Associate Medical Director

Marshall County, WV - USA

Monthly Salary: USD 1 - 1

Posted on: Yesterday

Vacancies: 1 Vacancy

Job Summary

Job Quick Facts:

Specialty: OB/GYN Associate Medical Director

Job Type: Locum to Perm

Facility Location: Dallas TX

Service Setting: Administrative

Reason For Coverage: Supplemental

Coverage Period: 13 weeks

Coverage Type: Clinical only

Shift Schedule: Mon - Fri; 8a-5p

Support Staff: Multidisciplinary teams within managed care and clinical operations

Core Responsibilities:

Review prior authorization & appeals for medical necessity

Peer-to-peer provider reviews

Clinical oversight for UM disease management and quality management

Develop medical policies clinical guidelines and coverage rules

Analyze provider performance data

Review provider applications and quality concerns

Oversight of; pharmacy benefit coordinationfraud waste and abuse clinical aspects

Participate in regulatory interactions (state/local agencies) managed care committees

Support development & monitoring of annual organizational goals

Evaluate job design workflows and processes for improvement

Ability to interpret/understand Texas Medicaid regulations

Demonstrate leadership communication and managed-careoriented skills

Application of medical knowledge within operational/business environments

Other Info: Locum-to-perm transition expected

Travel lodging and malpractice insurance covered

Requirements:

Active TX License (or willingness to obtain)

Board Certified in OB/GYN

Clean malpractice/license history

Job Quick Facts: Specialty: OB/GYN Associate Medical Director Job Type: Locum to Perm Facility Location: Dallas TX Service Setting: Administrative Reason For Coverage: Supplemental Coverage Period: 13 weeks Coverage Type: Clinical only Shift Schedule: Mon - Fri; 8a-5p Support Staff: Multidiscipli...