The Director, Health Services is responsible for the overall oversight/administration of daily activities for all clinical services and activities including Medical Management, Care Management (CM) Pharmacy Services Management (PSM), Utilization Data Analysis, and Utilization Management. This includes, but is not limited to, assuring that AlphaCare meets its contractual obligations to the State of New York and Centers for Medicaid and Medicare Services (CMS) for deliverables, planning operations, monitoring and oversight of utilization, care coordination, and medical/clinical operations.
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