Manager, Medical Management
Location: Columbia South Carolina
Description: Centene Corporation is presently looking of Manager, Medical Management right now, this career will be placed in South Carolina. Detailed specification about this career opportunity please read the description below. Position Purpose:
Responsible for managing a complete program of medical management in accordance with the mission, philosophy, and objectives of plan. The position has oversight for the functions of utilization management and case management.
Knowledge/Experience:
Nursing degree, state registered nursing license, and advanced degree preferred. 3-5 years nursing experience. 3 â€" 5 years quality improvement and management experience in a healthcare environment, preferably managed care.
Position Responsibilities:
- Implement changes to medical service functions and performance in relation to company mission, philosophy objectives and policies, as directed.
- Manage budgets and forecast for strategic planning and key initiatives. Balance current future needs effectively.
- Research and incorporate best practices into operations.
- Assure that Medical Services functions and responsibilities are coordinated with other operating departments of the Plan and Corporate.
- Responsible for the statistical analysis of utilization data.
- Participates in NCQA accreditation of the Plan.
- .
If you were eligible to this career, please email us your resume, with salary requirements and a resume to Centene Corporation.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Thu, 19 Jul 2012 18:55:35 GMT