Apple & Associates, Inc.
VP, Health Services | Medical Management (RN) - Indianapolis
.....Innovative healthcare enterprise needs a strategic RN who excels in a value-based environment where collaboration with providers is promoted and embraced.
Indy is such a comfortable, affordable Midwestern city; easily commutable with so many indoor and outdoor activities, pro football, theater, and extensive opportunity for culinary adventures!
- GENEROUS relocation- great benefits and perks
VP will direct and coordinate the medical management, quality improvement and credentialing functions.
Review analyses of activities, costs, operations and forecast data to determine department progress toward stated goals and objectives.
Serve as a member of management committees on special studies.
Administer and ensure compliance with NCQA and Joint Commission standards as determined for accreditation of the health plan.
Participate in, attend and plan/coordinate staff, departmental, committee, sub-committee, community, State and other activities, meetings and seminars.
Participate in provider education and contracting, as necessary.
- Bachelor's degree in Nursing, related field or equivalent experience.
-10+ years of experience encompassing clinical nursing, quality improvement, and management experience.
- Must have previous experience in a health plan/MCO/ACO
Working knowledge of medical information systems, medical claims payment process, medical terminology and coding, case management practices, managed care, and Medicaid programs.
Familiarity of NCQA accreditation process and standards.
Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.
License/Certification: Current IN RN License - or willing to obtain
At Apple & Associates, we understand that relationships are what make us stand apart. Whether you are a client or a candidate, you are an extension of the Apple & Associates’ family. Many of our recruiters have been with the company since its earliest days. They take great pride in the relationships they build; always emphasizing high standards, ethics and quality service. Our President, Debi Apple started her recruiting career in Aiken, South Carolina. She quickly became a top producer and leading authority in recruiting for the medical device, pharmaceutical and consumer product industries. Her passion and drive led her to open Apple & Associates in 1993. Under her leadership, Apple & Associates has grown to be one of the leading recruiting firms in these industries. Our company is proud to represent two of the largest medical device and pharmaceutical companies in the U.S., Covidien (formerly known as Tyco Healthcare) and our first and longtime client, Becton Dickinson. Now headquartered in Chapin, South Carolina, Apple & Associates has offices from coast to coast, offering regional recruiting expertise throughout the U.S. and Latin America. Our searches and permanent placements represent all levels, from CEO to staff level positions.