Physican Executive
Medical Director
Medical Director
Columbus, OH
Job Details
Provide medical oversight in appropriateness and medical necessity of healthcare services
Description
Medical Director
Job Summary
Responsible for oversight and ongoing refinement of the behavioral health program. Specific responsibilities include achievement of corporate-wide in sourcing of behavioral health services, implementation oversight of behavioral health management of new business, exploration of new products to enhance behavioral healthcare, NCQA behavioral health accreditation, chair of the Behavioral Health
Medical Director, Medical Policy, QA and UR
This individual plays a crucial role within the corporation´s success and works closely with all divisions and departments within the corporate structure to provide clinical consultation and support with regard to program development, compliance with accepted medical standards, and practitioner/provider education.
Senior Medical Director
Senior Medical Director
Nevada
Associate Medical Director
One of the largest managed care organizations in the U.S. with a primary focus on the Medicare Advantage market is seeking an Associate Medical Director to join our Medical Management Department. Under the Medicare Advantage program, Medicare beneficiaries receive healthcare benefits through a managed care health plan.
Associate Medical Director
Job Summary
Medical Director
Position Purpose
Perform duties to assist the Vice President of Medical Affairs to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.
Knowledge/Experience
Medical Director
Medical Director
Albuquerque, NM
Chief Medical Officer
Chief Medical Officer
Nashville, TN
Job Summary
Medical Director
Primary Responsibilities
- Responsible and accountable to the CEO and the Board for managing health plan medical costs and assuring appropriate health care delivery for health plans, products and services. Reports organizationally to the CEO of the Health Plan; has a dotted line relationship to the Chief Medical Officer.
- Plans, organizes, and directs the professional medical services program, consisting of all primary and specialty services for in-patient, out-patient, preventive and wellness programs.
