- Providing clinical oversight for the utilization, quality, pharmacy, and credentialing functions to ensure the delivery of cost-effective healthcare
- Supporting grievances and appeals team in clinical oversight of care investigations and resolutions
- Working on complex tasks requiring high discretion and judgment
- Lead medical management functions and resolve medical claims
- Collaborate with Chief Medical Officer to address medical service issues
- Analyze care trends, develop recommendations, and implement changes
- Conduct clinical reviews, make authorization decisions, and handle grievances
- Establish and maintain relationships with providers and stakeholders
- Ensure medical compliance with regulations and internal requirements
- Contribute to policy development and budget management
- In-depth knowledge of managed care principles and healthcare issues
- Strong financial acumen, decision-making, and strategic thinking skills
- Ability to lead and collaborate effectively with diverse stakeholders
- Excellent communication and presentation skills
- Skills in managing projects, handling ambiguity, and promoting organizational values
- MD degree from an accredited medical school
- Five years of clinical experience related to managed care
- Supervisory experience in a healthcare setting
- Required licenses and certifications
- Competitive salary
- Comprehensive health/dental/vision benefits
- Generous paid time off and retirement programs
- Flexible spending accounts and insurance coverage
- Access to education and training reimbursement
- A rewarding mission-focused work environment
- Equal opportunity employment with a focus on diversity and inclusion
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Protouch Staffing Stockton, United StatesThank you for Your Time · My name Sylvester Franswah from ProTouch Healthcare Staffing, My Client at Stockton, California is looking for MEDICAL DIRECTOR (Family Medicine, Internal Medicine, or Geriatrics) coverage: · Job Title: MEDICAL DIRECTOR · Location: Stockton, CA · Typ ...
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TNG Stockton, United StatesOur client PACE (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services is what ignites our passion to treat the whole person and not ...
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Veracity Stockton, United StatesAssociate Medical Director · Stockton, California - Scheduled work from home days · The Associate Medical Director is part of our management team and is a core leader within the interdisciplinary team providing highly coordinated care. The Associate Medical Director will work c ...
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Thomas Talent Network, LLC Stockton, United StatesJob Description · Job DescriptionThomas Talent Network is excited to support their clients search for an Associate Medical Director. Here are the details, we look forward to speaking with you · Essential Job Duties: · Assuming responsibility for the medical care of Client's part ...
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Vituity Lodi, United States Full timeUp to $150K Sign On Bonus – Lodi, CA – Seeking Anesthesiology Medical Director · Join the Physician Partnership Where You Have A Voice · Vituity's ownership model provides autonomy, local control, and a national system of support, so you can focus your attention where you want it ...
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Medical Director, Hospital Medicine
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VCA Animal Hospitals Antioch, United States**VCA** **East Bay Veterinary Emergency** in **Antioch, California** is seeking a highly experienced Veterinarian to lead our talented team as **Medical Director** . · **Sign-on Bonus up to $50k** · This is an outstanding opportunity for a motivated veterinarian to continue pra ...
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VCA Antech, Inc. Antioch, United StatesVCA East Bay Veterinary Emergency in Antioch, California is seeking a highly experienced Veterinarian to lead our talented team as Medical Director. · Sign-on Bonus up to $50k · This is an outstanding opportunity for a motivated veterinarian to continue practicing medicine while ...
Medical Director - French Camp, United States - The Ladders
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Description
Job Title: Medical Director at Health Plan of San Joaquin
The pay range for this position varies depending on factors like location, experience, and education, and is subject to change.
What You Will Be Doing:
About the Company:
Health Plan of San Joaquin (HPSJ) is dedicated to improving community health through value-based healthcare and partnerships within the community.
Our Vision: Continuously improve the health of our community.
Our Mission: Provide healthcare value and advance wellness through community partnerships.
Essential Functions:
What You Bring:
Education and Experience:
What You Will Get:
HPSJ Perks:
Important Notice:
This job description does not constitute a contract and duties may change at the discretion of HPSJ.