Medical Director

Role Overview

• Assist the Chief Medical Director to direct and coordinate medical management, quality improvement and credentialing functions
• Provide medical leadership for utilization management, cost containment, and medical quality improvement activities
• Perform medical review activities pertaining to utilization review and quality assurance
• Support effective implementation of performance improvement initiatives
• Collaborate with care management teams to optimize outcomes
• Review claims involving complex, controversial, or unusual services

Requirements

• MD or DO without restrictions
• Must be licensed in one of the following states: MO, IL, KS, IA, NE, MI, WI, IN, OH, PA
• Utilization Management experience and knowledge of quality accreditation standards preferred
• Actively practices medicine
• Course work in Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous
• Experience treating or managing care for a culturally diverse population preferred
• Board certification in a medical specialty recognized by the American Board of Medical Specialists or American Osteopathic Association’s Department of Certifying Board Services (Certification in Psychiatry specialty is required)

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field or office work schedules