What are the responsibilities and job description for the Director of Healthcare Quality and Innovation position at Cenetene Corporation?
As a Clinical Professional, you will have the opportunity to work with a talented team of healthcare experts. Our organization offers a comprehensive range of benefits and opportunities for growth and development.
About the Role
This position involves directing and coordinating medical management, quality improvement, and credentialing functions for the business unit.
- Provide medical leadership for utilization management, cost containment, and medical quality improvement activities.
- Support effective implementation of performance improvement initiatives for capitated providers.
- Develop and implement physician education regarding clinical issues and policies.
- Collaborate with clinical teams, network providers, and medical consultants for reviewing complex cases.