Hybrid Plan Performance Medical Director – Kentucky, Missouri Markets

Posted 4 weeks ago

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About the role

  • Plan Performance Medical Director responsible for clinical strategy and partnerships in Kentucky and Missouri markets. Leading initiatives to improve healthcare quality and organizational effectiveness.

Responsibilities

  • Leads, develops, directs and implements clinical and non-clinical activities that impact efficient and effective care
  • Supports new and existing customers by delivering clinical insights and recommendations that enhance the value-proposition of clinical programs
  • Identifies and develops opportunities for innovation to increase effectiveness and quality
  • Provides expertise; captures and shares best practices across regions
  • Provides guidance for clinical operational aspects of a program
  • Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations

Requirements

  • Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
  • Requires active unrestricted medical license to practice medicine or a health profession.
  • Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
  • Internal/Family Medicine, Peds, and OB/GYN specialties preferred.
  • Leadership roles in care or utilization management preferred.
  • 3 years of managed care or population health management experience strongly preferred.

Benefits

  • comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution

Job title

Plan Performance Medical Director – Kentucky, Missouri Markets

Job type

Experience level

Lead

Salary

$275,264 - $412,896 per year

Degree requirement

Postgraduate Degree

Location requirements

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