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Regional VP Health Services Mid - Atlantic Region
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- The Regional VP, Health Services will serve as the Senior Physician for the Mid-Atlantic region.
- The Regional VP, Health Services is a vital member of the Mid-Atlantic region senior leadership team, as well as the Humana clinical community.
- Oversee regional utilization management for case types including but not limited to inpatient (acute care hospital, LTAC, Acute rehab, SNF), as well as according to the Humana Medicare Model of Care.
- Participate in regional or Humana national level committees, including meetings related to medical necessity determination processes and Medical Director audit processes
- Assist with network development and provider contracting with various providers and ancillary providers.
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