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OhioHealth

Columbus, Ohio

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Touro College of Osteopathic Medicine - Montana

Great Falls, Montana

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Touro College of Osteopathic Medicine - Montana

Great Falls, Montana

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Touro College of Osteopathic Medicine - Montana

Great Falls, Montana

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Touro College of Osteopathic Medicine - Montana

Great Falls, Montana

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Touro College of Osteopathic Medicine - Montana

Great Falls, Montana

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Touro College of Osteopathic Medicine - Montana

Great Falls, Montana

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Touro College of Osteopathic Medicine - Montana

Great Falls, Montana

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Touro College of Osteopathic Medicine - Montana

Great Falls, Montana

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Touro College of Osteopathic Medicine - Montana

Great Falls, Montana

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Touro College of Osteopathic Medicine - Montana

Great Falls, Montana

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Touro College of Osteopathic Medicine - Montana

Great Falls, Montana

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Touro College of Osteopathic Medicine

Middletown, New York

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Touro College of Osteopathic Medicine

Middletown, New York

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Marshfield Clinic Health System

Eau Claire, Wisconsin

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Indiana University Health

Bloomington, Indiana

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Veterans Affairs, Veterans Health Administration

Iowa City, Iowa, Iowa

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Veterans Affairs, Veterans Health Administration

Decatur, Georgia, Georgia

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Spartanburg Regional Healthcare System

Spartanburg, South Carolina

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Indiana University Health

Indianapolis, Indiana

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Veterans Affairs, Veterans Health Administration

Martinsburg, West Virginia, West Virginia

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Southern California Permanente Medical Group

Bonita, California

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Southern California Permanente Medical Group

Fontana, California

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Veterans Affairs, Veterans Health Administration

Perry, Georgia, Georgia

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Medical Director - Health Plan
JOB SUMMARYAccountable 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 ROL


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