University of Massachusetts Medical School
Senior Clinical Director, Medical Management
Boston, MA, US · Director
Sponsorship not specified$140k-$170kDetected 1 day ago
Patient CareLeadershipCommunication
About the role
- Overview The Senior Clinical Director for Medical Management will lead medical management strategy and operations for the MassHealth Office of Clinical Affairs to ensure the delivery of medically necessary, cost-effective, and high quality care for MassHealth members. Working closely with clinical and operational leaders within the Office of Clinical
- Affairs, this leader will oversee program initiatives related to utilization management (including prior authorizations), medical coverage policy, and care management. Responsibilities •Leads development and implementation of Office of Clinical Affairs strategy for medical management to ensure appropriate, efficient, and high quality care delivery•Collects,
Requirements
- Bachelor's degree required
- Current, unrestricted R.N., C.N.P, or P.A. license in
Nice to have
- Demonstrated commitment to serving Medicaid patients•Thorough knowledge of Medicaid and related regulations•Certification in case management and/or utilization management
Compensation
- $140k-$170k
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