Plan Performance Medical Director responsible for clinical strategy and partnerships in Kentucky and Missouri markets. Leading initiatives to improve healthcare quality and organizational effectiveness.
Responsibilities
Leads, develops, directs and implements clinical and non-clinical activities that impact efficient and effective care
Supports new and existing customers by delivering clinical insights and recommendations that enhance the value-proposition of clinical programs
Identifies and develops opportunities for innovation to increase effectiveness and quality
Provides expertise; captures and shares best practices across regions
Provides guidance for clinical operational aspects of a program
Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations
Requirements
Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
Requires active unrestricted medical license to practice medicine or a health profession.
Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
Internal/Family Medicine, Peds, and OB/GYN specialties preferred.
Leadership roles in care or utilization management preferred.
3 years of managed care or population health management experience strongly preferred.
Benefits
comprehensive benefits package
incentive and recognition programs
equity stock purchase
401k contribution
Job title
Plan Performance Medical Director – Kentucky, Missouri Markets
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