Medical Management Project Manager

2 days ago


Corvallis, Oregon, United States Samhealth Test account Full time
Job Summary

We are seeking a highly skilled Medical Management Project Manager to join our team at Samhealth Test account. The successful candidate will be responsible for managing medical management projects and initiatives related to case management, utilization management, ENCC, and clinical pharmacy.

Key Responsibilities
  • Identify medical management initiatives and develop strategies to deploy resources in order to reach corporate goals.
  • Assist in evaluating the impact and effectiveness of initiatives.
  • Work closely with health plan medical management to prioritize projects, identify medical trends, and develop processes to successfully respond to trends.
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 preferred.
  • Experience or training in Medicare, Medicaid, and commercial insurance preferred.
What We Offer

We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.



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