Associate Medical Director
1 week ago
Parkland Health seeks a highly skilled and experienced Medical Director to lead our clinical teams in delivering high-quality patient care. As a key member of our leadership team, you will be responsible for overseeing the clinical aspects of our healthcare services, ensuring that our patients receive the best possible care.
Key Responsibilities- Review and approve requests for prior authorization and appeals, ensuring that medical necessity is met.
- Provide clinical oversight for utilization management, disease management, and quality management activities.
- Develop and implement medical policies and procedures to ensure compliance with managed care and Parkland Health policies.
- Collaborate with our pharmacy team to oversee and administer the pharmacy benefit for our members.
- Participate in the development and implementation of annual goals and objectives for Parkland Health.
- Represent Parkland Health on clinical activities with relevant state and local bodies.
- Must have successfully completed an Accreditation Council for Graduate Medical Education (ACGME) or American Medical Association (AMA) approved residency in an appropriate specialty.
- At least five years of clinical practice experience in a specialty relevant to the care of Parkland Health members.
- Experience in the development of medical policies, procedures, and programs is preferred.
- Qualifications to perform clinical oversight for the services provided by Parkland Health, including education, training, or professional experience in medical or clinical practice.
- Past participation in a managed care utilization management committee is preferred.
- Experience in the care of populations relevant to the Parkland Health population or managed care.
- Qualifications to perform clinical oversight for the services provided by Parkland Health, including education, training, or professional experience in medical or clinical practice.
- Past participation in a managed care utilization management committee is preferred.
Parkland Health is a tobacco and smoke-free campus. We are an equal opportunity employer and prohibit discrimination based on age, race, color, religion, sex, sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status.
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