Senior Medical Director overseeing the management of physicians for Sharp Health Plan. Involves collaboration with various departments to ensure quality healthcare delivery.
Responsibilities
Provides critical management and oversight for the Plan's physicians.
Responsible and accountable to the Chief Medical Officer for managing health plan medical costs.
Reports organizationally to the Chief Medical Officer.
Develops and Implements health plan clinical policies, goals and objectives.
Collaborates with other plan functions such as provider relations, member services, benefits and claims management, IT management, etc.
Assures plan conformance with legal and regulatory requirements.
Collaborates with Chief Medical Officer in creating and maintaining programs that incentivize providers to achieve selected outcomes.
Requirements
Doctor of Medicine (MD) - Internal Medicine or Family Practice OR Doctor of Osteopathic Medicine (DO) - Internal Medicine or Family Practice.
15 or more years of clinical practice of medicine.
5 years' experience as an HMO Health Plan Medical Director.
California Physicians and Surgeons License - Medical Board of CA -REQUIRED.
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