Current Openings at ALC Staffing Associates

Vice President-Medical Management
Location:
US-LA-Baton Rouge
Compensation:
$150K - $200K / Year
Minimum Education:
Bachelors
Job Type:
Full Time
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Vice President-Medical Management
*Bachelor's degree in Nursing.
*10+ years of clinical nursing, quality improvement, utilization management and management experience in a managed care setting.
*Familiarity with National Committee on Quality Assurance (NCQA) accreditation process and standards.
*Current State Nursing License.
Baton Rouge, LA
Salary: $150K-$200K + 20% Bonus
Nationwide Relocation Assistance Available

Position Purpose:
Perform duties to direct and coordinate the medical management, quality improvement and credentialing functions for the assigned health plan based on, and in support of the company’s strategic plan.
Establishing the strategic vision and attendant policies and procedures.
Direct and coordinate activities of department and aid the chief officer of the health plan and appropriate corporate staff in formulating and administering organizational and departmental policies.
Review analyses of activities, costs, operations and forecast data to determine department progress toward stated goals and objectives.
Serve as a member of management committees on special studies.
Administer and ensure compliance with National Committee on Quality Assurance (NCQA) and/or Joint Commission on Accreditation of Healthcare Organization (JACHO) standards as determined for accreditation of the health plan.
Participate in, attend and plan/coordinate staff, departmental, committee, sub-committee, community, State and other activities, meetings and seminars.
Participate in provider education and contracting, as necessary.

Qualifications:
*Bachelor's degree in Nursing, related field or equivalent experience.
*10+ years of clinical nursing, quality improvement, and management experience in a managed care setting.
*Thorough knowledge of a specialized or technical field such as clinical nursing, managed care, and healthcare administration.
*Thorough skills knowledge of quality improvement practices.
*Working knowledge of medical information systems, medical claims payment process, medical terminology and coding, case management practices, managed care and Medicaid programs.
*Familiarity with National Committee on Quality Assurance (NCQA) accreditation process and standards.
*Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.
*Current state nursing 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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