$262,700 - $381,000 yearly
Clearlink Partners
Remote
Company Description:
Clearlink Partners is an industry-leading managed care consultancy specializing in end-to-end clinical and operational management services and market expansion initiatives for Managed Medicaid, Medicare Advantage, Special Needs Plans, complex care populations, and risk-adjusted entities.
We support organizations as they navigate a dynamic healthcare ecosystem by helping them manage risk, optimize healthcare spend, improve member experience, accelerate quality outcomes, and promote health equity.
Position Responsibilities: Specific
Oversee the design and execution of health service-related functions within managed care plans
Utilization Management
Care Management
Population Health Management
Grievance and Appeals
Provide direction and leadership, as required, to medical management programs, processes and workflows to meet operational goals and anticipate future strategic needs and support related...