Plan Performance Medical Director- Wisconsin and Missouri Markets
Core
Trusted clinical partner supporting sales teams to grow and retain business in Wisconsin and Missouri markets by representing population health strategy, building provider/government partnerships, and improving affordability and member experience.
Role type
Director-level Plan Performance Medical Director
Builds
Clinical programs and cost-of-care initiatives for WI and MO markets
Domain
US Healthcare / Managed Care / Population Health
Deliverable
client delivery
Required skills
Clinical expertise, utilization management, policy interpretation, peer-to-peer clinical reviews, market trend analysis, provider relationship management
Preferred skills
Leadership in care or utilization management, managed care experience, population health management experience
Technologies
None stated
Responsibilities
Lead and implement clinical and non-clinical activities impacting efficient care; deliver clinical insights to enhance value propositions; identify innovation opportunities; provide guidance on clinical operational aspects; interpret policies and support new guidelines; conduct peer-to-peer clinical reviews with physicians
Seniority
Director, hands-on leadership
