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Market Medical Director
Health Care Service Corporation. drive strategy and ensure clinical excellence in clinical programs, Stars, risk adjustment and total cost of care .
About the role
Key responsibilities & impact- drive strategy and ensure clinical excellence in clinical programs, Stars, risk adjustment and total cost of care
- strengthen partnerships with providers and health systems in the Market
- work closely with Independent Physician Associations (IPA), health systems, aligned managed service organizations (MSO) and independent practices
Requirements
What you’ll need- Physician (M.D. or D.O) with a current and unrestricted physician license in a state or territory of the United States
- Maintain Board Certification by a specialty board approved by the American Board of Medical Specialties, National Board of Physicians and Surgeons, or the Advisory Board of Osteopathic Specialists
- 5 years of clinical experience
- Analytical and communication skills
- Strategic thinking skills
- Proficiency in computer skills (including software applications such as Microsoft Office Product and Lotus Notes) needed for electronic documentation of case reviews
- 3 years Managed Care experience preferred but not required
- Experience with case management preferred and familiarity with fraud, waste, and abuse reviews a plus
- Strong computer skills and technical independence
- Data science background or Artificial Intelligence knowledge is a plus.
Benefits
Comp & perks- health and wellness benefits
- 401(k) savings plan
- pension plan
- paid time off
- paid parental leave
- disability insurance
- supplemental life insurance
- employee assistance program
- paid holidays
- tuition reimbursement
- plus other incentives
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical programsrisk adjustmenttotal cost of carecase managementdata scienceartificial intelligence
Soft Skills
analytical skillscommunication skillsstrategic thinking
Certifications
Physician (M.D. or D.O)Board Certification