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Multi-Specialty Group Administrative Job in Linthicum Heights, Maryland

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About This Multi-Specialty Group Opportunity

This administrative role in Linthicum Heights, Maryland is offered as a multi-specialty group opportunity, one of several practice structures listed for this position (alongside solo-independent, single-specialty group, and admin/medical director arrangements). In a multi-specialty group, you would practice within an organization that includes physicians across many specialties, with referral relationships largely internal and administrative functions handled centrally. These positions are typically employed, with governance managed at the group level.

The role carries no patient call and no emergency department call rotation. The financial offering for this listing is noted as Open, and the position may be structured through an income guarantee, straight employment, an employment agreement with production bonus, or contract, depending on how terms are finalized.

Candidates may be board certified or board eligible, MD or DO trained, and either American or foreign medical graduates; US citizenship or a green card is required. The role is open to physicians at recently trained, experienced, or very experienced career stages, within communities ranging from mid-sized to larger metropolitan populations.

  • Position Type: Permanent
  • Recruited Specialty: Administrative
  • Does the Physician Need To Be Trained In Specialty Being Recruited: No
  • Structure of Position: Solo-Independent, Single-Specialty Group, Multi-Specialty Group, Admin/Medical Director
  • Partnership Opportunity: Unknown
  • Expected Patient Call Coverage: No call
  • Expected ER Call Coverage: No call
Practice Details

Chief Medical Director Opportunity in Maryland:

Job description

Position Purpose: Direct and coordinate the medical management, quality improvement and credentialing functions for the assigned business unit based on, and in support of the strategic plan, establishing the strategic vision and attendant policies and procedures.

  • Serves as clinical advisor to and educator of medical management staff making sure correct clinical judgment is applied to all medical management determinations.
  • Oversees internal medical review guidelines to ensure clinical integrity and compliance and acts as a resource for staff members throughout the operation.
  • Coordinates with other departments, the responses needed to address regulatory accreditation concerns pertaining to medical management issues
  • Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services.
  • Facilitates the achievement of the Medical Management Program goals through an effective health services delivery system.
  • Responsible for physician review and oversight of all potential adverse determinations including pre-certifications/prior authorizations, concurrent review and appeals/retrospective review.
  • Responsible for HEDIS improvement and strategy.
  • Actively participates in the auditing process of medical management processes and corrective action team projects for medical management
  • Achieves utilization, cost management and quality goals.
  • Participates and advises in the development of corporate medical policies for UM, pharmacy, and new technology
    For Home State Health Plan only – responsible for the sufficiency and supervision of the health plan provider network

  • Education/Experience: Medical Doctor or Doctor of Osteopathy, board certified in a specialty recognized by the American Board of Medical Specialists. Volunteer patient care required. Previous experience as Medical Director is preferred. Master’s degree in Business Administration, Public Health, Healthcare Administration or related field preferred.

  • For Immediate Consideration, Please Inquire Within

    • Financial Details
    • Structure of Financial Support: Income Guarantee, Straight Employment, Employment Agreement with production bonus, Contract
    • Financial Offering: Open
    • Relocation Allowance: Negotiable
    • Signing Bonus: Negotiable
    • Stipends: Negotiable
    • Student Loan Assistance: Negotiable
    Community Information
    • Practice State: Maryland
    • Practice City: Linthicum Heights
    • Community Size: 50,000 - 99,999, 100,000 - 499,999
    • Community Details: Registered Candidates Only
    Candidate Qualifications
    • Location of Medical Training: American Medical Graduate (AMG), Foreign Medical Graduate (FMG)
    • Medical Training Type: Allopathic (MD), Osteopathic (DO)
    • Board Certification: Board Certified, Board Eligible
    • Work Status Requirements: US Citizen, Green Card
    • Preferred Experience Level: Recently Trained, Experienced, Very Experienced
    • Accept Local Physicians within 25 mile Radius: Yes
    Contact Information
    • Agency: SmartDocs Direct

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