Director/Sr Director Government Medical Programs
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.
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