Full Job Title: Director, Model of Care MCH
Job Number: 1802336
Location: Remote, ZZ
Date Posted: 4-2-2018
Department: Health Services
Reports to: VP Heath Programs and Services
Location: RemotePlans, develops and directs enterprise Care/Case Management, and Utilization Management functions for Maternal Child Health (MCH). Responsibility for enterprise MCH clinical program development and standardization of the operating model to comply with all regulatory and contractual requirements. Provides leadership necessary to achieve national best practice performance levels and strategic direction for MCH clinical platform capabilities. Develops core curriculum plans, resource models and directs activities for MCH functions enterprise wide. Assesses the effectiveness of these programs in achieving enterprise goals with focus on cost-effective improvement in quality of care for members. Acts as a deployable resource to provide increased support in expanding markets.