Market Clinical Director of Population Health
3 weeks ago
We are seeking a highly skilled and experienced Market Clinical Director of Population Health to lead our market-specific clinical operations. This individual will be responsible for supervising prenatal UM and ICM staff, ensuring all market activities conform to enterprise program descriptions, policies, and procedures.
- Oversight of execution of market-specific clinical programs, including prenatal UM, CM, Foster Care, and Bright Start.
- Assures compliance of program execution with enterprise policies.
- Monitors performance metrics across multiple LOBs and assures that appropriate action is taken to address performance opportunities consistent with enterprise policies.
- Responsible for market-specific contract and NCQA accreditation compliance related to Population Health Clinical Operations.
- Supervises market-specific Population Health Clinical Operations staff.
Requirements:
- Bachelor's degree required in Nursing or healthcare-related field.
- Master's preferred or equivalent work-related experience.
- Clinical license is required, RN is preferred. LCSW or BH equivalent advanced licensure can be considered.
- CCM certification preferred within 2 years of hire.
- Three to five years of progressive management experience (including staff management) in a managed care environment.
- Experience with Managed Medicaid clinical programs is highly desirable.
- Experience with Foster Care is highly desirable.
- Knowledge of LTSS programs is highly desirable.
- Management experience with Case Management programs preferred.
- Experience in CM design and implementation is preferred.
AmeriHealth Caritas is an equal opportunity employer and welcomes applications from diverse candidates. We offer a comprehensive benefits package, including flexible work solutions, competitive pay, and opportunities for professional growth and development.
We are committed to creating a workplace that is inclusive and respectful of all associates. If you are passionate about making a difference in the lives of others and have the skills and experience required for this role, we encourage you to apply.
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