What are the responsibilities and job description for the Medical Management Lead position at Cenetene Corporation?
We are looking for a highly skilled Medical Director to join our team. This is an exciting opportunity to make a difference in the lives of millions of people.
Responsibilities
This role will involve directing and coordinating medical management, quality improvement, and credentialing functions for the business unit.
- Lead medical leadership for utilization management, cost containment, and medical quality improvement activities.
- Develop and implement performance improvement initiatives for capitated providers.
- Provide medical expertise in the operation of approved quality improvement and utilization management programs.
- Collaborate with clinical teams, network providers, and medical consultants for reviewing complex cases.
- Develop alliances with the provider community through the development and implementation of medical management programs.
