Vice President, Medical Management

Baton Rouge, LA

Posted: 02/28/2019 Category: Healthcare Job Number: 23973
Location:    Baton Rouge, LA

Qualification Questions:
  • Do you have a current RN license (active and in good standing) in the same state as the job?
  • Do you possess a working knowledge of the National Committee on Quality Assurance (NCQA)?
  • Do you possess experience with HEDIS requirements?
  • How many years of clinical nursing experience do you possess? 
  • How many years of utilization management experience do you possess in a managed care setting?
  • How many years of experience in clinical nursing, quality improvement, and management in a managed care setting do you possess? 
  • Are you open to relocation?
  • How many years of experience do you have as a supervisor or manager, including hiring, training, assigning work and managing the performance of staff?

Experience/Education:
  • Bachelor' s degree in Nursing.
  • 10+ years of clinical nursing, quality improvement, utilization management and management experience in a managed care setting Familiarity of National Committee on Quality Assurance (NCQA) accreditation process and standards.
  • Current state nursing license.
  • Strong leadership skills and experience.
  • Thorough knowledge of a specialized or technical field such as clinical nursing, managed care, and healthcare administration.
  • Thorough skills knowledge of quality improvement practices. Working knowledge of medical information systems, medical claims payment process, medical terminology and coding, case management practices, managed care, and Medicaid programs. Familiarity of National Committee on Quality Assurance (NCQA) accreditation process and standards.
  • Previous management experience including responsibilities for hiring, training, assigning work and managing performance.
For more information on this position, please contact us at 877-782-3334.

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