Director Medical Management - Health Plan Admin in Irving, TX for CHRISTUS Health

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Director Medical Management - Health Plan Admin

DescriptionSummary:The Director of Medical Management requires strong leadership skills, strategic thinking, and a deep understanding of healthcare management principles. The incumbent will partner with the Chief Medical Director to provide strategic leadership to the Care and Disease Management and Utilization Management programs of the Health Plan. This position is responsible for all clinical aspects of Uniformed Services Family Health Plan (USFHP), Medicare Advantage, Health Exchange, and other assigned contracts, ensuring compliance with regulatory and contractual requirements. Responsibilities include the development, monitoring, and reporting of clinical programs and quality initiatives for plan performance, implementation of population-ba

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