Senior Medical Director

4 weeks ago


Wisconsin Rapids, Wisconsin, United States The Jacobson Group Full time
Job Summary:
A leading healthcare search firm, The Jacobson Group, is seeking a Senior Medical Director to lead clinical excellence and quality improvement initiatives.

This executive will oversee total medical expenses, collaborate with stakeholders, and participate in meetings with prioritized providers to achieve organizational goals.



Key Responsibilities:
1. Hold primary responsibility for the performance of total medical expenses per member per month.
2. Collaborate with enterprise stakeholders to manage targets for the health plan.
3. Participate in meetings with prioritized providers to discuss quality and efficiency improvement opportunities.
4. Share data with physicians and physician groups on quality and efficiency improvement opportunities.
5. Complete peer-to-peer communications for quality of care and implement initiatives to achieve inpatient and outpatient utilization and affordability goals.

Requirements:
3+ years of work experience in commercial health insurance as a medical director or CMO
2+ years of clinical practice experience
Strong knowledge of the managed care industry, Affordable Care Act, and Medicaid line of business
2+ years of quality management experience
Completion of an accredited medical degree program as a medical doctor or doctor of osteopathic medicine
Successful completion of a residency training program
Successful completion of a residency training program in primary care (preferred)
Familiarity with current medical issues and practices
Knowledge of value-based contracting (preferred)

About The Jacobson Group:
The Jacobson Group is a leading healthcare search firm dedicated to providing exceptional recruitment services to the healthcare industry. With a strong reputation for excellence, we are committed to helping our clients find the best talent to drive their success.

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