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Director/Sr Director Government Medical Programs

Remote, USA Full-time Posted 2025-11-09
About the position Responsibilities • Advise senior leaders in the development of departmental and organizational strategy and progress toward goals. • Foster the development of high performing teams through talent recruitment and career development plans. • Facilitate a positive work environment that fosters ethical decision making, innovation, customer focus, respect, trust, and collaboration. • Act as an advisor and engage with other teams to lead the development and execution of improvement initiatives. • Develop key strategic goals for medical management programming in conjunction with the Chief Medical Officer. • Oversee teams responsible for utilization management, case management, and appeals. • Integrate medical and policy strategies, programs, and products to support improving member care. • Collaborate with providers and ACOs in coordinating medical management programs. Requirements • Bachelor's degree in business or a related field of study or equivalent experience. • Minimum of 7 years' experience with a health care payor, medical management programs or a related field. • Experience building and leading teams and implementing strategies. • Experience mentoring and coaching leaders. • Demonstrated previous experience working in Medicare Advantage and Managed Care Organizations. • Prior Medicare Advantage medical management and utilization management experience at a leadership level. • Demonstrated experience delivering business results. • Experience with data-driven decision making. • Regular travel to Omaha required. • Ability to work in a fast-paced, dynamic environment. Apply tot his job Apply To this Job

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