company logo

VP / Medical Director of Utilization Management at Somatus in Dhs, VA

Save

compensation:

$100K — $150K *

industry:

specialty:

Medicine, Healthcare Management

experience:

Less than 5 years

Job Description

Summary:


The VP/Medical Director of Utilization Management is responsible for helping to manage member medical costs and assuring appropriate health care delivery for the assigned health plan members. Reports organizationally to the Senior Vice President of Medical Affairs. Supports design and implementation of medical policies, and appropriate Utilization Management goals and objectives. Interfaces with the provider community regarding full-scope Utilization Management and evidence-based medicine. Provides professional leadership and direction to the functions within the Somatus Office of Medical Affairs. Under SVP leadership, is responsible and accountable for executing the Utilization Management Program and relevant Clinical Quality Improvement Programs in partnership with the Market Medical Directors.


Responsibilities:


Provides critical thinking for analysis, evaluation and modification of data (e.g., medical, pharmacy, quality)

See More

Valid through: 7/17/2020

About Somatus

Total Jobs:
15
Average Pay:
$162,666
Total value of jobs:
$2,440,000
Learn More About Somatus
* Ladders Estimates

More Jobs at Somatus

Similar Jobs

More Healthcare Jobs

Speech-Language Pathologist

Confidential Company

Canton, IL 61520

3 days ago

Clinical Business Process Analyst

$80K — $100K + benefits eligible

4 days ago

Physical Therapist

$80K

Confidential Company

Keene, NH 03431

4 days ago

Business Development Manager, Flexible Packaging

$90K — $110K + esop shares, health, expenses

Confidential Company

Remote

5 days ago

Find similar Medical Director jobs: