National Medical Director
1 day ago
The Medical Director guides and directs the CorVel clinical operations including Case Management, Utilization Management, and Provider Networks. The Medical Director ensures services delivered are the highest quality and meet the standards of CorVel, URAC and State regulations. The Medical Director contributes to CorVel’s operational excellence by supporting the organization’s mission to provide efficient, effective and compassionate care.
This is a contracted, part-time position.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:- Clinical Leadership: Provide clinical oversight and leadership to the medical management teams, including physicians, nurses and other healthcare professionals.
- Care Coordination: Develop and implement care management protocols and policies to ensure timely and appropriate medical care for patients.
- Utilization Review: Oversee the utilization review process to ensure medical necessity, appropriateness and cost-effectiveness of healthcare services.
- Quality Assurance: Establish and maintain quality assurance programs to monitor and improve the quality of care provided to patients. Acts as the chairperson of the National Credentialing and Quality Assurance Committee.
- Regulatory Compliance: Ensure compliance with all federal, state, and local regulations related to workers’ compensation and managed care.
- Stakeholder Collaboration: Work collaboratively with internal and external stakeholders, including employers, insurers, healthcare providers, and regulatory agencies, to facilitate coordinated care.
- Training and Education: Develop and deliver training programs for clinical staff on best practices in workers’ compensation care and regulatory requirements.
- Clinical Documentation: Oversee the development and maintenance of accurate and comprehensive clinical documentation and records.
- Performance Metrics: Monitor and analyze key performance metrics to assess the effectiveness of medical management programs and identify areas for improvement.
- Legal Expert: Provide testimony or depositions when requested.
- Demonstrated experience in a leadership or management role within a healthcare organization.
- Strong understanding of workers’ compensation laws, regulations, and best practices.
- Must have a thorough knowledge of both CPT and ICD coding.
- Ability to interface with claims staff, attorneys, physicians and their representatives, and advisors/clients and coworkers.
- Excellent written and verbal communication skills, with the ability to interact effectively with diverse stakeholders.
- Strong analytical and problem-solving skills, with the ability to make data-driven decisions.
- Ability to meet designated deadlines.
- Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets.
- Ability to build and maintain effective working relationships with colleagues, providers, and external partners.
- Strong interpersonal, time management and organizational skills.
- Ability to work both independently and within a team environment.
- Thorough knowledge of ICD and CPT coding.
- Active, unrestricted doctor of medicine or doctor of osteopathic license or certification to practice medicine in a state or territory of the United States.
- A valid medical degree from an accredited institution.
- Board certification in a relevant specialty such as occupational medicine.
- Minimum of 20 years of clinical practice experience, preferably in occupational medicine, workers’ compensation, or managed care settings.
- Demonstrated experience in a leadership or management role within a healthcare organization.
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#J-18808-Ljbffr-
National Medical Director
2 days ago
Virginia, United States CorVel Full timeThe Medical Director guides and directs the CorVel clinical operations including Case Management, Utilization Management, and Provider Networks. The Medical Director ensures services delivered are the highest quality and meet the standards of CorVel, URAC and State regulations. The Medical Director contributes to CorVel’s operational excellence by...
-
Medical Director, Outreach NICU
1 week ago
Virginia, United States Children's National Medical Center Full timeJob Title: Medical Director, Outreach NICU (2400038M)Description:The Medical Director will provide administrative and clinical leadership for Children's Hospital Outreach NICU program at VHC Health in Arlington, Virginia. Primary responsibilities include overseeing the clinical operations of the Level III NICU at VHC, including clinical care of patients,...
-
Medical Director, Outreach NICU Specialist
7 days ago
Virginia, Minnesota, United States Children's National Medical Center Full timeOur Medical Director, Outreach NICU, will oversee the clinical operations of our Level III NICU at Virginia Hospital Center in Arlington, Virginia.The successful candidate will provide administrative and clinical leadership for our outreach program, ensuring clear communication with stakeholders and driving research, educational, and advocacy initiatives...
-
Virginia, Minnesota, United States Montana State University Full timeJob Summary">The Montana State University is seeking a highly qualified candidate for the position of Director of the Medical Laboratory Sciences Program. As a key member of the Department of Microbiology & Cell Biology, the successful candidate will play a crucial role in shaping the future of medical laboratory sciences education.">About the Program">The...
-
Medical Director Opportunity in Virginia
29 minutes ago
Virginia Beach, Virginia, United States Adaptive Medical Partners Full timeAdaptive Medical Partners is seeking an exceptional Medical Director to lead our rapidly growing healthcare organization in Virginia.About the RoleWe are committed to delivering exceptional patient care through a team-based approach, fostering a collaborative environment where professionals work together to achieve outstanding results.Key...
-
Medical Director Physician
2 days ago
Virginia Beach, United States NorthStar Anesthesia Full timeMedical Director Physician at NorthStar Anesthesia summary: The Medical Director Physician at NorthStar Anesthesia leads anesthesia care across multiple facilities in Virginia Beach, VA, shaping clinical objectives and fostering teamwork. This role offers a competitive annual compensation, including a sign-on bonus and extensive benefits, while promoting...
-
Medical Director Physician
2 days ago
Virginia Beach, United States NorthStar Anesthesia Full timeMedical Director Physician at NorthStar Anesthesia summary: The Medical Director Physician at NorthStar Anesthesia leads anesthesia care across multiple facilities in Virginia Beach, VA, shaping clinical objectives and fostering teamwork. This role offers a competitive annual compensation, including a sign-on bonus and extensive benefits, while promoting...
-
Medical Director Physician
12 hours ago
Virginia Beach, United States NorthStar Anesthesia Full timeMedical Director Physician at NorthStar Anesthesia summary: The Medical Director Physician at NorthStar Anesthesia leads anesthesia care across multiple facilities in Virginia Beach, VA, shaping clinical objectives and fostering teamwork. This role offers a competitive annual compensation, including a sign-on bonus and extensive benefits, while promoting...
-
Medical Director Opportunity in Virginia
4 days ago
Virginia Beach, Virginia, United States Enterprise Medical Recruiting Full timeWe are excited to announce a medical director opportunity with our client, a well-established primary care group in Chesapeake, Virginia.Company OverviewFounded in 1991, this successful practice has grown to become one of the largest primary care groups in the region. With a team of over 120 primary care physicians, they provide high-quality patient care and...
-
Medical Director Opportunity in Virginia
6 days ago
Virginia, Minnesota, United States Doctor's Choice Placement Services, Inc Full timeClinical + Medical Director OpportunityThe position of Clinical and Medical Director is available in a skilled nursing facility located in Southwest Virginia. The ideal candidate will have experience as an Internal Medicine, Family Medicine or Geriatrics trained physician.Key Responsibilities include administrative work for 6-10 hours per week and clinical...
-
Virginia, Minnesota, United States Enterprise Medical Recruiting Full timeJob DescriptionA dynamic opportunity has arisen for a skilled Family Medicine physician to join our team as a Medical Director. The successful candidate will have a strong interest and experience in hospital-based care.The role will involve practicing in a 300-bed level 1 hospital, where you will be responsible for providing exceptional patient care and...
-
Medical Director for Pain Management
7 days ago
Virginia Beach, Virginia, United States The National Coalition of Healthcare Recruiters Full timeAbout the OpportunityWe are seeking a board-certified Internal Medicine or Emergency Medicine physician to join our growing medical team in Virginia Beach, VA. As a Medical Director for Pain Management, you will be responsible for leading our team of healthcare professionals in providing high-quality patient care and developing innovative treatment plans.The...
-
Medical Director Physician
2 days ago
Virginia Beach, United States NorthStar Anesthesia Full timeYour Expertise. Our Mission. Join NorthStarJoin NorthStar Anesthesia as we continue our exciting nationwide expansion! Were seeking passionate anesthesiologists to help deliver excellence in anesthesia care. Be part of a national team spanning 22 states and over 200 facilities, offering endless opportunities to grow and make an impact. NorthStar offers...
-
Director of Multi-National Payroll Services
4 days ago
Virginia Beach, Virginia, United States Anaplan Full timeAbout AnaplanAnaplan is a trailblazer in business decision-making, empowering its clients to outpace their competition through innovative solutions and unparalleled expertise.Our commitment to diversity, equity, inclusion, and belonging fosters an inclusive work environment where every employee can thrive and be their authentic self.Job Role: Director of...
-
Medical Director for Hospital-Based Care
6 days ago
Virginia, Minnesota, United States Enterprise Medical Recruiting Full timeAbout the Opportunity">Enterprise Medical Recruiting is seeking an Internal Medicine physician to join our team as a medical director in hospital-based care. This opportunity is perfect for a physician looking to leverage their expertise and experience to lead a team of healthcare professionals.">Job Summary">We are seeking an experienced Internal Medicine...
-
Virginia, Minnesota, United States Archway Physician Recruitment Full timeAbout Archway Physician RecruitmentArchway Physician Recruitment is proud to present an exciting opportunity for a medical director to join our team in Virginia, Minnesota.LocationThe position will be based in Virginia, a charming city located in the heart of northern Minnesota, just 60 miles from Duluth. The region offers a rich quality of life with plenty...
-
Medical Director Lead
7 days ago
Virginia, Minnesota, United States Virginia Community Healthcare Association Full timeJob SummaryThe Virginia Community Healthcare Association is seeking a highly skilled Medical Director to lead our team of healthcare professionals. As a key member of our organization, you will be responsible for providing medical services to patients and developing clinical workflows for our staff.About the PositionThis exempt position requires a graduate...
-
Medical Director Opportunity in Virginia
5 days ago
Virginia Beach, Virginia, United States Enterprise Medical Recruiting Full timeAbout the OpportunityWe are seeking a talented Medical Director to join our team of primary care physicians at Enterprise Medical Recruiting. This is an exciting opportunity for a skilled professional to lead and mentor our growing practice.Practice OverviewThe practice was founded in 1991 and has grown to become one of the largest primary care groups in the...
-
Outpatient Center Medical Director
4 days ago
Virginia Beach, Virginia, United States Purple Cow Recruiting Full timeCenter Medical Director Training and DevelopmentPurple Cow Recruiting offers comprehensive training and development programs to support the success of our center medical directors. These programs include:PCP Black Belt Training and PCP EssentialsMedical Director and Center OperationsLeadership Pathways ProgramMedical Economics and Center Financial...
-
Medical Director
7 days ago
Virginia, Minnesota, United States The American Correctional Association Full time**Job Title:** Medical Director**Location:** Fluvanna Women's Correctional Center, Troy, VAThe American Correctional Association seeks a skilled Medical Director to oversee the healthcare services at the Fluvanna Women's Correctional Center in Troy, VA. As a key member of the facility's management team, you will be responsible for providing medical...
