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Pediatrix Medical Group Logo
Pediatrix Medical Group

Norman, OK, USA

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Baylor Scott & White Health

Kingsland, Texas

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CHRISTUS Health

San Marcos, Texas

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Inova Health

Leesburg, Virginia

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Nemours

Wilmington, Delaware

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Labcorp

Cincinnati, Ohio

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Baylor Scott & White Health

Wylie, Texas

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Baylor Scott & White Health

Marble Falls, Texas

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PIH Health

Whittier, California

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Pediatrix Medical Group

San Antonio, TX, USA

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Beebe Healthcare

Rehoboth, Delaware

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Veterans Affairs, Veterans Health Administration

San Antonio, Texas, Texas

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PIH Health

Los Angeles, California

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Duke University Health System

Durham, North Carolina

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Kindred Hospitals

Chicago, Illinois

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CHRISTUS Health

Tyler, Texas

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Duke University Health System

Durham, North Carolina

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BJC HealthCare

Saint Peters, Missouri

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Baylor Scott & White Health

Horseshoe Bay, Texas

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Salinas, California

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Veterans Affairs, Veterans Health Administration

Pittsburgh, Pennsylvania, Pennsylvania

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Veterans Affairs, Veterans Health Administration

Milwaukee, Wisconsin, Wisconsin

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Medical Director - HP
JOB SUMMARYAccountable for managing Health Plan medical costs and assuring appropriate health care delivery for plans and members. Is accountable to provide professional leadership and direction in the utilization/cost management (UM) and clinical quality improvement (QI) of the Health Plan, as measured by benchmarked UM and QI goals. Works collaboratively as a clinical resource to other plan functions that interface with medical management such as provider relations, member services, benefits, claims management, etc. Carries out medical policies at the Health Plan consistent with NCQA and other regulatory bodies.ESSENTIAL FUNCTIONS OF THE ROLEIdentify opportunities for corrective action plans to address issues and improve p


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