Posted in Other 30+ days ago.
Location: New York, New York
Overview
Leads the implementation of Health Services clinical operations for products offered through the VNSNY Management Services Organization (MSO). Collaborates with leadership across the Enterprise to create and implement efficient clinical processes, ensure appropriate utilization and develop evidence-based care management policies and procedures to support new MSO products and meet regulatory standards. Collaborates with other disciplines to ensure workflows are comprehensive for clinical handoff to provider, claims and enrollment. Works under limited direction.
Education: Master's degree in business, healthcare or related field or equivalent work experience required.
Experience: Minimum of eight years of progressive health care operations management experience required. Strong knowledge of health care delivery systems, medical management IT platforms, managed care, and patient care required. Strong knowledge of federal and state health care regulations related to Medicare, Medicaid, managed care, and long-term care required. Strong knowledge of geriatrics, community-based care, and long-term care required. Demonstrated ability to collaborate and interact cooperatively with all levels of management and their staffs required. Strong systems thinking and process improvement success skills required. Strong analytical skills and excellent oral, written and interpersonal communication skills required. Proficient PC skills, including MS Excel and Word required.
Hanes Brands
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MMC
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MMC
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