Clinical Outcomes Director Jobs

Directs the evaluation and improvement of health plan performance. Oversees staff who analyze claims, member, provider, and financial data. Develops reports and analytical models to track utilization, costs, quality measures, and risk adjustment. Ensures data accuracy, regulatory compliance, and alignment with organizational objectives. Provides outcomes to internal teams to optimize plan design, identify cost-saving opportunities, and support initiatives that improve member health outcomes and plan efficiency. Requires a bachelor's degree. Typically reports to senior management. Manages a dep ... artmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. More
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