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Regional Vice President- I Sr. Clinical Officer-PS2923 in Louisville, KY at Anthem, Inc.

Date Posted: 3/13/2018

Job Snapshot

  • Employee Type:
  • Job Type:
  • Experience:
    At least 10 year(s)
  • Date Posted:

Job Description

Responsiblefor providing clinical expertise, leadership and oversight of care managementin order to drive strategic priorities at the State Health Plan level in Kentucky.Is accountable for partnering with other health plan leaders to determine andimprove factors contributing to variations in health care cost and quality.

Primaryduties may include, but are not limited to:

  • Sets and executes priorities to improve health care cost and quality.
  • Directs staff to improve health care costs and quality for members. Interprets existing policies and develops or adopts new policies based on changes in the healthcare or medical arena.
  • Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes.
  • Directs and manages the Medical Management staff to ensure timely and consistent responses to members and providers.
  • Identifies and develops opportunities for innovation to increase effectiveness and quality.
  • Serves as a resource and consultant to other areas of the company as needed.
  • May chair or serve on company committees and represent Anthem to external entities and/or serves on external committees, and provides guidance for clinical operational aspects of the program.
  • Hires, trains, coaches, counsels, and evaluates performance of direct reports and directly supervises the management of any assigned staff

Job Requirements

Requires M.D. or D.O.; board certification approved by the American Board of Medical Specialties where applicable to duties being performed; must possess an active unrestricted medical license to practice medicine or a health profession in a state or territory of the United States. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.


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