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Medical Director

4 months ago

Charleston, United States Sentara Healthcare Full time

The Medical Director is responsible for providing clinical leadership within Sentara Health Plans, aligned to one or more plans. Accountable for monitoring utilization, case management and quality outcomes. The Medical Director collaborates with the Sentara Health Plans Chief Medical Director, Senior Medical Director(s) and Clinical Care Services (CCS) teams to establish, implement, and evaluate effectiveness of clinical programs to support members and meet the department goals. Medical Director activities further include support of the CCS nurses, Government services nurses, Pharmacy staff, Population Health and Quality Improvement Teams. Lastly, Medical Directors interact externally with network physicians, vended program clinical leaders, and government program leaders as required to improve the quality of clinical outcomes, cost efficiency and patient/member experience with the Health Plan and Health Systems with which we contract.

Licensed in the state of health plan coverage and board certification required. Master's level degree in Medical Management, Business Administration or Public Health preferred. Medicaid, including long term services and support, and/or Medicare, including D-SNP, experience preferred

Medical Doctor (MD) - State License - Virginia Department of Health Professionals (VADHP) Medical Doctor (MD) - Certification - Other/National Medical Doctor (MD) - Certification - North Carolina Doctor of Medicine Performance Improvement Previous Experience Clinical Practice 5 years Project Management Previous Experience Population Management Previous Experience Monitoring Microsoft Word Microsoft Excel Mgmt of Staff Resources Mgmt of Material Resources Mgmt of Financial Resources Mathematics Learning Strategies Leadership Judgment and Decision Making Critical Thinking Coordination Complex Problem Solving Communication Active Listening Active Learning Writing Troubleshooting Time Management Technology/Computer Systems Evaluation Systems Analysis Speaking Social Perceptiveness Service Orientation Science Reading Comprehension Quality Control Analysis Project Management Persuasion

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