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VP of Medical Management - Health Services - RN

Company: Job Juncture
Location: Milwaukee
Posted on: February 14, 2019

Job Description:

VP of Medical Management - Health Services - (RN) - Milwaukee, WI


Milwaukee... on the shores of Lake will find it--is a very comfortable place to enjoy in historical and cultural attractions, and--the perfect place for exploring the outdoors.

----Company offers generous relocation & perks, including TUITION & stock options

Join an already successful leadership team as they continue to improve outcomes and quality--in WI. VP will establish and implement the strategic vision for all medical management and quality functions.--

This is an IDEAL opportunity to bring your innovative ideas and--success stories to an organization--that values and listens to their clinical leadership. Exceptional analytic support and--financial resources to--bolster your opportunity for success.--

- Review and analyze all activities, costs, operations and forecast data to determine department progress.

- Participate with executive committees on special studies.

- Administer and ensure compliance with NCQA standards.

- Participate in staff, departmental, committee, sub-committee, community, State and other activities, meetings and seminars.

- Be involved with provider education and contracting activity as appropriate.


Successful candidate will have Bachelor's degree in nursing, or equivalent experience.

18+ years of clinical nursing, quality improvement, and management experience in an MCO - health plan--setting.

Thorough skills & knowledge of quality improvement practices.

Familiarity of medical information systems, medical claims payment process, medical terminology and coding.

Familiarity of case management practices, managed care, and Medicaid programs.

Familiarity--with NCQA accreditation process and standards

Keywords: Job Juncture, Milwaukee , VP of Medical Management - Health Services - RN, Executive , Milwaukee, Wisconsin

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