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VP Medical Management -

Company: HealthCare Support
Location: Columbia
Posted on: December 7, 2018

Job Description:

Intro: Are you an experienced healthcare professional with high level director or VP experience coming from managed care / health plans? Are you looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you! Daily Responsibilities of VP Medical Management: Perform duties to direct and coordinate the medical management, quality improvement and credentialing functions for the assigned health plan based on, and in support of the company's strategic plan; establishing the strategic vision and attendant policies and procedures.
Direct and coordinate activities of department and aid the chief officer of the health plan and appropriate corporate staff in formulating and administering organizational and departmental policies.
Review analyses of activities, costs, operations and forecast data to determine department progress toward stated goals and objectives.
Serve as a member of management committees on special studies.
Administer and ensure compliance with National Committee on Quality Assurance (NCQA) and/or Joint Commission on Accreditation of Healthcare Organization (JACHO) standards as determined for accreditation of the health plan.
Requirements of VP of Medical Management Bachelor's degree.
MSN Preferred Current state Registered Nurse license.
10+ years of clinical nursing, quality improvement, and management experience in a managed care setting.
Looking for CM and UM knowledge Thorough knowledge of a specialized or technical field such as clinical nursing, managed care, and healthcare administration Thorough skills knowledge of quality improvement practices Working knowledge of medical information systems, medical claims payment process, medical terminology and coding, case management practices, managed care, and Medicaid programs Familiarity of National Committee on Quality Assurance (NCQA) accreditation process and standards Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff Hours for this Position: Monday to Friday: 8-5pm Advantages of this Opportunity: Competitive salary - negotiable based on relevant experience Company Annual Bonus Medical benefits 1st of the month after hire 401k Matching Interested in being considered?

Keywords: HealthCare Support, Columbia , VP Medical Management -, Executive , Columbia, South Carolina

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