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Yuma Regional Medical Center

Yuma, Arizona

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Southern California Permanente Medical Group

Oxnard, California

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Penn State Health

Camp HIll, Pennsylvania

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Inova Health

United States,

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Penn State Health - Physician Recruitment

Hershey, Pennsylvania

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WMCHealth

Poughkeepsie, New York

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Pediatrix Medical Group

Mansfield, OH, USA

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St. Luke’s University Health Network

Allentown, Pennsylvania

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Southern California Permanente Medical Group

Thousand Oaks, California

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Southern California Permanente Medical Group

Fontana, California

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Raleigh, North Carolina

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Northeast Georgia Health System

Winder, Georgia

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Penn State Health - Physician Recruitment

Reading, Pennsylvania

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Yuma Regional Medical Center

Yuma, Arizona

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Duke University Health System

Durham, North Carolina

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Penn State Health

Enola, Pennsylvania

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Baylor Scott & White Health

Marble Falls, Texas

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Pediatrix Medical Group

Orem, UT, USA

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Penn State Health - Physician Recruitment

Reading, Pennsylvania

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Penn State Health - Physician Recruitment

Hershey, Pennsylvania

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Penn State Health - Physician Recruitment

Hershey, Pennsylvania

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Medical Director - Health Plan
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 ROL


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