Upvote
Downvote
HCMS Director
Share Job
- Suggest Revision
Full-time
- Responsible for managing the utilization or care management process for one or more member product populations of varying medical complexity ensuring the delivery of essential services that address the total healthcare needs of members.
- Implements and manages health care management, utilization, cost, and quality objectives
- Supports quality initiatives and activities including clinical indicators reporting, focus studies, and HEDIS reporting
- National Committee for Quality Assurance (NCQA) accreditation and HEDIS reporting experience preferred
- MS/MA degree in a health care field or MBA with Health Care concentration preferred
Active Job
Updated TodaySimilar Job
Relevance
Active