Healthcare Services Manager

6 days ago


Decatur, Georgia, United States Peach State Health Plan Full time

Peach State Health Plan is looking for a skilled Healthcare Services Manager to lead our medical management efforts.

About the Role

This key position plays a crucial role in delivering high-quality healthcare services to our members. As a Healthcare Services Manager, you will oversee the development and implementation of medical management strategies, disease management programs, and quality assurance initiatives. Your leadership will help us achieve our goal of providing exceptional healthcare to our members.

Key Responsibilities
  • Develop and implement medical management strategies to improve health outcomes and reduce costs.
  • Supervise a team of medical professionals to ensure effective implementation of medical policies and procedures.
  • Collaborate with internal stakeholders to develop and implement evidence-based clinical guidelines.
  • Conduct data analysis to identify trends and areas for improvement in healthcare delivery.
  • Ensure compliance with regulatory requirements across our organization.
Requirements

To succeed in this role, you will need:

  • A Doctorate degree in medicine (MD) from an accredited institution.
  • At least 5 years of experience in medical practice after completing residency-training requirements for board eligibility.
  • 3+ years of medical management experience in a managed care environment or military healthcare setting.
  • Board certification in an ABMS recognized specialty.
  • A current, active, and unrestricted MD license in the state where you will be working.
Compensation and Benefits

We offer a competitive salary range of $217,000 - $412,300 per year, depending on your experience and qualifications. Additionally, you will enjoy a comprehensive benefits package, including health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off, and a flexible approach to work with remote, hybrid, field, or office work schedules.



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