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Sam Houston State University - College of Osteopathic Medicine Logo
Sam Houston State University - College of Osteopathic Medicine

Conroe, Texas

National Board Of Osteopathic Medical Examiners (NBOME) Logo
National Board Of Osteopathic Medical Examiners (NBOME)

Chicago, Illinois

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Meritus Health

Hagerstown, Maryland

Arkansas Colleges of Health Education

Fort Smith, Arkansas

Arkansas Colleges of Health Education

Fort Smith, Arkansas

Noorda College of Osteopathic Medicine

Provo, Utah

Noorda College of Osteopathic Medicine

Provo, Utah

Kansas College of Osteopathic Medicine

Wichita, Kansas

Kansas College of Osteopathic Medicine

Wichita, Kansas

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WVSOM

Lewisburg, West Virginia

West Virginia School of Osteopathic Medicine Logo
West Virginia School of Osteopathic Medicine

Lewisburg, West Virginia

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Touro College of Osteopathic Medicine

Middletown, New York

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Meritus Health

Hagerstown, Maryland

Meritus Health Logo
Meritus Health

Hagerstown, Maryland

Meritus Health Logo
Meritus Health

Hagerstown, Maryland

Meritus Health Logo
Meritus Health

Hagerstown, Maryland

Meritus Health Logo
Meritus Health

Hagerstown, Maryland

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Mercy

Saint Charles, Missouri

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Carle Health

Urbana, Illinois

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Baylor Scott & White Health

Dallas, Texas

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Medical Director Health Plan
JOB SUMMARYResponsible for managing Health Plan medical costs and assuring appropriate health care delivery for plans and members. Is accountable to provide professional leadership and direction in the utilization/cost management (UM) and clinical quality improvement (QI) of the Health Plan, as measured by benchmarked UM and QI goals. Works collaboratively as a clinical resource to other plan functions that interface with medical management such as provider relations, member services, benefits, claims management, etc. Carries out medical policies at the Health Plan consistent with NCQA and other regulatory bodies.ESSENTIAL FUNCTIONS OF THE ROLEIdentify opportunities for corrective action plans to address issues and improve plan and network man


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