Plan Performance Medical Director overseeing administration and policies for ACA health plans across the U.S., collaborating with market plan presidents and conducting clinical reviews.
Responsibilities
oversees the administration of medical services for ACA health plans
manages medical policies and clinical guidelines
collaborates with market plan presidents during meetings with state regulators
conducts peer-to-peer clinical reviews with attending physicians
Requirements
Requires MD or DO and Board certification approved by ABMS or AOA
Requires active unrestricted medical license to practice medicine
Minimum of 10 years of clinical experience
strong oral, written and interpersonal communication skills
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