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IU Health Physicians - Internal Medicine Physician - Medical Director - Adult Ambulatory Care Center
Indiana University Health
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Sanford, Florida
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Indiana University Health
Lafayette, Indiana
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Indiana University Health
Lafayette, Indiana
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Indianapolis, Indiana
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University of Minnesota Physicians
Minneapolis, Minnesota
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Jackson Physician Search
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Indiana University Health
Lafayette, Indiana
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Medical Director Health Plan
JOB SUMMARYResponsible for managing Health Plan medical costs and assuring appropriate health care delivery for plans and members. Is accountable to provide professional leadership and direction in the utilization/cost management (UM) and clinical quality improvement (QI) of the Health Plan, as measured by benchmarked UM and QI goals. Works collaboratively as a clinical resource to other plan functions that interface with medical management such as provider relations, member services, benefits, claims management, etc. Carries out medical policies at the Health Plan consistent with NCQA and other regulatory bodies.ESSENTIAL FUNCTIONS OF THE ROLEIdentify opportunities for corrective action plans to address issues and improve plan and network man
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