COPE Health Solutions - Los Angeles, CA
posted 24 days ago
The Director and Medical Management Subject Matter Expert (SME) will report to the Principal & EVP of Medical Management and will work closely with firm leadership to manage and support consulting engagements and business development opportunities - particularly those related to payer or provider medical management areas including care management, UM and UR. The Director must be able to effectively manage major engagements, business development projects and team members while maintaining excellent client rapport and developing value-add content to support client engagements. The successful candidate must have in-depth knowledge of the health care environment and market issues at the federal, state and local level, and must posses a valid Registered Nursing (RN) license in the state of practice.