Senior Medical Management Project Manager
2 weeks ago
We are seeking a highly skilled Senior Medical Management Project Manager to join our team at Samhealth Test account. As a key member of our medical management team, you will be responsible for managing medical management projects and initiatives related to case management, utilization management, ENCC, and clinical pharmacy.
Key Responsibilities:
- Develop and implement strategies to improve medical management initiatives and achieve corporate goals.
- Collaborate with health plan medical management to prioritize projects, identify medical trends, and develop processes to respond to trends.
- Assist in evaluating the impact and effectiveness of initiatives.
Requirements:
- Bachelor's degree required.
- Current unencumbered Oregon RN license required.
- Four (4) years experience in program or project management required.
- Four (4) years supervisory experience required.
- Experience or training in disease management, utilization management, case management, clinical pharmacy, and managed care required.
Preferred Qualifications:
- Previous health plan experience.
- Experience or training in Medicare, Medicaid, and commercial insurance.
What We Offer:
- A dynamic and supportive work environment.
- Opportunities for professional growth and development.
- A competitive salary and benefits package.
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