Collaborate across Clinical Services and the Organization to assess market specific care cost data to identify and implement changes to product design, provider reimbursement, medical policy, prior authorization requirements and other business processes to continuously drive toward improved care cost management, reductions in practice variation and high quality patient outcomes.
May 27, 2021
Supports commercial teams, through the communication of medical issues to the commercial group, and by helping to formulate medical opportunities for the marketing team.
September 05, 2021
Develop and maintain ongoing communication and collaboration with the UW Dean of College of Health Sciences, the Designated Institutional Officer for the UW Family Medicine Residency Program, and the UW Board of Trustees.
September 07, 2021
Participates in review of long stay patients, in conjunction with the Director of Utilization Review Management to facilitate the use of the most appropriate level of care.
November 19, 2021
Reviews concurrent payer denials and intervenes with attending and/or consulting physicians and managed care medical directors, as needed, for reconsideration and denial avoidance.
November 21, 2021
Works in close coordination with the processes of the Utilization Review Management staff for continual process improvement and reporting.
December 11, 2021
Lead and support all MAA operational activities required to meet MAA annual objectives, including accountability for the department's annual, midterm, and long-term strategic plans, product core medical plans, budget development and management, systems, and communications activities .
January 08, 2022