Cincinnati, Ohio
Medical Director Job Opening in Cincinnati, Ohio - JOB TITLE: Part Time Medical Director
Summary Description
Provides the principal leadership and clinical expertise to operations on all medical aspects relating to the peer review process, utilization review activities, case management, and other activities requiring clinical leadership and consultation. Additional key responsibilities may include assisting and promoting business development and strategic planning activities.
Responsibilities
Evaluate, redirect and/or respond to inquiries from physicians, providers and customer.
Consult with general and/or specialty practitioners regularly and as necessary as business needs require.
Foster appropriate external relationships with attending physicians/surgeons by response to telephone calls and letters, speaking engagements before physician and provider organizations.
Analyze and remain current on national, state, and local regulations and legislation, which impacts the health care profession.
Ensures compliance with regulatory and accreditation requirements.
Work with medical, nursing and administrative staff to identify matters needing shared attention.
Qualifications
M.D. or D.O. with current non-restricted Ohio license to practice medicine by the Board of Medical Examiners.
Knowledge, Skills, Abilities
Strong knowledge in quality assurance and utilization review is required.
Contemporary clinician who understands major trends in healthcare and managed care.
Ability to work effectively with a diversity of personalities. Must be approachable; show respect for others, and a consensus builder.
Systems thinker with strong organizational skills.
Experience
10+ years of clinical practice preferred.
5 to 7 years of experience as a physician executive with significant accomplishments in developing managed care strategies, integrating delivery systems, improving quality and utilization management programs and coaching medical staff on healthcare business and practice issues.
Minimum 2 years as a Medical Director in a managed care company preferred.
Experience in Utilization Management, Case and Disease Management with knowledge of Medicaid and Medicare programs.
Prior review experience or quality assurance committee responsibility
Job Type: Part-time
Job Location:
Cincinnati, OH
Required education:
Doctorate
Required language:
English
Required license or certification:
MD or D.O. Ohio License
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