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Memorial Sloan Kettering Cancer Center
New York, New York
Northeast Georgia Health System
Remote,
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Director Medical Management - Health Plan Admin
DescriptionSummary:The Director Medical Management is responsible for all clinical aspects of US Family Health Plan and other contracts as assigned. Oversees the development and implementation of the Clinical Quality Management Program (CQMP), and Utilization, Disease, and Case Management Plan. This includes developing the strategic vision and direction for, as well as directing and promoting all Clinical and Quality Improvement programs and initiatives. These initiatives incorporate the regulatory and contractual requirements of the related contracts into the programs. They include development and monitoring of clinical programs and quality initiatives for plan performance, implementation of population based studies and establishment of and dir
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