-
Medical Director
2 weeks ago
Jackson Physician Search New Hampshire, United States Full timeAbout Phillips Exeter Academy: · Phillips Exeter Academy fosters a tight-knit community where students, faculty, and staff form lasting bonds and support networks for our high-achieving students. As the Medical Director, you'll have the opportunity to build meaningful connection ...
-
Medical Director
2 weeks ago
Jackson Physician Search Manchester, United StatesAbout PEA: · Phillips Exeter Academy fosters a tight-knit community where students, faculty, and staff form lasting bonds and support networks for our high-achieving students. As the Medical Director, you'll have the opportunity to build meaningful connections with students and ...
-
Medical Director
2 weeks ago
VCA Animal Hospitals, Inc. Bedford, United StatesVCA Daniel Webster Animal Hospital is seeking a highly experienced Veterinarian to lead our team as Medical Director. We are a six-doctor, AAHA accredited practice that serves Bedford, NH and the surrounding communities. This is an outstanding opport Medical Director, Director, M ...
-
Medical Director
4 hours ago
VCA Antech, Inc. Bedford, United StatesVCA Daniel Webster Animal Hospital is seeking a highly experienced Veterinarian to lead our team as Medical Director. We are a six-doctor, AAHA accredited practice that serves Bedford, NH and the surrounding communities. · This is an outstanding opportunity for a motivated veteri ...
-
Medical Director
3 days ago
VCA Animal Hospitals Bedford, United StatesVCA Daniel Webster Animal Hospital is seeking a highly experienced Veterinarian to lead our team as Medical Director. We are a six-doctor, AAHA accredited practice that serves Bedford, NH and the surrounding communities. · This is an outstanding opportunity for a motivated veteri ...
-
Medical Director
2 weeks ago
Dartmouth Health New Hampshire, United States Full time· Cheshire Medical Center · Medical Director of PhysiatryThe Department of Medicine and the Section of Physical Medicine & Rehabilitation at Cheshire Medical Center in Keene are seeking an experienced physiatristto join its pain and spine program as its Medical Director of Physi ...
-
Medical Director
2 weeks ago
Seasoned Recruitment Manchester, United StatesJob Description · Seasoned Recruitment is currently seeking an experienced and innovative Medical Director in the field of Primary Care to join our team. As a Medical Director, you will provide leadership and guidance in the delivery of primary care services within our organizat ...
-
Director, Medical Director
3 weeks ago
Dartmouth Health New Hampshire, United States Full timeCheshire Medical Center · Medical Director of Physiatry The Department of Medicine and the Section of Physical Medicine & Rehabilitation at Cheshire Medical Center in Keene are seeking an experienced physiatristto join its pain and spine program as its Medical Director of Physia ...
-
Medical Director
3 weeks ago
Jackson Physician Search New Hampshire, United StatesAbout Phillips Exeter Academy: · Phillips Exeter Academy fosters a tight-knit community where students, faculty, and staff form lasting bonds and support networks for our high-achieving students. As the Medical Director, you'll have the opportunity to build meaningful connection ...
-
Medical Director
4 weeks ago
Dartmouth Health New Hampshire, United States Full timeAt Dartmouth Health, we have forged ourselves into one, best-of-class, highly integrated, cohesive healthcare system grounded in outstanding medical expertise. We are currently seeking a visionary and dynamic Medical Director of Headache Medicine to lead our program. · Overview: ...
-
Medical Director
3 weeks ago
Jackson Physician Search New Hampshire, United StatesAbout PEA: · Phillips Exeter Academy fosters a tight-knit community where students, faculty, and staff form lasting bonds and support networks for our high-achieving students. As the Medical Director, you'll have the opportunity to build meaningful connections with students and ...
-
Medical Director
3 weeks ago
Dartmouth Health New Hampshire, United States Full timeCheshire Medical Center · Medical Director of Physiatry The Department of Medicine and the Section of Physical Medicine & Rehabilitation at Cheshire Medical Center in Keene are seeking an experienced physiatristto join its pain and spine program as its Medical Director of Physi ...
-
Plan Performance Medical Director
2 weeks ago
Elevance Health Manchester, United States· Plan Performance Medical Director - Maine and New Hampshire Markets · Location: This is a hybrid position, be expected to go to the office at least once a week plus in person external customer meetings 1-2 times a month. · Build the Possibilities. Make an extraordinary impact. ...
-
Medical Director
5 days ago
Jackson Physician Search New Hampshire, United States Full timeAbout Phillips Exeter Academy: · Phillips Exeter Academy fosters a tight-knit community where students, faculty, and staff form lasting bonds and support networks for our high-achieving students. As the Medical Director, you'll have the opportunity to build meaningful connections ...
-
Lead Medical Director, Hospital Medicine
2 weeks ago
Catholic Medical Center Manchester, United StatesThis physician is responsible for establishing, maintaining, and enforcing acceptable professional and ethical standards for the Hospital Medicine clinical staff according to its policies, procedures, philosophy, and objectives. This individual works with the Hospital Medicine Di ...
-
Catholic Medical Center Manchester, United States Full timePRIMARY PURPOSE: Plans, organizes, directs, oversees and evaluates all primary medical care and clinical services and practice activities at HCH Manchester. Provides primary medical care to patients.DUTIES AND RESPONSIBILITIES:Under direction of Executive Director/CEO of HCH Manc ...
-
Catholic Medical Center Manchester, United States Full timePRIMARY PURPOSE: · Plans, organizes, directs, oversees and evaluates all primary medical care and clinical services and practice activities at HCH Manchester. Provides primary medical care to patients. · DUTIES AND RESPONSIBILITIES: · Under direction of Executive Director/CEO of ...
-
The Curare Group Manchester, United StatesHospitalist Leader needed for Coastal Maine. The ideal candidate will have leadership experience. The Hospitalists work in a team-oriented, collegial environment alongside well-trained NP's and PA's to oversee patient care in the inpatient setting. Excellent specialty and sub-spe ...
-
Enterprise Medical Recruiting New Hampshire, United StatesA medical group located in a tight-knit community in rural northern New Hampshire that belongs to a large healthcare system comprised of 3 hospitals, is adding a Family Medicine Medical Director. · Opportunity Details · ~ Medical Director will oversee three of our community pra ...
-
Enterprise Medical Recruiting New Hampshire, United StatesA well-respected health system in New Hampshire has an opening for a Primary Care Medical Director in our central New Hampshire location. · About the position: · This position will include 24 hours of clinical time/ 10 hours for Medical Director duties/ 6 hours for administrati ...
Plan Performance Medical Director - Manchester, United States - Elevance Health
Description
Anticipated End Date:
Position Title:
Plan Performance Medical Director - Maine and New Hampshire Markets
Job Description:
Plan Performance Medical Director - Maine and
New Hampshire Markets Location:
This is a hybrid position, be expected to go to the office at least once a week plus in person external customer meetings 1-2 times a month.
Build the Possibilities. Make an extraordinary impact. Responsible for serving as the lead clinician for a plan.Responsible for the administration of medical services for company health plan including the overall medical policies or clinical guidelines of the plan to ensure the appropriate and most cost-effective medical care is received.
Drives direction of the plan related to cost of care and other plan directives. Works with the market plan president during meetings with State Regulator.How you will make an impact:
Supports the Medical Management staff to ensure timely and consistent responses to members and providers.
Provides guidance for clinical operational aspects of a program.
Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.
May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations.Interprets existing policies or clinical guidelines and develops new policies based on changes in the healthcare or medical arena.
Leads, develops, directs, and implements clinical and non-clinical activities that impact efficient and effective care.
Identifies and develops opportunities for innovation to increase effectiveness and quality.
Provides expertise, captures, and shares best practices across regions to other medical directors.
May chair or serve on company committees, may be required to represent the company to external entities and/or serve on external committees.
Minimum Requirements:
Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).Requires active unrestricted medical license to practice medicine or a health profession in NH and ME.Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Qualifications:
Health Plan experience strongly preferred.
Residency within ME or NH strongly preferred.
Job Level:
Director EquivalentWorkshift:
Job Family:MED > Licensed Physician/Doctor/DentistPlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.
Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.Who We AreElevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler.
We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We WorkAt Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.
Our values and behaviors are the root of our culture.They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy.Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.
Applicants who require accommodation to participate in the job application process may contact for assistance.
Plan Performance Medical Director professionals in Manchester
-
Natalie Lopez
Physician Assistant Student
-
Alexander Bulgakov
Protection and Control Engineer