- R 4561_ _ at Cambia Health Solutions in Pocatello, Idaho, United States Job Description Associate Medical Director or Medical Director (DOE) Remote in ID, OR, WA, UT Experience in a surgical specialty and/or coding experience highly preferred These roles will participate in utilization management, provide clinical leadership and support to clinical teams to ensure our members receive quality, cost effective care yielding optimal outcomes.
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Medical Director at Portneuf Medical Center
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Medical Director at Portneuf Medical Center
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LifePoint Hospitals Pocatello, United States· Lifepoint Rehabilitation is dedicated to Hope, Healing, and Recovery for our patients. We are in partnership with Portnuef Medical Center and are currently seeking a physician to serve as the Medical Director in Pocatello, Idaho. This is a 9 bed unit that serves patients in ne ...
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Admin - Medical Director
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Pediatrix Medical Group - Portneuf Medical Center Pocatello, United StatesDaisy Medical is looking to add a talented/dependable Admin to our team You will be · joining a talented group of healthcare professionals · Job Info:Admin · Medical Director · 3x12Hr Rotating Wkends , 07:00:00-19:00:00, · Pocatello , Idaho · Licenses/Certifications Required:2 y ...
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Idaho Medical Director Opportunity
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LifePoint Health Pocatello, United States Full timeKindred Hospital Rehabilitation Services is dedicated to Hope, Healing, and Recovery for our patients. We are in partnership with Portneuf Medical Center and are currently seeking a physician to serve as the Medical Director in Pocatello, Idaho. This is a 9 bed unit that serves p ...
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NorthStar Anesthesia Pocatello, ID, United States Full timeAs one of the fastest-growing providers of anesthesia services in the United States, NorthStar Anesthesia delivers exceptional patient care and surgical support across a wide range of healthcare facilities. Our nationwide presence spans across 22 states, encompassing over 200 hos ...
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MedExcellence Pocatello, United StatesMedExcellence is actively working with a facility in Pocatello, Idaho to fill a Permanent/Full-Time Physician position specializing in Pediatric Hospitalist. · Benefits of working with MedExcellence: · Dedicated and experienced. consultants. · Exceptional service. · Physician-f ...
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Alexander Graham Bell Association for the Deaf and Hard of Heari Pocatello, ID , USA, United States Full timeIn partnership with Portneuf Medical Center, Lifepoint Rehabilitation is seeking a Medical Director to provide services of a minimum of 20 hours per week in the acute rehabilitation unit. This is a 9-bed unit that serves patients in need of rehabilitation services, including phys ...
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Echocardiographer / Cardiac Sonographer
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CT Technologist
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Physical Medicine
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Med Tech
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Century Park Associates Pocatello, United StatesPosition Details · * Employment Status: Full-Time · * Shift: Day Shift · Position Summary · The Certified Medication Technician (Qualified Medication Administration Personnel/QMAP) delivers quality assisted living services focused on maximizing resident's individual capabilities ...
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Special Procedures Technologist
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Portneuf Medical Center
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NorthStar Anesthesia Pocatello, United StatesSummary of Job: Beautiful New NorthStar Facility in Southeastern Idaho Cardiac Capable Anesthesiology Opportunities PRN Weekday and Weekend Shifts · Cases include: Cardiac (60 hearts/year), general, neurology, thoracic, OBGYN, healthy pediatrics Facility Description: At the heart ...
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Unit Secretary ER
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Telecom Clerk
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Portneuf Medical Center
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NorthStar Anesthesia Pocatello, ID, United States Full timeSummary of Job: Beautiful New NorthStar Facility in Southeastern Idaho Cardiac Capable Anesthesiology Opportunities Sign-on Bonus Call for more details · Cases include: Cardiac (60 hearts/year), general, neurology, thoracic, OBGYN, healthy pediatrics Compensation: $515k+ Facility ...
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Special Procedures Technologist
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Ardent Health Services Pocatello, United StatesOverview · You may be eligible for a sign-on bonus of up to $10,000. · Join our team as a day shift, full-time, Interventional Radiology Special Procedures Tech in Pocatello, ID. · Fulfilling your purpose begins here: · People First, Always. Here's how we take care of our people: ...
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CT Technologist
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Nuclear Medicine Technologist
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Trauma PI Coordinator
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Ardent Health Pocatello, United StatesOverview · Join our team as a day shift, full-time, Trauma Team & Administration Trauma PI Coordinator Registered Nurse in Pocatello, ID. · Fulfilling your purpose begins here: · People First, Always. Here's how we take care of our people: Medical, vision, dental health insu ...
Associate Medical Director or Medical Director - Pocatello, United States - Idaho State Job Bank
Description
Associate Medical Director or Medical DirectorGeneral Functions and Outcomes May Include:
Provides clinical leadership for staff to ensure members receive safe, effective and cost efficient services. Contributes to the development of various medical management strategies and tactics to drive results and achieve key performance metrics. Conducts peer clinical review for medical necessity on utilization management authorization requests. Provides clinical input on case management reviews working closely with the CM clinical staff. Responsible for discussing review determinations with providers who request peer-to-peer conversations.
Participates on multiple teams to provide clinical input on medical policy reviews and development and may participate on committees that develop programs impacting clinical interventions, utilization management and case management.
Analyzes and uses data to guide the development and implementation of health care interventions that improve value to the member and employer.
Advises Health Care Services Leaders on related key performance metrics and the effectiveness of various efforts, initiatives, policies and procedures.
Identifies and communicates new opportunities in utilization management, provider contracting or other areas that would enhance outcomes and the reputation of the organization.
Provides clinical expertise and coordinates between internal clinical programs and providers of care to improve the quality and cost of care delivered to health plan members.
Ensures ethical decision making in compliance with contractual arrangements, regulations and legislation. Supports internal communication or training that ensures service is provided to members and providers by a well-trained staff. Promotes provider understanding of utilization management and quality improvement policies, procedures and standards. Provides guidance and oversight for clinical operational and clinical decision-making aspects of the program.Has periodic consultation with practitioners in the field and ensures that the organization has qualified clinicians accountable for decisions affecting consumers.
May manage staff including hiring, performance management, development and retention. May participate in health plan credentialing operations and clinical aspects of the credentialing program and provider services support.Minimum Requirements Demonstrated competency working with hospitals, provider groups or integrated delivery systems to effectively manage patient care to improve outcomes.
Strong communication and facilitation skills with internal staff and external stakeholders, including the ability to resolve issues and seek optimal outcomes.
Proven ability to develop and maintain positive working relationships with community and provider partners.Knowledge of the health insurance industry, state and federal regulations, provider reimbursement methods and evolving accountable care and payment models.
General business acumen including understanding of market dynamics, financial/budget management, data analysis and decision making. Strong orientation to the application of data in managing health and quality.Proven ability to develop creative strategies to accomplish goals and objectives, plan and execute complex projects and programs and drive results across internal teams and/or external partners.
Demonstrated ability to effectively lead and engage in a constructive manner with others.N o rmally to be proficient in the competencies listed above Associate Medical Director would have a MD or DO degree, at least 3 years clinical experience, or equivalent combination of education and experience.
Medical Director would have a MD or DO degree, at least 5 years clinical experience, plus at least 2 years medical utilization management and/or case management experience (prefer health insurance experience and additional MHA or MBA training), or an equivalent combination of education and experience.
Required Licenses, Certifications, Registration, Etc. Licensed Physician with an MD or DO degree.Active, unrestricted license to practice medicine in one or more states or territories of the United States, With one of these licenses in our four-state area (OR, WA, ID, UT).
Applicant must also live in four state area. Board Certification required. Qualification by training and experience to render clinical opinions about medical conditions, procedures and treatments under review. Work Environment Work is performed primarily in an office location. Periodic travel to a different office location, provider office, or other meeting location. May be required to work outside normal working hours. Must be located in a state or territory of the United States when conducting a peer clinical review.#LI-Remote The expected hiring range for an Associate Medical Director is $208,500 - $282,500 and for a Medical Director is $229,000 - $310,000 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location.
The bonus target for an Associate Medical Director is 25% and for a Medical Director is 30%.The current full salary range for this role is $196,000 - $319,500 for an Associate Medical Director, and is $215,500 - $350,500 for a Medical Director.
Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits.
In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current.
Some highlights:
medical, dental, and vision coverage for employees and their eligible family members annual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date) paid time off varying by role and tenure in addition to 10 company holidays up to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period) up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption) one-time furniture and equipment allowance for employees working from home up to $225 in Amazon gift cards for participating in various well-being activities.
for a complete list see our External Total Rewards page. We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace.All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law.
A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email .
Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic.
Please review the policy on our Careers site. To view full details and how to apply, please login or create a Job Seeker account
