Job Summary

A professional services firm needs applicants for an opening for a Remote Managed Care Management Director.

Candidates will be responsible for the following:

• Leading and supervising Care Management/Disease Management activity
• Providing supervision to all case management team leads and clinical CM managers
• Overseeing compliance with internal and client CM Audits

Skills and Requirements Include:

• Current unencumbered RN license
• 7+ years of Managed Care Experience
• 5+ years Care Management leadership experience
• In-depth knowledge of Medicare Advantage, Managed Medicaid, & Commercial LOBs
• Experience managing to NCQA policies & standards
• Progressive experience in management