Medical Director leading clinical initiatives and supporting healthcare policies in UK insurance. Collaborating with industry leaders and managing healthcare practices to ensure quality care.
About the role
- 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
- problem-solving skills
- facilitation skills
- analytical skills
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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