Current Openings at ALC Staffing Associates

Manager, Medical Management (Medicare)
Location:
US-AR-Little Rock
Compensation:
$70.00 - $80.00 / Hour
Minimum Education:
Bachelors
Job Type:
Full Time
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Manager, Medical Management (Medicare)
*Bachelor's degree in Nursing or equivalent experience.
*3+ years combined nursing, quality improvement and managed care experience.
Little Rock, AR
Salary: $70K-$80K + 2% Bonus
No Relocation Assistance Available

Position Purpose:
Responsible for managing a complete Medicare Advantage program of medical management in accordance with the mission, philosophy, and objectives of plan.
The position has oversight for the functions of utilization management and case management.
Implement changes to medical service functions and performance in relation to Medicare guidelines, company mission, philosophy objectives and policies
Manage budgets and forecast for strategic planning and key initiatives and balance current future needs effectively.
Research and incorporate best practices into operations.
Assure compliance of work processes with Medicare Advantage and CMS regulations.
Responsible for the statistical analysis of utilization data.
Participates in NCQA accreditation of the Plan.

Qualifications:
*Bachelor's degree in Nursing or equivalent experience.
*3+ years combined nursing, quality improvement and managed care experience. *Proficiency in Microsoft Applications, preferably excel.
*Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.
*Previous experience managing Medicare Advantage programs preferred.
*RN license.

Equal opportunity employer that is committed to diversity, and values the ways in which we are different.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law

Arthur L Crume
ALC Staffing Associates
509 N Vermilion
Ste. 540
Danville, IL 61832
Fax: 888-315-4340
Phone: 217-636-3930

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