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Duke University Health System
Durham, North Carolina
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Vice President of Quality and Clinical Program Oversight
It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Provides leadership for all activities relating to the development and management of the Plan’s quality improvement and accreditation activities including NCQA, contractual and regulatory quality requirements and measures for all lines of business, HEDIS/Performance Improvement, clinical quality programs, Medical Policy, Utilization Management Program Management, clinical vendor management (excluding Pharmacy Benefit Manager). Develops and oversees strategies, policies and processes t
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