DP
DCC plcNational Contracts Manager
National Contracts Manager responsible for customer account management and sales at Flogas. Leading initiatives towards renewable energy and customer service excellence.
About the role
- Provide leadership and oversight of the physical health utilization management (UM) staff in daily operations.
- Use clinical knowledge to interpret criteria, policies, and procedures to provide appropriate treatment, care, or services for members.
- Hire, train, coach, counsel and evaluate performance of direct reports.
- Implement and maintain processes compliant with Michigan Department of Health and Human Services (MDHHS) and NCQA guidelines.
- Collect and analyze data to drive operational metrics and associate performance.
- Coordinate and communicate with Providers, Members, or other parties to facilitate optimal care and treatment.
- Facilitate cross-departmental collaboration and conduct briefings and area meetings; maintain frequent contact with other managers across functional areas.
- Work collaboratively with UM leadership to assess and mitigate inefficiencies and provide solutions to improve clinical outcomes.
Requirements
- An active, unrestricted Registered Nurse (RN) license in the state of Michigan.
- Previous experience in utilization management and/or utilization review.
- Minimum of two (2) years of proven experience in management or leadership role.
- Prior clinical experience preferably in an acute care, skilled, or rehabilitation clinical setting.
- Ability to work independently under general instructions and with a team.
- Preferred: BSN, bachelor’s degree in health services, healthcare administration, or business administration.
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance
- bonus incentive plan
- Work from Home internet payment for CA, IL, MT, SD employees
- Telephone equipment provided
- Opportunities for professional development (conferences and events)
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