What are the responsibilities and job description for the Chief Medical Officer for Utilization Review position at Cenetene Corporation?
Join us in shaping the future of healthcare. As a Clinical Professional, you will have the opportunity to make a real difference in the lives of our members.
Key Responsibilities
This role will involve:
- Providing medical leadership for utilization management, cost containment, and medical quality improvement activities.
- Developing and implementing performance improvement initiatives for capitated providers.
- Collaborating with clinical teams, network providers, and medical consultants for reviewing complex cases.
- Developing alliances with the provider community through the development and implementation of medical management programs.
