**Resp & Qualifications**

**PURPOSE:**
Provides management and assessment of overall FEP PPO care management program. The ideal candidate will have direct experience with FEP PPO line of business and people leading experience as well as their CCM certification. Implements programs and initiatives to form a comprehensive and cohesive model that effectively identifies high-risk members. Manages the delivery of effective interventions, and tracks/reports outcomes from their program. Manages and evaluates care management services offered and works closely with leadership, physicians/providers, and other service lines.

**ESSENTIAL FUNCTIONS:**

+ Manages and develops and maintains quality-improvement programs to optimize patient care for the FEP PPO line of business.
+ Collaborates with physicians, nursing and hospital leaders to ensure service expectations are being met.
+ Manages care management staff. Develops and leads team.
+ Conducts care coordina...