Medical Director

4 weeks ago

Tate, United States CareSource Full time
Job Summary:

The Market Medical Director is responsible for implementing market-level clinical care standards and practice guidelines to ensure compliance with nationally accepted quality standards.

This role requires a strong leader who can provide training, clinical consultation, and clinical case review for members, as well as participate in Interdisciplinary Care Team meetings, Inpatient Census Rounds, and other clinical meetings.

The ideal candidate will have a strong background in Child & Adolescent Psychiatry and be able to support market provider network development and maintenance.

They will also be responsible for providing leadership to direct reports to achieve market goals, as well as participating in peer-to-peer discussions, market level quality initiatives, and community collaboratives.

This role requires a strong understanding of healthcare data and the ability to analyze it to evaluate physician practice patterns.

The Medical Director will also be responsible for providing consultation to the Market Operations teams regarding coding and reimbursement policies, as well as serving as chair/co-chair of Market Committees as needed.

This is a challenging role that requires a strong leader who can drive execution and influence others to achieve market goals.

Education and Experience:
Completion of an accredited Medical Degree program as a medical doctor (MD) or Doctor of Osteopathic (DO) medicine is required.
Successful completion of a residency training program, preferably in Child & Adolescent Psychiatry is required.
Minimum of five (5) years of clinical practice experience is required.
Managed care medical review/medical director experience is preferred.
Bachelor's or Master's degree in Business Administration, Operational Excellence, Healthcare Administration or Medical Management is preferred.

Competencies, Knowledge and Skills:
Basic Microsoft Word skills
Excellent communication skills, both written and oral
Ability to work well independently and within a team environment
Ability to create strong relationships with Providers and Members
High ethical standards
Attention to detail
Critical listening and systematic thinking skills
Ability to maintain confidentiality and act in the company's best interest
Ability to act with diplomacy and sensitivity to cultural diversity
Decision making/problem solving skills
Conflict resolution skills
Strong sense of mission and commitment of time, effort and resources to the betterment of the communities served
Ability to analyze healthcare data from a variety of sources to evaluate physician practice patterns
Leadership experience and skills

Licensure and Certification:
Current, unrestricted license to practice medicine in state of practice as necessary to meet regulatory requirements is required
Board Certification, preferably in Child & Adolescent Psychiatrist care specialty is required; re-certification, as required by specialty board, must be maintained

CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October - March 31) as a condition of continued employment.

CareSource adheres to all federal, state, and local regulations.

CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position.

Request for accommodations will be completed through an interactive review process.

Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
May be required to work evenings/weekends
May be required to travel to fulfill duties of position

Compensation Range:
$156, $2,080,000.00

CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.

We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):
Salary

Organization Level Competencies:
Create an Inclusive Environment
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer, including disability and veteran status. We are committed to a diverse and inclusive work environment.

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