SVP of Health Services (RN) | Executive Leader -  Health Plan

Location: Chicago, IL
Job Type: Direct Hire
Degree: Bachelor;
Date: 5/10/2018
Job ID: 02544241
Job Description
....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