Source Job

$236,500–$449,300/yr
US

  • Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions.
  • Provide medical leadership for utilization management, cost containment, and medical quality improvement activities.
  • Support effective implementation of performance improvement initiatives for capitated providers.

Utilization Management Quality Improvement Healthcare Medical Review

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US

  • Assists in development and maintenance of an efficient UM program to meet the needs of health plan members commensurate with company values.
  • Perform clinical reviews (i.e., part A, B, appeals, quality of care) and conduct peer to peer discussions.
  • Provide appropriate mentoring and leadership to clinical teams as well as develop relationships to support growth and fiscal responsibility.

Devoted Health is dedicated to improving the health and well-being of older Americans by providing all-in-one healthcare solutions. Founded in 2017, they've rapidly expanded across the United States, fostering a diverse and collaborative work environment where employees are valued for their unique perspectives.