Medical Director

Role Overview

• Assist the Chief Medical Officer to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit
• Provide medical leadership of all for utilization management, cost containment, and medical quality improvement activities
• Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services
• Support effective implementation of performance improvement initiatives for capitated providers
• Collaborate with care management teams to optimize outcomes
• Assist in the development and implementation of physician education with respect to clinical issues and policies
• Develop alliances with the provider community through the development and implementation of the medical management programs

Requirements

• MD or DO without restrictions
• Must be licensed in Louisiana
• Board Certified Physician
• Utilization Management experience and knowledge of quality accreditation standards preferred
• Actively practices medicine or has been an actively practicing physician within the last 5 years
• Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous
• Experience treating or managing care for a culturally diverse population preferred.

Benefits

• 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