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applicants

Full-time Manager, Medical Management (Medicare) $70,000-$80,000

at International Consulting Services in Arkansas

Position Purpose: Responsible for managing a complete Medicare Advantage program of medical management in accordance with the mission, philosophy, and objectives of plan. The position has oversight for the functions of utilization management and case management.



•Implement changes to medical service functions and performance in relation to Medicare guidelines, company mission, philosophy objectives and policies



•Manage budgets and forecast for strategic planning and key initiatives and balance current future needs effectively



•Research and incorporate best practices into operations



•Assure compliance of work processes with Medicare Advantage and CMS regulations



•Responsible for the statistical analysis of utilization data



•Participates in NCQA accreditation of the Plan.



Qualifications:

Education/Experience:

•Bachelor's degree in Nursing or equivalent experience.

•3+ years combined nursing, quality improvement and managed care experience.

•Proficiency in Microsoft Applications, preferably excel.

•Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.

•Previous experience managing Medicare Advantage programs preferred.



License/Certification: RN license.



More information about the job

Is Relocation Available?

No

Is there a bonus structure?

2%

Are you open to sponsorship?

No

This position is:

New Position

Is there a possibility to work remote?

No

Is there equity?

No

Are there flexible work hours?

No

Does this position have direct reports?

Yes

Who does this position report to?

VP, Medical Management



What are the 3-4 non-negotiable requirements on this position?

No remote Must have people management experience & Case Management



What are the nice-to-have skills?

Medicare



Does this exciting opportunity describe you? If so, then, now is your time!
Reference : Manager, Medical Management (Medicare) $70,000-$80,000 jobs


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Published at 10-06-2017
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