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    Medical Director - Richmond, United States - Sentara Healthcare

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    Description
    The Medical Director is responsible for providing clinical leadership within Sentara Health Plans, aligned to one or more plans. Accountable for monitoring utilization, case management and quality outcomes.

    The Medical Director collaborates with the Sentara Health Plans Chief Medical Director, Senior Medical Director(s) and Clinical Care Services (CCS) teams to establish, implement, and evaluate effectiveness of clinical programs to support members and meet the department goals.

    Medical Director activities further include support of the CCS nurses, Government services nurses, Pharmacy staff, Population Health and Quality Improvement Teams.

    Lastly, Medical Directors interact externally with network physicians, vended program clinical leaders, and government program leaders as required to improve the quality of clinical outcomes, cost efficiency and patient/member experience with the Health Plan and Health Systems with which we contract.

    Licensed in the state of health plan coverage and board certification required. Master's level degree in Medical Management, Business Administration or Public Health preferred. Medicaid, including long term services and support, and/or Medicare, including D-SNP, experience preferred

    Medical Doctor (MD) - State License - Virginia Department of Health Professionals (VADHP)
    Medical Doctor (MD) - Certification - Other/National
    Medical Doctor (MD) - Certification - North Carolina
    Doctor of Medicine
    Performance Improvement Previous Experience
    Clinical Practice 5 years
    Project Management Previous Experience
    Population Management Previous Experience
    Monitoring
    Microsoft Word
    Microsoft Excel
    Mgmt of Staff Resources
    Mgmt of Material Resources
    Mgmt of Financial Resources
    Mathematics
    Learning Strategies
    Leadership
    Judgment and Decision Making
    Critical Thinking
    Coordination
    Complex Problem Solving
    Communication
    Active Listening
    Active Learning
    Writing
    Troubleshooting
    Time Management
    Technology/Computer
    Systems Evaluation
    Systems Analysis
    Speaking
    Social Perceptiveness
    Service Orientation
    Science
    Reading Comprehension
    Quality Control Analysis
    Project Management
    Persuasion

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