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I thought you might be interested in the SVP of Health Services (RN) | Executive Leader - Health Plan job listed at Top Dog Recruiting. Just copy and paste the following link into your browser: http://topdogrecruiting.hiringhook.com/JobSeeker/Detail.aspx?jid=02544241
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SVP of Health Services (RN) | Executive Leader - Health Plan
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....SVP of Health Services (RN) | Executive Leader - Health Plan - Chicago
HIGHLY VISIBLE opportunity working closely with the CEO.
GENEROUS RELOCATION - strong analytics support- collaborative team!
You will establish the strategic vision for this plan, directing and coordinating the medical management, clinical services, and quality improvement and credentialing functions across the IL market.
- Team - building and collaboration with internal and external constituents will be key.
- Administer and ensure compliance with NCQA and/or The Joint Commission on Accreditation of Healthcare Organization .
- Coordinate staff, departmental, committee, sub-committee, community, State and other activities, meetings and seminars.
- Participate in provider engagement activities and education and contracting, as needed.
- Serve as a member of management committees on special studies.
Ideal Candidate Profile:
Must be a licensed RN
- Bachelor's Degree required - Masters is a plus
- Min 10 years’ experience in a similar leadership role in managed care - -Experience with Medicaid or other government sector health plan preferred.
- Thorough skills knowledge of quality improvement practices
- Experience with NCQA accreditation process and standards
- Working knowledge of medical information systems, medical claims payment process, medical terminology and coding, case management practices.
- Project Management Experience is a plus
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