Obstetrics & Gynecology Physician - Dallas - Med Ninjas

    Med Ninjas
    Med Ninjas Dallas

    1 week ago

    $150,000 - $200,000 (USD) per year
    Description
    We are seeking a

    Permanent Associate Medical Director OB/GYN

    in

    Texas .
    Permanent Associate Medical Director OB/GYN

    Position Type:
    Permanent

    Specialty:
    Associate Medical Director OB/GYN

    Location:
    Texas

    Rate:
    Submit Best Perm Placement Fee

    Shift:
    Flexible schedule, part-time with varying shifts depending on need

    Start Date:
    Not specified

    End Date:
    Not specified

    Position Details:

    Patient Population:
    Underserved populations; managed care patient oversight

    Setting:
    Managed care/administrative, office-based oversight

    Responsibilities:
    Clinical oversight of utilization management, disease management, and quality management activities

    Review prior authorizations, appeals, and peer-to-peer calls

    Develop and monitor medical policies, procedures, and clinical standards

    Oversight of pharmacy benefit administration and care coordination

    Participate in fraud, waste, and abuse program management

    Represent the organization on clinical activities with state and local bodies

    Participate in committee leadership and process improvement initiatives

    Supervise, train, and evaluate staff, ensuring adherence to policies and goals

    Required Procedures:
    Oversight of clinical review, prior authorization, and utilization management processes

    EMR System:
    Not specified

    Support Staff:
    Multi-disciplinary team (clinical and administrative)

    Days Per Month:
    Not specified

    On-Call/Weekends:
    Likely on call as needed, may include weekends


    Submission Requirements:
    Board Certification in OB/GYN Required
    Texas medical license (or willingness to obtain) Required
    Clean malpractice/license history Highly Preferred
    Experience in managed care and prior authorization Required
    Ability to adapt to managed care delivery model and oversee a multi-disciplinary team Required
    Familiarity with Texas Medicaid Regulations Required
    Submit Best Perm Placement Fee Required
    Join us today

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