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RN Program Manager, Medicare Advantage Program
Job Opportunity at
Posted on Nov 7
Large statewide managed care plan
Executive Director Clinical Consulting
POSITION DESCRIPTION: (Note: go live for program 01/01/2018)
Develop and manage various health management programs including Case, Utilization and Disease Management as well as Behavioral Health and Healthcare Development with 3 nurses (eventually up to 25) – expect 6000 to 10,000 members.
Lead 3 nurses (eventually up to 25) – expect 6000 to 10,000 members.
One RN covers UM & is a Discharge Planner from hospital side
one RN worked on the program in 2014,
one RN covers FEP (Federal Employee Program)
Assess impact of programs, perform cost-benefit/feasibility analyses.
Perform market research assessing corporate competitiveness.
Provides strategic direction for reporting including design, analysis and validation of outcomes and ROI.
RN, BSN preferred.
Must have Medicare Advantage experience!!
5+ years clinical experience. Strong leader!
2 to 5 years supervisory role or equivalent military experience grade E4 or above
Experience developing, implementing and evaluating population health programs
Ability to understand and communicate healthcare policy
Active unrestricted RN license or NLC, unrestricted multi-state Compact license
Excellent bonus + interview and relocation program. Merit review Mar. through May depending on start date.
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