Chief Medical Director
2 months ago
Fortune 500 Insurance Company seeking a Chief Medical Director (CMD) as the company’s Physician expert, providing medical thought leadership, medical guiding principles & strategy. The primary focus is on ensuring the company’s benefit processing needs are met for timely, efficient, high quality medical support services to all product lines, consistent with the current regulatory requirements, claim process, and internal workflow standards. This role will continually assess business needs, determine the appropriate number and specialty mix of physicians, recruit, develop and educate physician talent, as well as be the medical liaison for vendor Medical Directors.
The CMD also oversees and/or directly manages physician teams of varying specialty and tenure; teams are composed of cross site or remote employed and contracting physicians. This role is point for physician selection, answers medical questions from physician staff outside of formal reporting relationships and has an oversight role to physician staff to ensure consistent application of medical guidelines and principles.
*THIS IS A HYBRID POSITION AND MUST BE WILLING TO RELOCATE TO EITHER PORTLAND, ME OR CHATTANOOGA, TN*
Principal Duties and Responsibilities:
-Develops the optimal medical delivery model to meet business needs in the highest quality, cost efficient manner.
-Recruits, hires, develops, and retains physician talent to maintain an appropriate number and specialty mix of well-trained physicians.
-Ensures high quality medical decision-making consistent with the current regulatory requirements, claim process, and internal workflow standards.
-Contributes medical expertise to policies, practices and operational effectiveness to various units within the Company.
-Act as the company resource for consultation on medical treatment, diseases or other areas of
Qualifications:
-Ability to strategically link medical knowledge to business needs.
-Strong leadership, communication, collaboration and problem solving skills.
-Graduation from an accredited professional school (MD, DO).
-Unrestricted professional license.
-Board certified in medical specialty/subspecialty.
-Seven years clinical experience.
-Experience in disability insurance or managing the disability experience of a large, self-insured employer preferred.
-Experience managing physicians and/or other healthcare professionals strongly preferred.
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