Medical Director

7 days ago


Miami, United States Insight Global Full time

Must Haves:

MD or DO from an accredited medical school

Active and unrestricted Florida License

5+ years experience in a clinical practice

2+ years experience as a health plan Medical Director

Experience in a role supporting IDD populations (Intellectual developmental disability)

Plusses:

Board Certification in Primary care specialty

Board Certification in utilization management, quality assurance, long-term care, or managed care

Masters in Business Administration, Public Health, Healthcare Administration etc

Day to Day:

Our client is looking for a Medical Director to join their team. In this role you will provide medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to Plan members, targeting improvements in efficiency and satisfaction for patients and providers, as well as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. This role is Miami based.



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