Vacancy caducado!
Director II GBD Special Programs - Atlanta, GA - PS26747Location: United StatesNewRequisition #: PS26747If this is not a straight backfill please consult with your HR Business Partner prior to posting/using this job.Responsible for the fiscal and operational management/implementation and oversight of a special product/program such as long term service and supports (LTSS) Foster Care Intellectual and developmental disabilities (IDD) or HIV/Aids etc. For use as the senior most special program leader in the highest revenue and most complex markets where the program is subject to enhanced regulatory oversight more stringent quality assessment specialized contract negotiations and/or complicating geographic/market concerns. Primary duties may include but are not limited to: Develops and implements the strategic vision goals objectives policies and decision making for the special product/program organization. Oversees all health plan medical management programs including concurrent review pre-certification discharge planning case management disease management provider profiling quality management accreditation health promotion and outreach. Facilitates and collaborates with medical management staff to identify gaps and improve processes. Oversees the design and development of provider contracts and partnerships to achieve quality cost management and strategic business development objectives; develops and negotiates strategic provider contracts on behalf of the Plan. Leads the performance management/earnings improvement activities for the special product/program organization. Hires trains coaches counsels and evaluates performance of direct reports. Requires a BA/BS; 12+ years of relevant experience including prior management experience in a managed care setting with operations budgeting and forecasting process improvement or planning experience; or any combination of education and experience which would provide an equivalent background. MPA MPH MSN or MBA with Health Care concentration preferred. RN or LMSW license preferred.AnEqualOpportunityEmployer/Disability/Veteran
Vacancy caducado!