AVP, Clinical Performance
NeueHealth · US
WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care.
Job description
WHO WE ARE: NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. SCOPE OF ROLE: The AVP of Clinical Performance oversees the strategy, operations, and performance of Delegated Utilization Management (UM) and Care Management (CM) programs that ensure healthcare services are medically necessary, cost-effective, and aligned with payer and regulatory requirements. This role will be directly responsible for the man...