Leadership and Transformation of Medicaid UM/CM Programs in support of One Sentara. Continuous improvement in Medicaid clinical performance including readmissions, chronic care utilization and unplanned care through CM outreach and programs. Adherence to each state's Medicaid contract UM/CM requirements. Coordination with Medicare UM/CM to ensure seamless care and managem

The Medical Director is responsible for providing clinical leadership within Sentara Health Plans, aligned to one or more plans. Accountable for monitoring utilization, case management and quality outcomes. The Medical Director collaborates with the Sentara Health Plans Chief Medical Director, Senior Medical Director(s) and Clinical Care Services (CCS) teams to establish,

The Medicaid Plan President is Sentara's expert resource regarding the MLTSS beneficiaries. The Medicaid Plan President provides leadership and Medicaid long term services and supports expertise to Sentara Health Plans' clinical, provider network, marketing, operations and quality department staff as it relates to MLTSS. Ensures appropriate prioritization of initiatives a