State Licensed Program Manager

VirtualVocations
Norcross, Georgia, United States
Full-time
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A company is looking for a Program Manager III (Health Services Regulatory Oversight).Key Responsibilities : Develop and implement projects and initiatives related to clinical services regulatory oversightEnsure compliance with regulatory requirements in Care Management and Utilization ManagementReview and implement updates from the Compliance team for system configurationRequired Qualifications : Bachelor's degree or equivalent experience in a related field5 years of work experience beyond the degree in Medical Management operationsExperience in applying regulatory requirements to Health Plan Medical ManagementExperience in Case Management, Utilization Management, and Appeals & GrievancesExperience in operational delivery of Medical Management

27 days ago
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