Common use of Executive Management Clause in Contracts

Executive Management. The PH-MCO must include in its Executive Management structure:  A full-time Administrator with authority over the entire operation of the PH-MCO.  A full-time HealthChoices Program Manager to oversee the operation of the Agreement, if different than the Administrator of the PH-MCO.  A full-time Medical Director who is a current Pennsylvania-licensed physician. The Medical Director must be actively involved in all major clinical program components of the PH-MCO and directly participates in the oversight of the Special Needs Unit, QM Department and UM Department. The Medical Director and his/her staff/consultant physicians must devote sufficient time to the PH-MCO to ensure timely medical decisions, including after-hours consultation, as needed.  A full-time Pharmacy Director to oversee the Formulary and Prior Authorization criteria and serve on the PH-MCO Pharmacy and Therapeutics Committee.  A full-time Chief Financial Officer (CFO) to oversee the budget and accounting systems implemented by the PH-MCO. The CFO must ensure the timeliness and accuracy of all financial reports. The CFO shall devote sufficient time and resources to responsibilities under this Agreement.  A full-time Information Systems (IS) Coordinator, who is responsible for the oversight of all information systems issues with the Department. The IS Coordinator must have a good working knowledge of the PH- MCO's entire program and operation, as well as the technical expertise to answer questions related to the operation of the information system.  These full time positions must be solely dedicated to the PA Medicaid Managed Care Program.

Executive Management. ‌ The PH-MCO must include in its Executive Management structure:  • A full-time Administrator with authority over the entire operation of the PH-MCO.  • A full-time HealthChoices Program Manager to oversee the operation of the Agreement, if different than the Administrator of the PH-MCO.  • A full-time Medical Director who is a current Pennsylvania-licensed physician. The Medical Director must be actively involved in all major clinical program components of the PH-MCO and directly participates in the oversight of the Special Needs Unit, QM Department and UM Department. The Medical Director and his/her staff/consultant physicians must devote sufficient time to the PH-MCO to ensure timely medical decisions, including after-hours consultation, as needed.  • A full-time Pharmacy Director to oversee who is a current Pennsylvania-licensed pharmacist. The Pharmacy Director oversees the Formulary and Prior Authorization criteria pharmacy utilization management and serve serves on the PH-MCO Pharmacy and Therapeutics Committee.  • A full-time Chief Financial Officer (CFO) to oversee the budget and accounting systems implemented by the PH-MCO. The CFO must ensure the timeliness and accuracy of all financial reports. The CFO shall devote sufficient time and resources to responsibilities under this Agreement.  • A full-time Information Systems (IS) Coordinator, who is responsible for the oversight of all information systems issues with the Department. The IS Coordinator must have a good working knowledge of the PH- MCO's entire program and operation, as well as the technical expertise to answer questions related to the operation of the information system.  • These full time positions must be solely dedicated to the PA Medicaid Managed Care Program.

Executive Management. ‌ The PH-MCO must include in its Executive Management structure:  • A full-time Administrator with authority over the entire operation of the PH-MCO.  • A full-time HealthChoices Program Manager to oversee the operation of the Agreement, if different than the Administrator of the PH-MCOAdministrator.  • A full-time Medical Director who is a current Pennsylvania-licensed physician. The Medical Director must be actively involved in all major clinical program components of the PH-MCO and directly participates in the oversight of the Special Needs UnitSNU, QM Department and UM Department. The Medical Director and his/her staff/consultant physicians must devote sufficient time to the PH-MCO to ensure provide timely medical decisions, including after-hours consultation, as needed.  • A full-time Pharmacy Director to oversee who is a current Pennsylvania-licensed pharmacist. The Pharmacy Director oversees the Formulary outpatient drug management and Prior Authorization criteria and serve serves on the PH-MCO Pharmacy and Therapeutics P&T Committee.  • A full-time Chief Financial Officer (CFO) CFO to oversee the budget and accounting systems implemented by the PH-MCO. The CFO must ensure the timeliness and accuracy of all financial reports. The CFO shall devote sufficient time and resources to responsibilities under this Agreement.  • A full-time Information Systems (IS) Coordinator, who is responsible for the oversight of all information systems issues with the Department. The IS Coordinator must have a good working knowledge of the PH- MCO's entire program and operation, as well as the technical expertise to answer questions related to the operation of the information system.  • These full time positions must be solely dedicated to the PA Medicaid Managed Care HealthChoices Program.

Executive Management. The PH-MCO must include in its Executive Management structure:  A full-time Administrator with authority over the entire operation of the PH-MCO.  A full-time HealthChoices Program Manager to oversee the operation of the Agreement, if different than the Administrator of the PH-MCOAdministrator.  A full-time Medical Director who is a current Pennsylvania-licensed physician. The Medical Director must be actively involved in all major clinical program components of the PH-MCO and directly participates in the oversight of the Special Needs UnitSNU, QM Department and UM Department. The Medical Director and his/her staff/consultant physicians must devote sufficient time to the PH-MCO to ensure provide timely medical decisions, including after-hours consultation, as needed.  A full-time Pharmacy Director to oversee who is a current Pennsylvania-licensed pharmacist. The Pharmacy Director oversees the Formulary outpatient drug management and Prior Authorization criteria and serve serves on the PH-MCO Pharmacy and Therapeutics P&T Committee.  A full-time Chief Financial Officer (CFO) CFO to oversee the budget and accounting systems implemented by the PH-MCO. The CFO must ensure the timeliness and accuracy of all financial reports. The CFO shall devote sufficient time and resources to responsibilities under this Agreement.  A full-time Information Systems (IS) Coordinator, who is responsible for the oversight of all information systems issues with the Department. The IS Coordinator must have a good working knowledge of the PH- MCO's entire program and operation, as well as the technical expertise to answer questions related to the operation of the information system.  These full time positions must be solely dedicated to the PA Medicaid Managed Care HealthChoices Program.

Executive Management. The PH-MCO must include in its Executive Management structure:  • A full-time Administrator with authority over the entire operation of the PH-MCO.  • A full-time HealthChoices Program Manager to oversee the operation of the Agreement, if different than the Administrator of the PH-MCO.  • A full-time Medical Director who is a current Pennsylvania-licensed physician. The Medical Director must be actively involved in all major clinical program components of the PH-MCO and directly participates in the oversight of the Special Needs Unit, QM Department and UM Department. The Medical Director and his/her staff/consultant physicians must devote sufficient time to the PH-MCO to ensure timely medical decisions, including after-hours consultation, as needed.  • A full-time Pharmacy Director to oversee the Formulary and Prior Authorization criteria and serve on the PH-MCO Pharmacy and Therapeutics Committee.  • A full-time Chief Financial Officer (CFO) to oversee the budget and accounting systems implemented by the PH-MCO. The CFO must ensure the timeliness and accuracy of all financial reports. The CFO shall devote sufficient time and resources to responsibilities under this Agreement.  • A full-time Information Systems (IS) Coordinator, who is responsible for the oversight of all information systems issues with the Department. The IS Coordinator must have a good working knowledge of the PH- MCO's entire program and operation, as well as the technical expertise to answer questions related to the operation of the information system.  • These full time positions must be solely dedicated to the PA Medicaid Managed Care Program.

Executive Management. ‌ The PH-MCO must include in its Executive Management structure:  A full-time Administrator with authority over the entire operation of the PH-MCO.  A full-time HealthChoices Program Manager to oversee the operation of the Agreement, if different than the Administrator of the PH-MCOAdministrator.  A full-time Medical Director who is a current Pennsylvania-licensed physician. The Medical Director must be actively involved in all major clinical program components of the PH-MCO and directly participates in the oversight of the Special Needs UnitSNU, QM Department and UM Department. The Medical Director and his/her staff/consultant physicians must devote sufficient time to the PH-MCO to ensure provide timely medical decisions, including after-hours consultation, as needed.  A full-time Pharmacy Director to oversee who is a current Pennsylvania-licensed pharmacist. The Pharmacy Director oversees the Formulary outpatient drug management and Prior Authorization criteria and serve serves on the PH-MCO Pharmacy and Therapeutics P&T Committee.  • A full-time Chief Financial Officer (CFO) CFO to oversee the budget and accounting systems implemented by the PH-MCO. The CFO must ensure the timeliness and accuracy of all financial reports. The CFO shall devote sufficient time and resources to responsibilities under this Agreement.  A full-time Information Systems (IS) Coordinator, who is responsible for the oversight of all information systems issues with the Department. The IS Coordinator must have a good working knowledge of the PH- MCO's entire program and operation, as well as the technical expertise to answer questions related to the operation of the information system.  These full time positions must be solely dedicated to the PA Medicaid Managed Care HealthChoices Program.

Executive Management. The PH-MCO must include in its Executive Management structure:  • A full-time Administrator with authority over the entire operation of the PH-MCO.  • A full-time HealthChoices Program Manager to oversee the operation of the Agreement, if different than the Administrator of the PH-MCOAdministrator.  • A full-time Medical Director who is a current Pennsylvania-licensed physician. The Medical Director must be actively involved in all major clinical program components of the PH-MCO and directly participates in the oversight of the Special Needs UnitSNU, QM Department and UM Department. The Medical Director and his/her staff/consultant physicians must devote sufficient time to the PH-MCO to ensure provide timely medical decisions, including after-hours consultation, as needed.  • A full-time Pharmacy Director to oversee who is a current Pennsylvania-licensed pharmacist. The Pharmacy Director oversees the Formulary outpatient drug management and Prior Authorization criteria and serve serves on the PH-MCO Pharmacy and Therapeutics P&T Committee.  • A full-time Chief Financial Officer (CFO) CFO to oversee the budget and accounting systems implemented by the PH-MCO. The CFO must ensure the timeliness and accuracy of all financial reports. The CFO shall devote sufficient time and resources to responsibilities under this Agreement.  • A full-time Information Systems (IS) Coordinator, who is responsible for the oversight of all information systems issues with the Department. The IS Coordinator must have a good working knowledge of the PH- MCO's entire program and operation, as well as the technical expertise to answer questions related to the operation of the information system.  • These full time positions must be solely dedicated to the PA Medicaid Managed Care HealthChoices Program.