1+ months

Director of Population Health Management - Louisville, Kentucky

Louisville, KY 40202
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Medical Director careers at UnitedHealth Group are anything but ordinary. We push ourselves and each other to find smarter solutions. The result is a culture of performance that's driving the health care industry forward. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Join us. And start doing your life's best work.(sm)

Primary Responsibilities:

  • Coordinate and overseeing the HSD/population health management program and services
  • Strategize, develops and directs operations of the health services department to ensure provision of high quality, cost-effective services
  • Conduct the Clinical Oversight Committee, which reports out to the Quality Oversight Committee, developing and managing budgets and directing actions to control targeted costs for inpatient and outpatient services in conjunction with the site medical expense team
  • Maintain compliance with state and federal regulations and contracts, and complies with company policies and procedures
  • Report to the CMO and support in driving affordability, health care policy, appeals and grievance review (State Fair Hearing), support HEDIS and EPSDT rate achievement, direct oversight of the Maternal Child program, Private Duty nursing and support of the SKY clinical nursing team
Posted: 2019-08-17 Expires: 2019-10-19

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Director of Population Health Management - Louisville, Kentucky

UnitedHealth Group
Louisville, KY 40202

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