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Community Health Impact Coalition

United States - Nationwide

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Indiana University Health

Indianapolis, Indiana

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Baylor Scott & White Health

Ennis, Texas

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Baylor Scott & White Health

Midlothian, Texas

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Marshfield Clinic Health System

Marshfield, Wisconsin

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Optum

Bogotá, Colombia

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Optum

Bogotá, Colombia

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Optum

Bogotá, Colombia

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ChristianaCare

Newark, Delaware

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Veterans Affairs, Veterans Health Administration

Biloxi, Mississippi, Mississippi

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Veterans Affairs, Veterans Health Administration

San Antonio, Texas, Texas

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Carle Health

Mattoon, Illinois

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Swedish

Seattle, Washington

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CHRISTUS Health

San Antonio, Texas

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Baylor Scott & White Health

Waco, Texas

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Southern California Permanente Medical Group

San Diego, California

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Santa Clara Valley Health and Hospital System

San Jose, California

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University of Maryland Medical System

Glen Burnie, Maryland

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Veterans Affairs, Veterans Health Administration

Richmond, Virginia, Virginia

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University of Maryland Medical System

Glen Burnie, Maryland

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Providence

Spokane, Washington

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Baylor Scott & White Health

Ennis, Texas

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Penn State Health - Physician Recruitment

Hershey, Pennsylvania

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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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