Hybrid Medical Director – Commercial

Posted 19 hours ago

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About the role

  • Medical Director managing clinicians' operations and utilization reviews across various states. Ensuring compliance with medical policies while enhancing healthcare quality and effectiveness.

Responsibilities

  • Supports clinicians to ensure timely and consistent responses to members and providers.
  • Provides guidance for clinical operational aspects of a program.
  • Conducts peer-to-peer clinical reviews with attending physicians or other providers.
  • Serves as a resource and consultant to other areas of the company.
  • Interprets medical policies and clinical guidelines.
  • Identifies and develops opportunities for innovation to increase effectiveness and quality.

Requirements

  • Requires MD or DO and Board certification approved by ABMS or AOA
  • Must possess an active unrestricted medical license to practice medicine
  • Minimum of 10 years of clinical experience, or equivalent combination of education and experience
  • For Health Solutions and Carelon organizations, minimum of 5 years experience providing health care required.
  • General Surgeon or Primary Care specialties preferred.

Benefits

  • comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution
  • paid holidays
  • Paid Time Off
  • medical
  • dental
  • vision
  • short and long term disability benefits
  • wellness programs
  • financial education resources

Job title

Medical Director – Commercial

Job type

Experience level

Lead

Salary

$238,320 - $393,228 per year

Degree requirement

No Education Requirement

Location requirements

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