PacificSource Health Plans

Director, Enterprise Care and Disease Management

PacificSource Health Plans(1 month ago)

GeorgiaOnsiteFull TimeDirector$114,623 - $155,800 (estimated)Care Management
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About this role

The Director of Enterprise Care and Disease Management leads the design and execution of an integrated, enterprise-wide care management model across all lines of business to improve member health outcomes and ensure regulatory and quality standards are met. This senior clinical leader partners across the organization and with external vendors to align disease management, case management, utilization management, behavioral health, pharmacy, and quality initiatives to support population health goals.

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Required Skills

  • Care Management
  • Disease Management
  • Risk Stratification
  • Predictive Analytics
  • Population Health
  • Vendor Management
  • Regulatory Compliance
  • Chronic Disease
  • Quality Measurement
  • Lean Methodologies

+2 more

Qualifications

  • Bachelor's Degree in Nursing
  • Registered Nurse (RN) License
  • Certified Case Manager (CCM)
PacificSource Health Plans

About PacificSource Health Plans

pacificsource.com

PacificSource offers health insurance plans for individuals, families, and employers. A Northwest not-for-profit, we put members first.

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