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Medical Director, Population Health & Care Management

northern, KY

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Job description

Prominence Health Plan is seeking a Medical Director to lead the Health Services Department, including Utilization Management, Care Management, and Quality Improvement. The role requires senior clinical leadership, board-certified practice, and a license to work in Texas, Nevada or Florida as applicable.

You will chair multi-disciplinary groups, set clinical policy, and partner with internal and external stakeholders to drive high-quality care and efficient outcomes for members.

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