Medical Director

4 weeks ago


Honolulu, Hawaii, United States Magellan Health Full time
Job Summary

We are seeking a highly skilled Medical Director to join our team at Magellan Health. As a key member of our clinical leadership team, you will be responsible for providing clinical oversight and guidance to our interdisciplinary medical management team.

Key Responsibilities:

  • Provide clinical leadership and guidance to the medical management team
  • Develop and implement clinical practice standards and policies
  • Collaborate with the corporate clinical team to implement clinical practice standards and policies
  • Develop and implement medical policy, technology assessments, and medical necessity guidelines
  • Provide day-to-day physician oversight to an assigned interdisciplinary UM team
  • Follow high-risk cases throughout the treatment continuum
  • Ensure that persons with severe, complex, and/or treatment-resistant illnesses receive medically necessary coordinated care

Requirements:

  • Doctor of Medicine (MD) degree or Doctor of Osteopathic Medicine (DO) degree
  • Successful completion of the ECFMG and FLEX examinations
  • Full training in a residency program in the United States or Canada that is approved by the Accreditation Council for Graduate Medical Education (ACGME)
  • Minimum of three years involving substantial direct patient care during this period at multiple levels of care
  • Clinical experience pertinent to the patient population(s) being managed
  • Unrestricted current and valid license or certification to practice medicine in a state or territory of the United States

Preferred Qualifications:

  • Experience with cost-benefit analysis, medical decision analysis, credentialing, quality assurance, and continuous quality improvement (CQI) processes

About Magellan Health:

Magellan Health is a leading provider of healthcare management services, dedicated to improving the quality and affordability of healthcare for individuals and families. We are committed to delivering exceptional service and support to our members, providers, and partners.



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