-
Medical Director
2 weeks ago
The Center for Discovery Rock Hill, United States Full timeThe Center for Discovery (TCFD) is a leading provider of healthcare and education services for more than 1,200 children and adults with complex conditions, medical frailties and Autism Spectrum Disorders, located 90 miles northwest of New York City. Named a Center of Excellence i ...
-
Medical Director
2 weeks ago
Centene Corporation Little Rock, United StatesYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ...
-
Center Medical Director
3 weeks ago
CSL Behring LTD Little Rock, United States1. 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 mo ...
-
Center Medical Director
2 weeks ago
CSL Plasma Little Rock, United States1. 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 mo ...
-
Clinical Coverage Review Medical Director
1 week ago
Optum Little Rock, United StatesJob Description · Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources ...
-
Center Medical Director
3 weeks ago
CSL Plasma Little Rock, United StatesServes 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 monit ...
-
MCS Medical Director
4 weeks ago
Baptist Health Little Rock, AR, United States Full timeMCS Medical Director, · Baptist Health Heart Failure and Transplant Institute · Baptist Health Medical Center in Little Rock, AR · Baptist Health Medical Center in Little Rock, AR is seeking a MCS Medical Director, who is an Advanced Heart Failure/Transplant trained Cardiologi ...
-
MCS Medical Director
4 weeks ago
Baptist Health Little Rock, AR, United States Full timeMCS Medical Director, · Baptist Health Heart Failure and Transplant Institute · Baptist Health Medical Center in Little Rock, AR · Baptist Health Medical Center in Little Rock, AR is seeking a MCS Medical Director, who is an Advanced Heart Failure/Transplant trained Cardiologi ...
-
Medical Director job in Little Rock AR
4 days ago
TeamHealth San Francisco, United States PermanentAre you an experienced OB/Gyn physician ready to take your career to the next level? Join TeamHealth's newest OB/Gyn hospitalist program at Baptist Medical Center in Little Rock, Arkansas, as our Medical Director · In this prestigious role, you will lead a talented team of OB/Gyn ...
-
OB/Gyn Medical Director in Little Rock, AR
2 weeks ago
TeamHealth Little Rock, AR, United StatesAre you an experienced OB/Gyn physician ready to take your career to the next level? Join TeamHealth's newest OB/Gyn hospitalist program at Baptist Medical Center in Little Rock, Arkansas, as our Medical Director · In this prestigious role, you will lead a talented team of OB/Gyn ...
-
Medical Director job in North Little Rock AR
4 days ago
TeamHealth San Francisco, United States PermanentAre you an experienced OB/Gyn physician ready to take your career to the next level? Join TeamHealth's newest OB/Gyn hospitalist program at Baptist Medical Center in Little Rock, Arkansas, as our Medical Director In this prestigious role, you will lead a talented team of OB/Gyn p ...
-
Medical Director
2 weeks ago
Life Strategies Cabot, United StatesJob Description · Job DescriptionMedical Director - Psychiatrist · We don't just have a mission have a mission. · At Life Strategies Counseling, Inc. (LSCI), our commitment to optimal mental health and steadfast support isn't just for our clients; it extends to every team membe ...
-
Medical Director in North Little Rock, AR
2 weeks ago
TeamHealth North Little Rock, AR, United StatesAre you an experienced OB/Gyn physician ready to take your career to the next level? Join TeamHealth's newest OB/Gyn hospitalist program at Baptist Medical Center in Little Rock, Arkansas, as our Medical Director In this prestigious role, you will lead a talented team of OB/Gyn p ...
-
Medical Director in North Little Rock, AR
2 weeks ago
TeamHealth North Little Rock, AR, United StatesAre you an experienced OB/Gyn physician ready to take your career to the next level? Join TeamHealth's newest OB/Gyn hospitalist program at Baptist Medical Center in Little Rock, Arkansas, as our Medical Director In this prestigious role, you will lead a talented team of OB/Gyn p ...
-
OB/Gyn Medical Director in Little Rock, AR
2 weeks ago
TeamHealth Little Rock, AR, United StatesAre you an experienced OB/Gyn physician ready to take your career to the next level? Join TeamHealth's newest OB/Gyn hospitalist program at Baptist Medical Center in Little Rock, Arkansas, as our Medical Director In this prestigious role, you will lead a talented team of OB/Gyn p ...
-
TeamHealth Little River, United States Full timeWelcome to McLeod Seacoast - where innovative healthcare meets a warm community Join us as a facility medical director and lead our dedicated team towards unparalleled patient care. Here's why McLeod Seacoast is the perfect place for you:Cutting-edge facility: our state-of-the-ar ...
-
Specialist in Internal Medicine
1 week ago
FusionWorks Pulaski, United StatesAre you passionate about helping people in your medical profession and value enjoying your work? · ▸ If respectful interaction in the workplace is important to you · ▸ If you are looking for a strong team and a good working atmosphere · ▸ If appreciation and recognition motivat ...
-
Medical Director in Conway, AR
2 weeks ago
TeamHealth Conway, AR, United StatesAre you an experienced OB/Gyn physician ready to take your career to the next level? Join TeamHealth's newest OB/Gyn hospitalist program at Baptist Medical Center in Conway, Arkansas, as our medical director In this prestigious role, you will lead a talented team of OB/Gyn physic ...
-
Medical Director job in Conway AR
4 days ago
TeamHealth San Francisco, United States PermanentAre you an experienced OB/Gyn physician ready to take your career to the next level? Join TeamHealth's newest OB/Gyn hospitalist program at Baptist Medical Center in Conway, Arkansas, as our medical director In this prestigious role, you will lead a talented team of OB/Gyn physic ...
-
lpn
1 week ago
Woodland Heights Little Rock, United States:Woodland Heights is seeking a LPN/Wellness Nurses to join their team · The LPN (Nurse MedTech) reports directly to the Wellness Director. · Shift Details · LPN - Licensed Practical Nurse · Tuesday-Friday; Tuesday, 1p-8p/Wednesday-Friday, 7a-7p · Bonus Eligible: $3,000 paid out ...
Medical Director - Little Rock, United States - Centene Corporation
Description
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team.
Position Purpose:
Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.+ Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective implementation of performance improvement initiatives for capitated providers.+ Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members. Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.+ Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership. Oversees the activities of physician advisors. Utilizes the services of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Participates in provider network development and new market expansion as appropriate. Assists in the development and implementation of physician education with respect to clinical issues and policies.+ Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components. Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care. Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality. Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.+ Develops alliances with the provider community through the development and implementation of the medical management programs. As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.
Represents the business unit at appropriate state committees and other ad hoc committees
Education/Experience: Medical Doctor or Doctor of Osteopathy. 7+ years of clinical experience in the practice of medicine. Utilization Management experience and knowledge of quality accreditation standards preferred. Actively practices medicine. Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. Experience treating or managing care for a culturally diverse population preferred.
License/Certifications:
Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services. Current Arkansas state license as a MD or DO without restrictions, limitations, or sanctions from government programs.
Pay Range:
$202, $384,900.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
