Job Summary

A staffing firm is seeking a Health Plan Clinical Services Vice President in Boston.

Core Responsibilities of this position include:

• Managing a plan wide care management and utilization management team
• Developing and implementing health services team objectives
• Managing cost of care and utilization to achieve the most effective financial performance

Skills and Requirements Include:

• Bachelor's degree in nursing
• Active RN license in the state of Massachusetts
• 10+ years experience in a management position in managed care
• Experience with state and external accreditation managed care audits and reviews
• Experience with writing and implementing program level policy and procedures
• Proficient with computer and software programs and the Internet