS retirement system and also provides the opportunity for voluntary contributions to a 457 deferred compensation account through Nationwide by way of pre-tax and Roth payroll deductions.
CalPERS Miscellaneous Tiers: Tier 1 (Classic-former employee originally hired on or before 12/13/12 and are returning to Nevada County) 2.7% @ 55 Tier 2 (Hired by a CalPERS employer between 12/14/12-12/31/12 and coming to Nevada County with less than 6 months between separation from former CalPERS employer and hire date with Nevada County) 2%@60 Tier 3 (Hired by first CalPERS employer on or after 1/1/13 or having a break in service of more than six months between another CalPERS employer and Nevada County) 2%@62
CalPERS Safety tiers: Tier 1 (Classic-former employees originally hired on or before 12/13/12 and are returning to Nevada County) 3% @ 50. Tier 2 (Hired by a CalPERS employer between 7/2411-12/31/12 and coming to Nevada County with less than 6-months between separation from former CalPERS employer and hire date with Nevada County) 3% @ 55. Tier 3 (Hired by any CalPERS employer on or after 1/1/13) 2.7% @ 57. We encourage you to visit the CalPERS home page, , to search related information about the retirement plans noted here so that you fully understand what your retirement formula means to you.
NEVADA COUNTY IS AN EQUAL OPPORTUNITY EMPLOYER
Any information on this page or documents and links are subject to change without notice.
Nevada County Human Resources Department
950 Maidu Avenue, Nevada City, CA 95959 (530) 265-7010 option 2
Human.resources@nevadacountyca.gov
www.nevadacountyca.gov