Current jobs related to Medicare Medical Director Clinical Programs - Tulsa - Elevance Health
-
Medical Director
3 weeks ago
Tulsa, Oklahoma, United States Oak Street Health Full timeJob Title: Center Medical DirectorOak Street Health is seeking a highly skilled and experienced Center Medical Director to lead our clinical team in providing exceptional patient care and a great place to work. As a Center Medical Director, you will be responsible for practicing primary care in our clinics, mentoring and coaching providers, and participating...
-
Clinical Programs Director
4 weeks ago
Tulsa, Oklahoma, United States The University Of Tulsa Full timeJob DescriptionThe University of Tulsa College of Law invites applications from experienced clinical faculty to serve as Director for Clinical and Experiential Learning Programs.ResponsibilitiesManage clinical budgets and guide policy decisions in consultation with faculty and the Dean.Serve as a point person for public engagement between the law school and...
-
Center Medical Director
4 days ago
Tulsa, United States Oak Street Health Full timeDescriptionCompany: Oak Street Health Title: Center Medical DirectorLocation: Varies Role Description:The purpose of the Center Medical Director role at Oak Street Health is to lead the clinical team at their center in providing the best patient care and a great place to work in order to keep patients happy, healthy and out of the hospital. The Medical...
-
Director of Rehab
2 months ago
Tulsa, United States Powerback Rehabilitation Full timeDirector of Rehabilitation Key information: Title: Director of RehabilitationLocation/work environment: In facilityReporting structure: Reporting Clinical Operations Area Director Powerback is proud to offer a comprehensive and unique benefits package for those candidates that are qualified, including health insurance benefits, 401k, paid time off,...
-
Tulsa, Oklahoma, United States Archway Physician Recruitment Full timeMedical Director Opportunity in Pediatric Hematology OncologyWe are seeking a Medical Director to lead our Pediatric Hematology Oncology Program. This is a full-time opportunity to join a dynamic team of healthcare professionals who are dedicated to providing exceptional care to children with cancer and blood disorders.Key Responsibilities:Lead a team of...
-
Tulsa, United States The University Of Tulsa Full timeJob Description THE UNIVERSITY OF TULSA COLLEGE OF LAW invites applications from experienced clinical faculty to serve as Director for Clinical and Experiential Learning Programs. We seek candidates with a distinguished record of clinical teaching or practice experience, and a superior academic record demonstrating excellence in scholarship and...
-
Psychiatric Medical Director Position
4 weeks ago
Tulsa, Oklahoma, United States Cambridge Medical Professionals Full timePsychiatric Medical Director OpportunityWe are seeking a highly skilled Psychiatric Medical Director to lead our Outpatient Psychiatry clinic in Tulsa, OK. As a key member of our team at Cambridge Medical Professionals, you will be responsible for overseeing the operations of our clinic and ensuring the highest level of care for our patients.Key...
-
Psychiatric Medical Director Position
3 weeks ago
Tulsa, Oklahoma, United States Cambridge Medical Professionals Full timePsychiatric Medical Director OpportunityWe are seeking a highly skilled and experienced Psychiatric Medical Director to lead our Outpatient Psychiatry clinic in Tulsa, OK. As a key member of our team, you will be responsible for overseeing the operations of the clinic and ensuring the delivery of high-quality patient care.Key Responsibilities:Oversee the...
-
Psychiatric Medical Director Position
1 week ago
Tulsa, Oklahoma, United States Cambridge Medical Professionals Full timePsychiatric Medical Director OpportunityWe are seeking a highly skilled and experienced Psychiatric Medical Director to lead our Outpatient Psychiatry clinic in Tulsa, OK. As a key member of our team, you will be responsible for overseeing the operations of the clinic and ensuring the delivery of high-quality patient care.Key Responsibilities:Lead and manage...
-
Medical Director for PM&R Program
3 weeks ago
Tulsa, Oklahoma, United States Archway Physician Recruitment Full timeSeeking Medical Director for PM&R ProgramWe are seeking a Board Certified or Board Eligible Physiatrist to lead our PM&R Program in Tulsa, OK. This is a full-time, permanent opportunity to join our team and contribute to the growth of our program.Program Highlights80 acute rehabilitation beds system-wideOpportunity to grow your outpatient and inpatient...
-
Medical Director Assistant
4 weeks ago
Tulsa, Oklahoma, United States Ponca City Development Authority Full time## Medical Director Assistant Opportunity We are seeking a highly skilled Medical Director Assistant to join our team at Ponca City Development Authority. As a Medical Director Assistant, you will work closely with our medical director and other healthcare professionals to provide exceptional patient care and optimize treatment plans. ### Key...
-
Clinical Director
1 month ago
Tulsa, Oklahoma, United States Dart Healthcare Staffing Full timeAbout the RoleWe are seeking a highly skilled and experienced Clinical Director to lead our Autism Services team at Dart Healthcare Staffing. As a Clinical Director, you will be responsible for driving the execution of key service, quality, and growth initiatives.Key ResponsibilitiesPerform comprehensive initial assessments to ensure high-quality care for...
-
Medical Director
6 days ago
Tulsa, United States TK Health Full timeTK Health Clinics is looking for a motivated Doctor of Medicine to join our team in Oklahoma in Tulsa at the David L Moss Correctional Facility.TK Health is the leading local correctional health provider in OK serving more patients per day than any other private provider. Our team members are afforded the opportunity to utilize their medical skills to their...
-
Medical Director
7 days ago
tulsa, United States TK Health Full timeTK Health Clinics is looking for a motivated Doctor of Medicine to join our team in Oklahoma in Tulsa at the David L Moss Correctional Facility.TK Health is the leading local correctional health provider in OK serving more patients per day than any other private provider. Our team members are afforded the opportunity to utilize their medical skills to their...
-
Medical Director
1 week ago
Tulsa, United States TK Health Full timeTK Health Clinics is looking for a motivated Doctor of Medicine to join our team in Oklahoma in Tulsa at the David L Moss Correctional Facility.TK Health is the leading local correctional health provider in OK serving more patients per day than any other private provider. Our team members are afforded the opportunity to utilize their medical skills to their...
-
Medical Director
1 week ago
Tulsa, United States TK Health Full timeTK Health Clinics is looking for a motivated Doctor of Medicine to join our team in Oklahoma in Tulsa at the David L Moss Correctional Facility.TK Health is the leading local correctional health provider in OK serving more patients per day than any other private provider. Our team members are afforded the opportunity to utilize their medical skills to their...
-
TDC Director of Programs
1 week ago
Tulsa, United States Victory Church Full timeProgram Director Position Status: Full-Time Classification: Exempt Location: Tulsa Dream Center SUMMARY The Tulsa Dream Center (TDC) Director of Programs is responsible for overseeing the coordination and administration of all aspects of Tulsa Dream Center programs including, but not limited to, TDC L.I.F.E Enrichment program, Clothing, Medical, Hot...
-
Medical Director
4 weeks ago
Tulsa, Oklahoma, United States Cherokee Nation Businesses Full timeChief Medical OfficerCherokee Nation Businesses is seeking a highly skilled and experienced Chief Medical Officer to lead our healthcare delivery efforts. As a key member of our team, you will provide strategic oversight and direction for all aspects of healthcare delivery, ensuring compliance with federal and local laws and...
-
Medical Director
3 weeks ago
Tulsa, Oklahoma, United States Cherokee Nation Businesses Full timeJob DescriptionCherokee Nation Businesses is seeking a highly skilled Chief Medical Officer to provide medical supervision, direction, and leadership for all aspects of healthcare delivery.ResponsibilitiesProvide medical oversight into all service delivery functions, ensuring compliance with federal and local laws and regulations.Direct supervision of...
-
Veterinarian Medical Director
2 weeks ago
Tulsa, Oklahoma, United States The VET Recruiter Full timeExciting Opportunity for a Veterinarian Medical DirectorWe are seeking a highly skilled and compassionate Veterinarian Medical Director to join our team at a thriving mixed animal practice in Northern Maryland.This is a unique opportunity to work with a diverse range of animals, from dogs and cats to horses and cattle, and to make a real difference in their...
Medicare Medical Director Clinical Programs
4 months ago
Location field must contain 'city, state' or a zip code to perform a radius search (e.g.,
Denver, CO
or
46122 ). City and state must be separated by a comma followed by a space (e.g.,
Houston, TX )
Elevance Health
Medicare Medical Director Clinical Programs
Richmond ,
Virginia
Apply Now
Wellpoint, formerly Amerigroup, is a proud member of Elevance Health’s family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services to Medicaid plans in partnership with blue cross blue shield plans.
This is an individual contributor role. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health office locations Work schedule: Monday - Friday, standard business hours.
The Medical Director Clinical Programs is responsible for designing and implementing clinical programs with specific medical condition focus for all lines of business enterprise wide. Analyzes and interprets data in collaboration with data and analytics to identify opportunities. Partners with LOB (line of business) and Market leaders to ensure clinical solutions align with membership health priorities. Collaborates with payment innovation on clinical programs that support providers in value-based payment arrangements. Serves as a subject matter expert/collaborator with LOB, leaders, and other clinical initiatives including cost of care. This role will work on Cost of Care, trend management, value-based care support for STARS/HEDIS and correct coding initiatives with providers as well as strategic growth and innovation initiatives.
How you will make an impact:
Designs and develops national level interventions leveraging existing tools that will drive performance in value-based care in support of the innovation and execution of corporate clinical interventions.
Provides clinical expertise, captures and shares best practices across regions to provider partners as well as the company’s medical directors by way of studying designs, analytics and reporting for clinical quality that drives improved healthcare outcomes.
Provides an end-to-end clinical solution by taking a problem from initiation to execution with reporting and analytics as an outcome.
Accountable for achieving performance results in value-based care by engaging, influencing and supporting physicians.
Engages with providers in joint operating committees and builds relationships with clinical leadership of provider collaboration groups.
Promotes clinical best practice sharing across all lines of business to improve results and drive efficiency and effectiveness.
Works to develop and deliver high impact interventions, supporting content development and practice transformation embedded capabilities to significantly improve provider performance that drive cost of care and improve HEDIS/Stars where applicable.
Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
Must possess an active unrestricted medical license to practice medicine or a health profession.
Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
Consulting experience and/or MBA.
Managed care experience improving cost of care trend.
Experience working with provider groups including practice managers, population health and quality directors on improving STARS/HEDIS or Risk Adjustment performance.
Six Sigma or formal process improvement experience preferred.
Analytical experience in creating study designs, ROIs and statistical techniques preferred.
Advanced knowledge in health care systems and health policy, quality measures, performance measurement, and quality improvement, and the clinical understanding for clinical quality programs strongly preferred.
Travel up to 25% may be required depending on market needs.
#J-18808-Ljbffr