Surgical Associate Medical Director or Medical Director - New York, United States - Cambia Health Solutions

Description

Associate Medical Director or Medical Director page is loaded

Associate Medical Director or Medical Director

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locations

Seattle, WA

Salt Lake City, UT

Medford, OR

Coeur d'Alene, ID

Lewiston, ID

time type

Full time

posted on

Posted 5 Days Ago

job requisition id

R-4561

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.
General 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.

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Associate Medical Director would have a MD or DO degree, at least 3 years clinical experience, or equivalent combination of education and experience.
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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, W

ith 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.

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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.
About Us

Everyone is a health care consumer deserving of a simpler, more personalized experience. Cambia

is transforming the health care system to revolve around people. For over 100 years we've designed people-first health solutions rooted in the nation's first health plan, a loggers' wage pool established in the Pacific Northwest. Today that pioneering spirit aligns our family of over 20 companies, including 4 not-for-profit BlueCross and BlueShield licensed health plans

serving over 3 million Americans.
Cambia blends data science with a compassionate human perspective to anticipate people's needs, and empower them to make smarter health care choices.
Interested in driving accessibility, affordability and quality health care for real people? Apply to any of our open jobs or join the Twitter conversation @Cambia .
Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy .

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