- R 4561_ _2 4185 at Cambia Health Solutions in Coeur d'Alene, 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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Clinic Medical Director
4 days ago
Dirne Health Center, Inc. Coeur D'Alene, United StatesWe are North Idaho's premier provider of integrated medical, dental and behavioral health services. Our amazing care teams deliver world-class healthcare utilizing a patient directed, community-focused approach. Providing high quality, affordable Healthcare from the Heart is our ...
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Clinic Medical Director
4 weeks ago
Heritage Health Coeur D'Alene, United StatesWe are North Idaho's premier provider of integrated medical, dental and behavioral health services. Our amazing care teams deliver world-class healthcare utilizing a patient directed, community-focused approach. Providing high quality, affordable Healthcare from the Heart is our ...
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Medical Director
2 days ago
Adecco USA Post Falls, United StatesWe are currently seeking a Medical Director (Veterinarian) in the Post Falls area. We are looking for a highly experienced MD who can lead a tenured team. · This role brings the opportunity to continue practicing medicine while establishing the direction and medical quality of t ...
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Medical Director
2 days ago
Adecco Post Falls, United StatesWe are currently seeking a · Medical Director · (Veterinarian) in the · Post Falls · area. We are looking for a highly experienced MD who can lead a tenured team. · This role brings the opportunity to continue practicing medicine while establishing the direction and medical q ...
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Medical Director
14 hours ago
Adecco US, Inc. Post Falls, United StatesWe are currently seeking a **Medical Director** (Veterinarian) in the **Post Falls** area. We are looking for a highly experienced MD who can lead a tenured team.This role brings the opportunity to continue practicing medicine while establishing the direction and medical quality ...
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Medical Director
3 days ago
Adecco Post Falls, United StatesJob Description · Job DescriptionWe are currently seeking a Medical Director (Veterinarian) in the Post Falls area. We are looking for a highly experienced MD who can lead a tenured team. · This role brings the opportunity to continue practicing medicine while establishing t ...
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Medical Director
9 hours ago
Adecco Post Falls, United StatesJob Description · Job DescriptionWe are currently seeking a Medical Director (Veterinarian) in the Post Falls area. We are looking for a highly experienced MD who can lead a tenured team. · This role brings the opportunity to continue practicing medicine while establishing t ...
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Medical Director
2 days ago
Adecco US, Inc. Post Falls, United StatesWe are currently seeking a · Medical Director · (Veterinarian) in the · Post Falls · area. We are looking for a highly experienced MD who can lead a tenured team. · This role brings the opportunity to continue practicing medicine while establishing the direction and medical q ...
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Medical Director
4 weeks ago
VCA Animal Hospitals, Inc. Otis Orchards, United StatesVCA Ponti Animal Hospital in Otis Orchards, Washington is seeking a highly experienced Veterinarian to lead our tenured DVM team as Medical Director. Weve been serving the community for 45 yearsand have built a reputation of providing the best care Medical Director, Director, Med ...
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Medical Director
3 days ago
Adecco Otis Orchards, United StatesJob Description · Job DescriptionWe are currently seeking a Medical Director (Veterinarian) in the Otis Orchards, WA area. We are looking for a highly experienced MD who can lead a tenured team. · This role brings the opportunity to continue practicing medicine while establi ...
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Medical Director
9 hours ago
Adecco Otis Orchards, United StatesJob Description · Job DescriptionWe are currently seeking a Medical Director (Veterinarian) in the Otis Orchards, WA area. We are looking for a highly experienced MD who can lead a tenured team. · This role brings the opportunity to continue practicing medicine while establi ...
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Medical Director
1 day ago
VCA Antech, Inc. Otis Orchards, United StatesVCA Ponti Animal Hospital in Otis Orchards, Washington is seeking a highly experienced Veterinarian to lead our tenured DVM team as Medical Director. · We've been serving the community for 45 years-and have built a reputation of providing the best care for our clients and their p ...
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Medical Director Veterinarian
2 days ago
VCA Animal Hospitals Post Falls, United States**VCA River City Animal Hospital** in **Post Falls, Idaho** is seeking a highly experienced Veterinarian to lead our tenured DVM team as **Medical Director** . · We are seeking a Full-Time DVM. We offer 4 days/week work schedule. This is an outstanding opportunity for a motivate ...
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Medical Director
1 day ago
VCA Animal Hospitals Otis Orchards, United StatesVCA Ponti Animal Hospital in Otis Orchards, Washington is seeking a highly experienced Veterinarian to lead our tenured DVM team as Medical Director. · We've been serving the community for 45 years-and have built a reputation of providing the best care for our clients and their p ...
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Medical Director Veterinarian
1 day ago
VCA Antech, Inc. Post Falls, United StatesVCA River City Animal Hospital in Post Falls, Idaho is seeking a highly experienced Veterinarian to lead our tenured DVM team as Medical Director. · We are seeking a Full-Time DVM. We offer 4 days/week work schedule. This is an outstanding opportunity for a motivated veterinarian ...
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Center Medical Director
3 weeks ago
CSL Behring LTD Spokane Valley, United States* Serves as the primary physician for reporting to the Food and Drug Administration and in such capacity provides medical oversight in compliance with applicable Federal and State regulations including the applicable sections of Title 21 of the Code of Federal Regulations and mon ...
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Center Medical Director
2 weeks ago
CSL Plasma Spokane, United States+ Serves as the primary physician for reporting to the Food and Drug Administration and in such capacity provides medical oversight in compliance with applicable Federal and State regulations including the applicable sections of Title 21 of the Code of Federal Regulations and mon ...
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Senior Medical Director
3 weeks ago
Cambia Health Spokane, United StatesSenior Medical Director · Washington - includes in state and out of state travel · Single large employer focus · Primary Job Purpose · Senior Medical Director provides clinical leadership and support to clinical teams to ensure HCA members receive quality, cost effective care yie ...
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Physician and Medical Director
2 weeks ago
MultiCare Health System Spokane, WA, United StatesAcross our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of th ...
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Britt Medical Search Coeur D Alene, ID, United StatesSeeking BC Medical Director of our Occupational Medicine program at our hospital located in beautiful Coeur d Alene, Idaho. The Medical Director will be responsible for development and implementation of strategic and tactical plans to grow our occupational programs to maximize ef ...
Associate Medical Director or Medical Director - Coeur D'Alene, 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