Medical Director

6 days ago


Decatur, Georgia, United States Peach State Health Plan Full time

Unlock a rewarding career with Peach State Health Plan as a Medical Director.

About the Role

This position plays a vital role in shaping our medical management strategy, ensuring that our members receive high-quality healthcare services. As a Medical Director, you will be responsible for implementing and administering medical policies, disease management programs, and quality assurance initiatives. Your expertise will help us achieve our goal of providing exceptional healthcare to our members.

Key Responsibilities
  • Develop and implement medical management strategies to improve health outcomes and reduce costs.
  • Liaise with providers, payers, and other stakeholders to ensure seamless coordination of care.
  • Collaborate with our clinical team to develop and implement evidence-based clinical guidelines.
  • Analyze data to identify trends and areas for improvement in healthcare delivery.
  • Stay up-to-date with regulatory requirements and ensure compliance across our organization.
Requirements

To succeed in this role, you will need:

  • A Doctorate degree in medicine (MD) from an accredited institution.
  • At least 5 years of experience in medical practice after completing residency-training requirements for board eligibility.
  • 3+ years of medical management experience in a managed care environment or military healthcare setting.
  • Board certification in an ABMS recognized specialty.
  • A current, active, and unrestricted MD license in the state where you will be working.
Compensation and Benefits

We offer a competitive salary range of $217,000 - $412,300 per year, depending on your experience and qualifications. Additionally, you will enjoy a comprehensive benefits package, including health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off, and a flexible approach to work with remote, hybrid, field, or office work schedules.


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