Posted: June 28, 2024
Wellpoint, formerly Amerigroup, is a proud member of Elevance Health s family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services to Medicaid plans in partnership with blue cross blue shield plans.This is an individual contributor role. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health office locations Work schedule: Monday Friday, standard business hours.
The Medical Director Clinical Programs is responsible for designing and implementing clinical programs with specific medical condition focus for all lines of business enterprise wide. Analyzes and interprets data in collaboration with data and analytics to identify opportunities. Partners with LOB (line of business) and Market leaders to ensure clinical solutions align with membership health priorities. Collaborates with payment innovation on clinical programs that support providers in value-based payment arrangements. Serves as a subject matter expert/collaborator with LOB, leaders, and other clinical initiatives including cost of care. This role will work on Cost of Care, trend management, value-based care support for STARS/HEDIS and correct coding initiatives with providers as well as strategic growth and innovation initiatives.
How You Will Make An Impact
Designs and develops national level interventions leveraging existing tools that will drive performance in value-based care in support of the innovation and execution of corporate clinical interventions.
Provides clinical expertise, captures and shares best practices across regions to provider partners as well as the company s medical directors by way of studying designs, analytics and reporting for clinical quality that drives improved healthcare outcomes.
Provides an end-to-end clinical solution by taking a problem from initiation to execution with reporting and analytics as an outcome.
Accountable for achieving performance results in value-based care by engaging, influencing and supporting physicians.
Engages with providers in joint operating committees and builds relationships with clinical leadership of provider collaboration groups.
Promotes clinical best practice sharing across all lines of business to improve results and drive efficiency and effectiveness.
Works to develop and deliver high impact interventions, supporting content development and practice transformation embedded capabilities to significantly improve provider performance that drive cost of care and improve HEDIS/Stars where applicable.
Minimum Requirements
Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
Must possess an active unrestricted medical license to practice medicine or a health profession.
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.
Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities And Experiences
Consulting experience and/or MBA.
Managed care experience improving cost of care trend.
Experience working with provider groups including practice managers, population health and quality directors on improving STARS/HEDIS or Risk Adjustment performance.
Six Sigma or formal process improvement experience preferred.
Analytical experience in creating study designs, ROIs and statistical techniques preferred.
Advanced knowledge in health care systems and health policy, quality measures, performance measurement, and quality improvement, and the clinical understanding for clinical quality programs strongly preferred.
Travel up to 25% may be required depending on market needs.
•
Associated topics: alumni, cmo, community, donor, government, market, medical center, policy, presale, stewardship
Read the full job description and apply online on the recuiter's web-site
Travel Nurse RN - PCU 2 103 to $2 256 per week
Posted: June 27, 2024
TravelNurseSource is working with Host Healthcare to find a qualified PCU RN in Louisville, Kentucky, 40202! • Pay Information • $2,103 to $2,256 per week • About The Position • Host Healthcare is an award-winning travel healthcare company with an immediate opening for thisRegistered Nurse - PCU in
read more...
Travel Nurse RN - Med Surg 1 926 per week
Location:
United States -
KY -
KY -
Owensboro
Posted: June 29, 2024
Focus Staff is seeking a travel nurse RN Med Surg for a travel nursing job in Owensboro, Kentucky. & Requirements • Specialty: Med Surg • Discipline: RN • Start Date: 07/15/2024 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights • Employment Type: Travel Focus Staff is seeking a Med
read more...
CDL-A Teams: TOP TEAM PAY IN THE NATION & UP TO $15 000 /SPLIT
Posted: March 25, 2024
CDL-A Teams: TOP TEAM PAY IN THE NATION & UP TO $15,000 SIGN ON BONUS/SPLIT! • Your team can average $200,000 or more! • Team Drivers: Up to $15,000 Sign-On Bonus/split with average 5,500 miles per week! Don't have a team partner? We will help you find the right partner with our TEAM match program!
read more...
Travel Physical Therapist 1 892 per week
Posted: June 29, 2024
Synergy Medical Staffing is seeking a travel Physical Therapist for a travel job in Williamsburg, Kentucky. & Requirements • Specialty: Physical Therapist • Discipline: Therapy • Start Date: 07/08/2024 • Duration: 13 weeks • 40 hours per week • Shift: 8 hours, days • Employment Type: Travel Travel,
read more...
Travel Nurse - RN - MS - Medical Surgical 1648.96 / Week
Location:
United States -
KY -
KY -
Quincy
Posted: June 23, 2024
FlexCare Medical Staffing is seeking an experienced Medical Surgical Registered Nurse for an exciting Travel Nursing job in Lexington, KY. Shift: • 3x12 hr nights Start Date: • 08/05/2024 Duration: • 13 weeks Pay: • $1648.96 / Week NOTE: • THIS IS A TRAVEL STAFFING ASSIGNMENT. INQUIRE TODAY FOR JOB
read more...
OTR CDL-A TRUCK DRIVERS 57 64 CPM 1 000 Sign-On Bonus
Location:
United States -
KY -
KY -
Vanceburg
Posted: June 28, 2024
OTR CDL-A TRUCK DRIVERS: GET HIGHER PAY $.57 - $.64 CPM (based on experience) NOW WITH $1,000 Sign On Bonus! Earn Great Pay, consistent miles & 24/7 support!Solo Drivers: 2,220+ Miles Per Week On Average and GREAT PAY! Now with $1,000 Sign On Bonus!Team Drivers:Up to $15,000 Sign-On Bonus/split with
read more...
CDL School Bus Drivers 20 30 / hour - Guaranteed Work - Cincinnati OH
Location:
United States -
KY -
KY -
Florence
Posted: June 1, 2024
Universal Transportation Systems Is Hiring CDL School Bus Drivers For Our Cincinnati, OH Location! • Earn $20-$30 Per Hour (Based On Experience) - $1,000 Sign On Bonus For CDL Holders With a valid Passenger (P) & School Bus Endorsement • Are you a safe, reliabledriver? Are you looking for a position
read more...
Master Level Mechanic - Earn Up to $38/Hour 7.5k Sign-On
Location:
United States -
KY -
KY -
Franklin
Posted: June 28, 2024
Sysco is Hiring a Master Level Mechanic in Nashville, TN! • Earn Up to $38 per Hour* Plus an Annual Boot & Tool Allowance • $7,500 Sign-On Bonus* - Excellent Benefits We offer our colleagues the opportunity to grow personally and professionally, to contribute to the success of a dynamic
read more...
Travel Ultrasound Technologist 2 688 per week
Location:
United States -
KY -
KY -
Corbin
Posted: June 29, 2024
CrossMed Allied is seeking a travel Ultrasound Technologist for a travel job in Corbin, Kentucky. & Requirements • Specialty: Ultrasound Technologist • Discipline: Allied Health Professional • Start Date: 07/15/2024 • Duration: 13 weeks • 40 hours per week • Shift: 8 hours • Employment Type: Travel
read more...
OTR CDL-A TRUCK DRIVERS 57 64 CPM 1 000 Sign-On Bonus
Location:
United States -
KY -
KY -
Argillite
Posted: June 28, 2024
OTR CDL-A TRUCK DRIVERS: GET HIGHER PAY $.57 - $.64 CPM (based on experience) NOW WITH $1,000 Sign On Bonus! Earn Great Pay, consistent miles & 24/7 support!Solo Drivers: 2,220+ Miles Per Week On Average and GREAT PAY! Now with $1,000 Sign On Bonus!Team Drivers:Up to $15,000 Sign-On Bonus/split with
read more...
OTR CDL-A TRUCK DRIVERS 57 64 CPM 1 000 Sign-On Bonus
Location:
United States -
KY -
KY -
Prospect
Posted: June 28, 2024
OTR CDL-A TRUCK DRIVERS: GET HIGHER PAY $.57 - $.64 CPM (based on experience) NOW WITH $1,000 Sign On Bonus! Earn Great Pay, consistent miles & 24/7 support!Solo Drivers: 2,220+ Miles Per Week On Average and GREAT PAY! Now with $1,000 Sign On Bonus!Team Drivers:Up to $15,000 Sign-On Bonus/split with
read more...
OTR CDL-A TRUCK DRIVERS 57 64 CPM 1 000 Sign-On Bonus
Posted: June 28, 2024
OTR CDL-A TRUCK DRIVERS: GET HIGHER PAY $.57 - $.64 CPM (based on experience) NOW WITH $1,000 Sign On Bonus! Earn Great Pay, consistent miles & 24/7 support!Solo Drivers: 2,220+ Miles Per Week On Average and GREAT PAY! Now with $1,000 Sign On Bonus!Team Drivers:Up to $15,000 Sign-On Bonus/split with
read more...
OTR CDL-A TRUCK DRIVERS 57 64 CPM 1 000 Sign-On Bonus
Location:
United States -
KY -
KY -
Pendleton
Posted: June 28, 2024
OTR CDL-A TRUCK DRIVERS: GET HIGHER PAY $.57 - $.64 CPM (based on experience) NOW WITH $1,000 Sign On Bonus! Earn Great Pay, consistent miles & 24/7 support!Solo Drivers: 2,220+ Miles Per Week On Average and GREAT PAY! Now with $1,000 Sign On Bonus!Team Drivers:Up to $15,000 Sign-On Bonus/split with
read more...
Local CDL-A Hazmat Tanker Drivers 80K 110K Yearly / 2 Yrs. EXP Req'd
Location:
United States -
KY -
KY -
Franklin
Posted: June 28, 2024
Local CDL-A Hazmat Tanker Company Driver - Fuel Delivery • Primary function is to deliver fuel to customer locations, as dispatched, ensuring the correct gallons and grades are safely loaded and delivered to the correct location(s). • Benefits: • $80k-$110k+ yearly depending on
read more...
Travel Physical Therapist 2 562 per week
Location:
United States -
KY -
KY -
Mayfield
Posted: June 29, 2024
Aureus Medical Group - Therapy is seeking a travel Physical Therapist for a travel job in Mayfield, Kentucky. & Requirements • Specialty: Physical Therapist • Discipline: Therapy • Start Date: ASAP • Duration: 13 weeks • 40 hours per week • Shift: 8 hours • Employment Type: Travel Estimated payment
read more...
Licensed Mental Health Professional
Location:
United States -
KY -
KY -
Erlanger
Posted: June 29, 2024
Engage with us for your next career opportunity. Right Here.Job Type: • Regular • Scheduled Hours: • 40 • Job Summary: • Provide crisis intervention, clinical assessment, short-term counseling, referral and case management services for individuals, couples and/or families. Serve as a member of a
read more...
OTR CDL-A TRUCK DRIVERS 57 64 CPM 1 000 Sign-On Bonus
Location:
United States -
KY -
KY -
Crestwood
Posted: June 28, 2024
OTR CDL-A TRUCK DRIVERS: GET HIGHER PAY $.57 - $.64 CPM (based on experience) NOW WITH $1,000 Sign On Bonus! Earn Great Pay, consistent miles & 24/7 support!Solo Drivers: 2,220+ Miles Per Week On Average and GREAT PAY! Now with $1,000 Sign On Bonus!Team Drivers:Up to $15,000 Sign-On Bonus/split with
read more...
OTR CDL-A TRUCK DRIVERS 57 64 CPM 1 000 Sign-On Bonus
Posted: June 28, 2024
OTR CDL-A TRUCK DRIVERS: GET HIGHER PAY $.57 - $.64 CPM (based on experience) NOW WITH $1,000 Sign On Bonus! Earn Great Pay, consistent miles & 24/7 support!Solo Drivers: 2,220+ Miles Per Week On Average and GREAT PAY! Now with $1,000 Sign On Bonus!Team Drivers:Up to $15,000 Sign-On Bonus/split with
read more...
OTR CDL-A TRUCK DRIVERS 57 64 CPM 1 000 Sign-On Bonus
Location:
United States -
KY -
KY -
Grahn
Posted: June 28, 2024
OTR CDL-A TRUCK DRIVERS: GET HIGHER PAY $.57 - $.64 CPM (based on experience) NOW WITH $1,000 Sign On Bonus! Earn Great Pay, consistent miles & 24/7 support!Solo Drivers: 2,220+ Miles Per Week On Average and GREAT PAY! Now with $1,000 Sign On Bonus!Team Drivers:Up to $15,000 Sign-On Bonus/split with
read more...
CDL-A Truck Driver - Home Weekly - Earn $1 500/Week 5k Sign-On
Location:
United States -
KY -
KY -
Bremen
Posted: June 28, 2024
Bestway Express, Inc is Now Hiring CDL-A OTR Company Drivers! • Home Weekly - $5,000 Sign-On Bonus Pay & Benefits: • Home weekly • $5,000 sign-on bonus • $1,500/week GUARANTEE • No-touch freight • 401k with matching Apprenticeship available for new CDL-A graduates No experience needed Available
read more...
CDL A Truck Drivers
Posted: April 23, 2024
Great Pay Consistent Miles • 24/7 Recruiters Available! • Earn GREAT PAY, consistent miles 24/7 support! Solo Drivers: 2,220+ Miles Per Week On Average and GREAT PAY! • Team Drivers: Up to $15,000 Sign-On Bonus/split with an average of 5,500 miles per week! Interested in a 30 days out/28 days home
read more...
CDL A Local Truck Driver - Up to $80 000/Year - No-Touch Freight - Evansville IN
Location:
United States -
KY -
KY -
Reed
Posted: June 17, 2024
James R Poshard & Son Inc is Hiring CDL A or B Local Drivers! 2 Years Experience Required Medical 85% Costs Paid by Employer Home Daily, Mostly Monday - Friday Work No-Touch Freight What We Offer: • $65,000 - $80,000 Annually • Commission tractor/trailer • Hourly based tri-axle/ quad straight trucks
read more...
Master Level Mechanic - Earn Up to $38/Hour 7.5k Sign-On
Location:
United States -
KY -
KY -
Olmstead
Posted: June 28, 2024
Sysco is Hiring a Master Level Mechanic in Nashville, TN! • Earn Up to $38 per Hour* Plus an Annual Boot & Tool Allowance • $7,500 Sign-On Bonus* - Excellent Benefits We offer our colleagues the opportunity to grow personally and professionally, to contribute to the success of a dynamic
read more...
OTR CDL-A TRUCK DRIVERS 57 64 CPM 1 000 Sign-On Bonus
Posted: June 28, 2024
OTR CDL-A TRUCK DRIVERS: GET HIGHER PAY $.57 - $.64 CPM (based on experience) NOW WITH $1,000 Sign On Bonus! Earn Great Pay, consistent miles & 24/7 support!Solo Drivers: 2,220+ Miles Per Week On Average and GREAT PAY! Now with $1,000 Sign On Bonus!Team Drivers:Up to $15,000 Sign-On Bonus/split with
read more...
OTR CDL-A TRUCK DRIVERS 57 64 CPM 1 000 Sign-On Bonus
Posted: June 28, 2024
OTR CDL-A TRUCK DRIVERS: GET HIGHER PAY $.57 - $.64 CPM (based on experience) NOW WITH $1,000 Sign On Bonus! Earn Great Pay, consistent miles & 24/7 support!Solo Drivers: 2,220+ Miles Per Week On Average and GREAT PAY! Now with $1,000 Sign On Bonus!Team Drivers:Up to $15,000 Sign-On Bonus/split with
read more...
Solo CDL-A Truck Driver - 57-64 CPM + Great Benefits
Posted: June 28, 2024
U.S. Xpress is Now Hiring CDL-A OTR Solo Drivers! • CDL-A Solo Drivers: Average 2,220+ Miles Per Week • Earn 57 - 64 CPM Based on Location and Experience! Top Benefits: • $1,000 sign-on bonus • 57 - 64 CPM based on experience and location • Consistent miles • Convenient home-base terminals •
read more...
OTR CDL-A TRUCK DRIVERS 57 64 CPM 1 000 Sign-On Bonus
Location:
United States -
KY -
KY -
Carter
Posted: June 28, 2024
OTR CDL-A TRUCK DRIVERS: GET HIGHER PAY $.57 - $.64 CPM (based on experience) NOW WITH $1,000 Sign On Bonus! Earn Great Pay, consistent miles & 24/7 support!Solo Drivers: 2,220+ Miles Per Week On Average and GREAT PAY! Now with $1,000 Sign On Bonus!Team Drivers:Up to $15,000 Sign-On Bonus/split with
read more...