Vice President of Clinical Services - Boston, United States - Avalon Executive Search, LLC

    Avalon Executive Search, LLC
    Avalon Executive Search, LLC Boston, United States

    1 month ago

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    Description

    Amazing opportunity to join a growing health plan to lead the development and implementation of clinical operations programs and procedures. This executive will also create and maintain a strong compliance culture with the clinical team. They will also help grow and develop a clinical team in operations, financial acumen, utilization management, risk adjustment, HEDIS and STARs program.

    Requirements:

    • Masters Degree in health or business field
    • 5+ years of experience in medical management clinical review processes. (STARS, HEDIS etc)
    • Exceptional managerial experience.
    • Strong experience working in health plans with Medicare programs.
    • Ability and willingness to be office-based/onsite in Boston for the role.