Vice President of Clinical Services Job at Avalon Executive Search, LLC, Boston, MA

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  • Avalon Executive Search, LLC
  • Boston, MA

Job 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:

  • Master’s 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.

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