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Vice President Health Services
JOB SUMMARYResponsible for oversight of all Health Plan Care Coordination and Quality Improvement activities that ensure compliance with National Committee for Quality Assurance (NCQA) accreditation and other regulatory standards. Works under the direction of the Chief Medical Officer to collaborate with Medical Directors and develop a health services strategy consistent with creating positive medical outcomes and efficient utilization management operations. Established overall annual goals for the health services team.ESSENTIAL FUNCTIONS OF THE ROLELead a team of quality improvement, clinical analytics, utilization management, and casement management professionals.Ultimately responsible for ensuring Health Plan services a
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