Medicaid Program Executive Director

Location: WV
Job Type: Direct Hire
Salary: $120,000.00 - $125,000.00
Degree: Master;
Date: 8/29/2017
Job ID: 02516864
Job Description

This position will manage daily operations of clinical review and eligibility programs for with hands-on oversight for all operational areas for Clinical Support Services with a focus on UM and Behavioral Health programs


Successful Candidate will have:

  • Master’s degree in healthcare related degree.   
  • Minimum 10 years of progressive operational leadership of a public and/or private sector healthcare entity with at least five years in a position of direct operational authority for an entire operation.
  • Minimum 2 years of management experience in managing clinical care processes and outcomes, and clinical guidelines.
  • MUST have significant experience managing contract operations including contract administration functions.
  • Requires advanced knowledge of UR, QM, CM and health field/business requirements and interrelations.