VP Medical Management | RN

MMS Group

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Job Details:

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

Job Description:
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 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.
  • Current nursing license REQUIRED.

Keywords:
nurse leadership roles, nurse executive role, managed care jobs, healthcare operations management, leadership jobs in healthcare, nursing leadership and management jobs, healthcare management jobs, nursing leadership positions, healthcare administration jobs, healthcare operations management jobs

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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