care management strategies to improve clinical and financial outcomes. The Medical Director, Population Health... will report to the Senior Medical Director, Population Health - Complex Patient Care and will play a pivotal role in shaping...
Consultation & Collaboration Partner with the Medical Director and Peer Reviewers for cases requiring medical necessity evaluation... Informatics. Knowledge of Population Health and Health Disparities. Previous experience in health insurance or managed care...
report to the Executive Director indicating what action(s) were taken to resolve the complaint or grievance. Personal..., family members, visitors, government agencies/personnel and the general public Must be knowledgeable of nursing and medical...