Salary
💰 $271,000 - $515,500 per year
About the role
- Provide strategic and operational direction for utilization management, quality, and administrative or clinical policies, procedures and programs.
Implement and monitor regional and line of business performance and medical/clinical management programs throughout state.
Provide overall mentorship, development and supervision to a team of experienced Medical Directors and physician consultants.
Provide clinical leadership and administrative guidance to all departments within and affiliated with Medical Affairs Office.
Direct performance and quality improvement initiatives.
Develop and maintain operational policies for the department.
Provide leadership, partnership, and accountability for provider or provider group performance of assigned regions or line of business.
Provide leadership to the Informatics Unit and provides clinical liaison to IT department.
Assists with utilization management-related activities, as needed.
Requirements
- Medical Doctor (MD) or Doctor or Osteopathic Medicine (DO) required.
5+ years of managed care clinical experience required.
Experience working with health analysts and Information Technology in developing process and utilization-based reports.
Demonstrated ability to adjust to changing priorities while remaining focused on overall strategic goals and project deliverables.
Demonstrated ability to manage multiple projects and/or multiple teams, either directly or through influence, to achieve desired outcomes.
A demonstrated record of Managed Care Medical and Quality Management leadership experience.
MD licensed in Current State required.
Current board certification in trained specialty required.