Harris Health System

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Vice President, Medical Affairs (CHC)

at Harris Health System

Posted: 2/11/2019
Job Status: Full Time
Job Reference #: 144968
Keywords: executive

Job Description

About Us

Community Health Choice, Inc. (Community) is a non-profit Health Maintenance Organization (HMO) licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 70 hospitals, Community serves over 260,000 Members with the following programs:

• Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women

• Children’s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR

• Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.

Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.

Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.

Job Profile

Reporting to the SVP, Medical Affairs, the Vice President, Medical Affairs provides focused executive leadership to Community's Utilization Management (UM) and Care/Disease Management (CM) programs. The position ensures the efficient operation of these programs, including pre-authorizations of medical services, concurrent review of hospital admissions, and coordination on Peer related interactions to support the UM activities. The VP-Medical Affairs leads the ongoing development and facilitation of Care/Disease Management programs appropriate to Community's covered populations. This position plays a key role on Community's Executive Leadership team participating in organization-wide strategy development and decision making.

QUALIFICATIONS:

  • BSN required.
  • Master's Degree in Public Health, Business Administration or Medical Administration preferred.
  • Seven years clinical experience
  • Five years in leadership positions.
  • Three years experience in leadership in Managed Care.


OTHER SKILLS:

  • Above Average Verbal communication skills
  • Exceptional written communication skills
  • Writing /Composing/Correspondence /Reports
  • Analytical, Medical Terms, Statistical
  • MS Word, MS Excel
  • Proven leadership abilities, Collaboration/Team focused, Effective communicator with solid presentation skills.



Benefits and EEOC

Community employees’ benefits are provided by Harris Health. These benefits are designed to provide you with flexibility and choices in meeting your specific needs.

Community is an Equal Opportunity Employer.

Job Category

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Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!