Job title: Medical Director (remote)
Company: Sentara Health
Job description: The Medical Director is responsible for providing clinical leadership within Sentara Health Plans, aligned to one or more plans. Accountable for monitoring utilization, case management and quality outcomes. The Medical Director collaborates with the Sentara Health Plans Chief Medical Director, Senior Medical Director(s) and Clinical Care Services (CCS) teams to establish, implement, and evaluate effectiveness of clinical programs to support members and meet the department goals. Medical Director activities further include support of the CCS nurses, Government services nurses, Pharmacy staff, Population Health and Quality Improvement Teams. Lastly, Medical Directors interact externally with network physicians, vended program clinical leaders, and government program leaders as required to improve the quality of clinical outcomes, cost efficiency and patient/member experience with the Health Plan and Health Systems with which we contract. Licensed in the state of health plan coverage and board certification required. Master’s level degree in Medical Management, Business Administration or Public Health preferred. Medicaid, including long term services and support, and/or Medicare, including D-SNP, experience preferred
- Medical Doctor (MD) – Certification – North Carolina
- Medical Doctor (MD) – Certification – Other/National
- Medical Doctor (MD) – State License – Virginia Department of Health Professionals (VADHP)
- Doctor of Medicine
- Population Management Previous Experience
- Project Management Previous Experience
- Clinical Practice 5 years
- Performance Improvement Previous Experience
- Persuasion
- Project Management
- Quality Control Analysis
- Reading Comprehension
- Science
- Service Orientation
- Social Perceptiveness
- Speaking
- Systems Analysis
- Systems Evaluation
- Technology/Computer
- Time Management
- Troubleshooting
- Writing
- Active Learning
- Active Listening
- Communication
- Complex Problem Solving
- Coordination
- Critical Thinking
- Judgment and Decision Making
- Leadership
- Learning Strategies
- Mathematics
- Mgmt of Financial Resources
- Mgmt of Material Resources
- Mgmt of Staff Resources
- Microsoft Excel
- Microsoft Word
- Monitoring
Expected salary:
Location: Richmond, VA
Job date: Sat, 29 Jun 2024 00:14:03 GMT
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