Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services.
In this role, you will be responsible for
managing a regional Medical Economics department. Provides leadership in managing overall medical costs, directs market and regional medical cost action plans, and participates in the development and maintenance marketable, high quality, cost effective provider networks. Key business partner in formulating market and regional network and medical management strategies. Maintains overall accountability for medical cost planning within the region.
In this role, you will develops reviews, revises, submits, and implements procedures, goals, and objectives for assigned nursing unit/units. Develops, submits, and administers budgets for assigned area.
Develops local practices, supports them with regionally-located clinical leadership and operational personnel and provides them access to unprecedented national resources. Each emcare practice has its own unique culture, but all sites recruit and hire clinicians who share the company's core values of being patient-focused, customer-centered and caregiver-inspired.