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Permanent Administrative Job in St. Louis, Missouri
- Position Type: Permanent
- Recruited Specialty: Administrative
- Does the Physician Need To Be Trained In Specialty Being Recruited: Yes
- Structure of Position: Employed by Hospital/Clinic/MSO/Other, Admin/Medical Director, Non-Clinical Case Management
- Partnership Opportunity: Unknown
- Expected Patient Call Coverage: No call
- Expected ER Call Coverage: No call
Practice Details
Senior Medical Director
This job will have the following responsibilities:
- Lead, develop, direct and implement clinical and non-clinical activities that impact health care quality, cost and outcomes.
- Direct the utilization review process and oversee the quality of utilization determinations.
- Be responsible for overall medical policies of the unit to ensure the appropriate and most cost effective medical care is received. Recommend changes and enhancements to current managed care, review guidelines, and clinical criteria .
- Develop, implement, and interpret medical polices.
- Lead clinical staff in the coordination of quality care.
- Provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities.
- Act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams.
- Responsibility for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise.
- Expand their medical management programs to address member needs across the continuum of care.
Qualifications & Requirements:
- 3 to 5 + years of experience in the health care delivery system with 3-5 years additional leadership and management experience in the health care industry.
- Active unrestricted MD or DO license is required.
- Specialty in Primary Medicine or Internal Medicine preferred.
- Prior Managed Care experience
- Active unrestricted Board Certification is required. Must be board certified, not board "eligible"
Financial Details
- Structure of Financial Support: Employment Agreement with production bonus
- Financial Offering: Open
- Relocation Allowance: Yes
- Signing Bonus: Yes
- Stipends: No
- Student Loan Assistance: No
Community Information
- Practice State: Missouri
- Practice City: St. Louis
- Community Size: 50,000 - 99,999, 100,000 - 499,999, 500,000+
- 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
- Work Status Requirements: US Citizen
- Preferred Experience Level: Experienced, Very Experienced
- Accept Local Physicians within 25 mile Radius: Yes
Contact Information
- Agency: Catherine Stenberg
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