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Program Executive Director - Clinical Review

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$120,000 - $140,000
Job Type
Direct Hire
Aug 29, 2017
Job ID

This position will manage daily operations of clinical review and eligibility programs for with hands-on oversight for all operational areas for Clinical Support Services with a focus on UM and Behavioral Health programs


Successful Candidate will have:

  • Master’s degree in healthcare related degree.   RN preferred but not required.
  • Minimum 10 years of progressive operational leadership of a public and/or private sector healthcare entity with at least five years in a position of direct operational authority for an entire operation.
  • Minimum 2 years of management experience in managing clinical care processes and outcomes, and clinical guidelines.
  • MUST have significant experience managing contract operations including contract administration functions.
  • Requires advanced knowledge of UR, QM, CM and health field/business requirements and interrelations.