Medical Director Physician
3 weeks ago
New: Part-Time Medical Director Opportunity in Michigan
Medical Director, MD or DO, preferably in a general field of medical practice.
Position Available due to Retirement.
Start Date: As soon as possible.
This position works at a health plan.
Hours: The position is a part-time role and the hours worked are negotiable.
We provide our members and their families with comprehensive medical and prescription coverage and outstanding personal service. We also offer vision, dental and short-term and long-term disability benefits.
Specific Skills or Certifications Needed: 10+ years of experience as a physician; Organization provides insurance and customer service to public employees and their families; We serve about 66,000 members plus their families (about 180,000 total covered lives).
The medical director reviews a variety of cases weekly to determine medical necessity. Cases involved relate to preauthorization of medical services, disability case determinations and appeals. The incumbent medical director completes this work in less than 20 hours per week and with support from registered nurses.
Compensation: The position is an independent contractor for which we negotiate an hourly base rate. We reimburse for all reasonable and approved expenses incurred in connection with the performance of approved services based on Organization travel and expense reimbursement policies
The medical director shall maintain all licenses necessary to practice medicine in the state of Michigan and such other licenses as may be required to satisfy obligations under a consulting agreement negotiated between the parties. Organization will reimburse for fees associated with maintaining Board Certifications as follows: exam fee (not to exceed $2,000), exam preparation materials (not to exceed $1,000) and exam preparation course fee (not to exceed $2,500).
The medical director will consult with and advise Organization on providing quality
healthcare and disability coverage to it's members. The medical director will work
with Organization and its underwriters on matters of medical necessity, quality and
reasonableness of medical treatment in concurrent reviews and in appeals decisions.
This position is that of an independent contractor; and may be partly remote.
largest provider network in Michigan, comprehensive medical and prescription coverage
and outstanding personal service. We also offer vision, dental and short-term and longterm
disability benefits.
We believe the hardworking people who care for our kids, our schools and our
communities deserve exceptional health benefits and unmatched personal service.
Organization is deeply committed to diversity and inclusion. People of color, women, and members of other historically
The medical director:
• Performs physician-level review of medical and disability claims and
Determines medical necessity of requests, including appeals, using medical
policy, established guidelines or current research
• Recommends clarifications and updates to medical benefits, including assisting in
surgeries and medications
• Participates in quality initiatives, case management accreditation and utilization
Current unrestricted state of Michigan Doctor of Medicine (M.or doctor of osteopathy (D.Doctorate from an accredited school of medicine (M.10+ years of experience as a physician, preferably in a general field of medical practice
Understanding of health plan functions related to utilization, care and quality management.
-
Medical Director Physician
3 weeks ago
Lansing, MI, United States DocCafe Full timeDocCafe has an immediate opening for the following position: Physician - Medical Director in Lansing, Michigan. DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career. ---------------- Register now to apply for this job and for access to 120,000+ other openings. DocCafe Offers: * Free Physician and...
-
Medical Director Physician
2 weeks ago
Lansing, United States DOCTORS CHOICE PLACEMENT SERVICES, INC. Full timeMedical Director Physician at DOCTORS CHOICE PLACEMENT SERVICES, INC. summary: The Medical Director Physician role is a part-time, independent contractor position providing medical oversight and review of disability and medical claims for a Michigan-based nonprofit health plan. The director evaluates medical necessity, supports quality initiatives, and...
-
Medical Director Physician
1 week ago
Lansing, MI, United States DocCafe Full timeDocCafe has an immediate opening for the following position: Physician - Medical Director in Lansing, Michigan. Please read the following job description thoroughly to ensure you are the right fit for this role before applying. DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career. ----------------...
-
Medical Director Physician Assistant
2 weeks ago
Lansing, MI, United States DocCafe Full timeDocCafe has an immediate opening for the following position: Physician Assistant - Medical Director in Lansing, Michigan. DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career. ---------------- Register now to apply for this job and for access to 120,000+ other openings. DocCafe Offers: Free Physician and...
-
Medical Director Physician
1 week ago
Lansing, MI, United States DOCTORS CHOICE PLACEMENT SERVICES, INC. Full timeNew: Part-Time Medical Director Opportunity in Michigan Position Available: Medical Director, MD or DO, preferably in a general field of medical practice. Position Available due to Retirement. Start Date: As soon as possible. Practice Setting: This position works at a health plan. NO Call Hours: The position is a part-time role and the hours worked are...
-
Medical Director Physician
2 days ago
Lansing, MI, United States DOCTORS CHOICE PLACEMENT SERVICES, INC. Full timeNew: Part-Time Medical Director Opportunity in Michigan Position Available: Medical Director, MD or DO, preferably in a general field of medical practice. Position Available due to Retirement. Start Date: As soon as possible. Practice Setting: This position works at a health plan. NO Call Hours: The position is a part-time role and the hours worked are...
-
Medical Director Physician
2 weeks ago
Lansing, MI, United States DOCTORS CHOICE PLACEMENT SERVICES, INC. Full timeNew: Part-Time Medical Director Opportunity in Michigan Position Available: Medical Director, MD or DO, preferably in a general field of medical practice. Position Available due to Retirement. Start Date: As soon as possible. Practice Setting: This position works at a health plan. NO Call Hours: The position is a part-time role and the hours worked are...
-
Medical Director
3 weeks ago
Coldwater, MI, United States VitalCore Health Strategies Full timeJoin the VitalCore Team in Michigan! We're people fueled by passion, not by profit!VitalCore Health Strategies, an industry leader in Correctional Health Care, has an opening for a staff Medical Director (Physician) at Lakeland Correctional Facility in Coldwater, Michigan for Part Time! MEDICAL DIRECTOR (PHYSICIAN) POSITION SUMMARYThe Staff Physician works...
-
Medical Director Physician
3 weeks ago
Coldwater, MI, United States VitalCore Health Strategies Full timeJoin the VitalCore Team in Michigan! We're people fueled by passion, not by profit! VitalCore Health Strategies, an industry leader in Correctional Health Care, has an opening for a staff Medical Director (Physician) at Lakeland Correctional Facility in Coldwater, Michigan for Part Time! MEDICAL DIRECTOR (PHYSICIAN) POSITION SUMMARY The Staff Physician works...
-
Medical Director Physician
3 weeks ago
Jackson, MI, United States VitalCore Health Strategies Full timeJoin the VitalCore Team in Michigan! We're people fueled by passion, not by profit! VitalCore Health Strategies, an industry leader in Correctional Health Care, has an opening for a staff Full Time Physician/Medical Director (M.D. or D.O.) at Charles Egeler Reception and Guidance Center in Jackson , Michigan! View our opportunities at: PHYSICIAN/MEDICAL...
