Don’t just find a job, find your WHY at a purpose-driven organization; discover a career at Virginia Premier.
By blending quality benefits, affiliating with the world-renowned VCU Health System and offering career-advancing development programs, we allow our employees to focus on the meaningful work of improving and saving the lives of more than 200,000 people throughout the state of Virginia.
At Virginia Premier, we are building an industry leading health care organization through dedicated teams that have heart, provide top-notch quality member services and embrace our mission of inspiring healthy living within the communities we serve. Our vision is to connect people to innovation, quality and affordable health care for all phases of life.
If this sounds like you, read on!
This position is responsible for providing oversight to the daily functions of the utilization management staff and monitoring staff performance in accordance with the VPHP policies and procedures. Additional responsibilities include coordinating, conducting and documenting simple to complex Health Servies projects and operational procedures and identification of process. Also responsible for creating a strategic vision, processes tools, and procedures to assure ongoing visibility to operational performance of the department and company.
Medical Management educates members and empowers them to become active participants in their coordinated health care plans. This team of knowledgeable professionals in their field provide services to include Utilization Review, Medical Outreach, Case Management, Disease Management, Credentialing, Social Work as well as Grievance and Appeals.
MINIMUM EDUCATION REQUIRED
SPECIAL KNOWLEDGE AND/OR SKILLS
Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Our mission is to inspire healthy living within the communities we serve!