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Sr. Director, Medical Management

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Job Summary
Sr. Director, Med Mgmt – Atlanta National healthcare enterprise – strong growth- RELOCATION- excellent benefits! About MMS Group MMS is a Managed Care executive search firm. We are Managed Care's complete recruiting resource. Keywords: Medical
Direct medical management program including utilization management, case management, and quality improvement. Develop department objectives and organize activities to achieve objectives. Evaluate and implement changes to medical service functions and performance in relation to company mission, philosophy objectives and policies. Participate as a subject matter expert in implementation of new health plan products. Manage budget and forecast for strategic planning and key initiatives Coordinate with operating departments on research and implementation of best practices Responsible for the statistical analysis of programs related to utilization and case management Participate in NCQA, State, and/or other accreditations of the Plan Develop communication plans with external providers such as hospitals and State agencies as required to facilitate plan goals and objectives Coordinate with Medical Director to educate and communicate expectations with providers.
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