Medical Director Population Health
4 weeks ago
About AdventHealth AdventHealth is a community that believes in the wholeness of each person and serves to uplift others in body, mind and spirit. It is a place where professionals can thrive and grow spiritually while extending the Healing Ministry of Christ. AdventHealth values your unique experience and perspective, and together we strive to provide exceptional care to our patients. Benefits Benefits from Day One Paid Days Off from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support Schedule Full Time Shift Monday - Friday 8:00am to 5:00pm Location Hybrid, Maitland, FL The Role You'll Contribute Responsible for providing a wide range of general medical management services to improve clinical cost, utilization, coding, documentation, quality, and member service performance. This position interacts with practices, individual physicians within the networks, payer leadership, customers, and internal and external partners to facilitate this work. Additionally, this role has primary responsibility for credentialing, quality, and utilization management programs. In addition, this position participates in various committees and the strategic planning and budgeting process. Ensures continuous improvement and optimization of medical management services. The Value You'll Bring To The Team Communicates clinical cost, utilization, appropriate coding and documentation, quality, and member service opportunity studies and their recommendations to appropriate stakeholders. Leads efforts to develop and implement systems and processes to improve the clinical cost, utilization, appropriate coding and documentation, quality, and member service outcomes. Leads the peer review program and facilitates interaction with network providers regarding corrective action plans. Oversees credentialing operations, including reviewing applications and participating in committee meetings. Acts as a liaison for clinical issues between network providers and leadership. Educates network practices and physicians on performance improvement and best practices. Minimum Qualifications Doctorate degree 5 years of clinical experience American Board of Medical Specialties (ABMS) Medical Doctor (MD) Preferred Qualifications Doctor of Osteopathic Medicine (DO) We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location. #J-18808-Ljbffr
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Medical Director Population Health
4 weeks ago
Town of Florida, United States AdventHealth Full timeMedical Director Population Health AdventHealth PHSO Resources All the benefits and perks you need for you and your family: Benefits from Day One Paid Days Off from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and Support Our promise to you: Joining AdventHealth is about being part of something bigger. Its about...
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Town of Florida, United States AdventHealth Full timeA healthcare organization is seeking a Medical Director for Population Health in the United States. This role involves improving clinical performance and overseeing credentialing operations. Candidates must possess a doctorate degree and at least 5 years of clinical experience. The position offers a hybrid work schedule and various benefits from day one,...
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Population Health Medical Director: Quality
4 weeks ago
Town of Florida, United States AdventHealth Full timeA healthcare service provider in New York is seeking a qualified individual to provide medical management services. The ideal candidate will hold a Doctorate degree, possess 5 years of clinical experience, and have an MD. Responsibilities include leading quality improvement initiatives, managing credentialing operations, and communicating best practices....
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Medical Director
1 day ago
Town of Florida, United States Sanitas Medical Centers Full timeMedical Director (61588) Sanitas Medical Centers is seeking a Medical Director to coordinate and oversee all medical care and quality of services at the center level. The role ensures proper functioning of day‑to‑day operations, provides delivery of medical services to patients, and analyzes results to improve quality. Essential Job Functions Provides...
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Medical Director
1 day ago
Town of Florida, United States Skillsetafrica Full timeTitle: Medical Director - Care Plus - FloridaLocation: Remote NationwideBecome a part of our caring community and help us put health firstThe Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth...
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Medical Director
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Town of Florida, United States Elevance Health Full timeMedical Director – Medical Oncology Company: Elevance Health (Carelon Medical Benefit Management) We are looking for an experienced Medical Director with a specialty in Medical Oncology to lead our Clinical Operations. The role is fully virtual full‑time, with required in‑person training sessions for onboarding and skill development. Responsibilities...
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Primary Care
1 day ago
Town of Florida, United States Mount Sinai Medical Center Full timeMount Sinai Medical Center is seeking a Primary Care- Regional Medical Director to join our team.OverviewAs Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. We offer the latest in advanced medicine, technology, and comfort in 12...
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Director of Population Health Strategy
3 weeks ago
Village of Bronxville, United States 2070Health Full timeA leading hospital system in the US is seeking a Director of Population Health to lead initiatives aimed at improving patient outcomes and health equity. The role focuses on managing operational and programmatic activities, leveraging data analytics, and inspiring teams to deliver quality care. Ideal candidates should have a strong background in healthcare...
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Remote Medical Director
2 weeks ago
Town of Florida, United States Centene Corporation Full timeYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Hiring Remote Medical Directors Centene Corporation is a leading provider of...
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Specialty Medical Director
1 day ago
Town of Florida, United States Accreditation Council for Graduate Medical Education Full timeOverview Thrive Pet Healthcare is looking to hire a Medical Director to join the team at Veterinary Specialty Hospital of Palm Beach Gardens. Generous Salary/ Sign-On Bonus! Join our community of veterinary care providers for the support, tools, and resources to elevate your practice and provide top-notch patient care. As the Medical Director of your...
