Ohio Licensed Nursing Director

A company is looking for a Director of Affordability and Solutions.

Key Responsibilities

Monitor key performance indicators for client programs and develop corrective action plans as needed

Conduct annual comprehensive clinical analytical reviews and evaluate medical cost and utilization trends

Act as a clinical subject matter expert for innovative client program design and support operational setup during implementation

Required Qualifications

RN licensure in the state of residence

5+ years in nursing and operational roles within a managed care environment

Experience with clinical product operations in utilization management or similar fields

Data analysis capabilities with the ability to provide actionable recommendations

Demonstrated ability to translate complex medical situations into understandable terms for clients