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Case Management and Medical Expense Performance Vice President

Company: VirtualVocations
Location: Cranston
Posted on: September 21, 2023

Job Description:

A company is looking for a Vice President of Case Management and Medical Expense Performance.
Key Responsibilities:

Develop, implement, and lead Case Management and Medical Expense Performance management programs across all markets and products
Lead the development of solutions and approaches to ensure quality and consistency of clinical programs and services
Collaborate with clinical and operational teams to identify and implement waste reduction initiatives

Required Qualifications:

Licensed Registered Nurse or equivalent with active licensure
Bachelor's Degree in healthcare or business required, Master's degree strongly preferred
10+ years healthcare experience, including 5 years in case management and medical expense management
5+ years program development and implementation experience
Working knowledge and experience with healthcare financing models such as Medicare, Medicaid, SNP, PACE strongly preferred

Keywords: VirtualVocations, Cranston , Case Management and Medical Expense Performance Vice President, Executive , Cranston, Rhode Island

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