VP, Medical Management

MMS Group

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Job Details:

Job Overview:
Job Title: VP, Medical Management
Employer: MMS Group
Location: Little Rock, Arkansas
Job Type: Full-Time
Profession: Administrator/Executive
Career Level: Experienced
Experience: 10-15 years
Education Level: Bachelor’s Degree
Travel: 25

Job Description:
VP, Health Services | Medical Management – Little Rock

Amazing opportunity to be a clinical strategist for this health plan in a market with a very strong growth trajectory. Implement new programs and products, create a cohesive culture, collaborate closely with Quality and Provider Engagement teams.

International healthcare enterprise is a solutions and thought leader in this market.

GENEROUS relocation- incredible tools & technology

We need a business – savvy clinician with a strong drive to improve health outcomes and quality of care for the vulnerable populations. Make your mark and accelerate your career!

Experienced leader should bring a proven background in an MCO/health plan/ACO. Experience with special needs and behavioral health is a plus. VP will shape and direct the medical management department and initiatives.

Directors reporting to the VP will have oversight for day to day activity of the CM, UM and DM teams. -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.
-Participate in, attend and plan/coordinate staff, departmental, committee, sub-committee, community, State and other activities, meetings and seminars.

Job Requirements:

– Bachelor’s degree in Nursing, related field or equivalent experience.
-10+ years of clinical nursing, quality improvement, and management experience
– Leadership experience in a managed care setting.
-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.
-Strong Leadership skills with succession planning experience.
Ability to lead both in person and remote direct reports.
-Current nursing license REQUIRED.


About MMS Group:
MMS is a Managed Care executive search firm. We are Managed Care’s complete recruiting resource.

Click Here for Details and to Apply


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