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District Medical Director
2 days ago
One Medical Seattle, United States Full timeAbout Us · One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience fo ...
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District Medical Director
1 week ago
One Medical Seattle, United States Full timeAbout Us · One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience fo ...
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District Medical Director
2 weeks ago
One Medical Seattle, United States Full timeAbout Us · One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience fo ...
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associate medical director or medical director
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Cambia Health , WA, United StatesAssociate Medical Director or Medical Director (dependent on experience) · Remote must reside in ID, OR, WA, UT · In this role, physicians will participate in utilization management and provide clinical leadership and support to clinical teams to ensure our members receive qualit ...
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Medical Director-Sr Medical Director
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medical director
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Provider Solutions & Development Seattle, WA, United StatesSwedish Medical Group is looking for a Medical Director to join our team in Seattle, Washington. This part-time role offers the opportunity to work with a supportive and collaborative team, with easy access to system-wide support. Enjoy the breathtaking scenery of the Pacific Nor ...
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Medical Director
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FCS, Inc. Seattle, WA, United States Part timeTop notch 70-bed inpatient facility right in Seattle is looking for a Medical Director. This facility cares for severely and persistently mentally ill patients who are involuntarily committed. ...
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Medical Director
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Swedish Health Services Seattle, United States Part time, Full timeSwedish Medical Group is looking for a Medical Director to join our team in Seattle, Washington. This part-time role offers the opportunity to work with a supportive and collaborative team, with easy access to system-wide support. Enjoy the breathtaking scenery of the Pacific Nor ...
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Medical Director
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Crimson Enterprises Fairwood, United StatesAt Fairwood, we are a trusted and reliable partner in the field of permanent placement and temporary staffing in the medical service. Our client is the largest non-profit provider of addiction support and prevention services in Baden-Württemberg, with over 54 facilities and 8 reh ...
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Cambia Health Solutions Seattle, WA, United StatesSurgical Associate Medical Director or Medical Director (DOE) Remote in ID, OR, WA, UT *Experience in a surgical specialty and/or coding experience is required* These roles will participate in utilization management, provide clinical leadership and support to clinical teams to en ...
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Cambia Health Solutions Seattle, United StatesSurgical Associate Medical Director or Medical Director (DOE) · Remote in ID, OR, WA, UT · *Experience in a surgical specialty and/or coding experience is required* · These roles will participate in utilization management, provide clinical leadership and support to clinical te ...
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Cambia Health Solutions Seattle, WA, United StatesSurgical Associate Medical Director or Medical Director (DOE) · Remote in ID, OR, WA, UT · *Experience in a surgical specialty and/or coding experience is required* · These roles will participate in utilization management, provide clinical leadership and support to clinical team ...
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Medical Director Physician
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DocCafe , WA, United StatesDocCafe has an immediate opening for the following position: Physician - Medical Director in Washington. · DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career. · Register now to apply for this job and for access to 120,000+ ...
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Senior Medical Director
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Psychiatrist/Medical Director
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FCS, Inc. Seattle, WA, United StatesTop notch 70-bed inpatient facility right in Seattle is looking for a Medical Director. This facility cares for severely and persistently mentally ill patients who are involuntarily committed. This is a great opportunity for a psychiatrist who is looking to step up into a leaders ...
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District Medical Director
2 weeks ago
One Medical Seattle, United StatesAbout Us · One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience fo ...
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District Medical Director
2 weeks ago
One Medical Seattle, WA, United StatesAbout Us · One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience fo ...
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district medical director
3 weeks ago
One Medical Seattle, WA, United StatesAbout Us · One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience fo ...
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Director Medical Surgical
2 days ago
CommonSpirit Health Seattle, Washington, United States PermanentOverview: · Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington, our team includes 18,000 staff and nearl ...
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District Medical Director
2 weeks ago
One Medical Seattle, United StatesJob Description · About Us · One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving ...
Surgical Associate Medical Director or Medical Director - Seattle, United States - Cambia Health Solutions
Description
Surgical Associate Medical Director or Medical Director (DOE)Remote in ID, OR, WA, UT*Experience in a surgical specialty and/or coding experience is required*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.
Analyzes and uses data to guide the development and implementation of health care interventions that improve value to the member and employer.
Advises Health Care Services Leaders on related key performance metrics and the effectiveness of various efforts, initiatives, policies and procedures.
Identifies and communicates new opportunities in utilization management, provider contracting or other areas that would enhance outcomes and the reputation of the organization.
Provides clinical expertise and coordinates between internal clinical programs and providers of care to improve the quality and cost of care delivered to health plan members.
Ensures ethical decision making in compliance with contractual arrangements, regulations and legislation.Supports internal communication or training that ensures service is provided to members and providers by a well-trained staff.
Promotes provider understanding of utilization management and quality improvement policies, procedures and standards.
Provides guidance and oversight for clinical operational and clinical decision-making aspects of the program.
Has periodic consultation with practitioners in the field and ensures that the organization has qualified clinicians accountable for decisions affecting consumers.
May manage staff including hiring, performance management, development and retention.May participate in health plan credentialing operations and clinical aspects of the credentialing program and provider services support.
Minimum RequirementsDemonstrated competency working with hospitals, provider groups or integrated delivery systems to effectively manage patient care to improve outcomes.
Strong communication and facilitation skills with internal staff and external stakeholders, including the ability to resolve issues and seek optimal outcomes.
Proven ability to develop and maintain positive working relationships with community and provider partners.Knowledge of the health insurance industry, state and federal regulations, provider reimbursement methods and evolving accountable care and payment models.
General business acumen including understanding of market dynamics, financial/budget management, data analysis and decision making.Strong orientation to the application of data in managing health and quality.
Proven ability to develop creative strategies to accomplish goals and objectives, plan and execute complex projects and programs and drive results across internal teams and/or external partners.
Demonstrated ability to effectively lead and engage in a constructive manner with others.Normally to be proficient in the competencies listed aboveAssociate Medical Director would have a MD or DO degree, at least 3 years clinical experience, or equivalent combination of education and experience.
Medical Director would have a MD or DO degree, at least 5 years clinical experience, plus at least 2 years medical utilization management and/or case management experience (prefer health insurance experience and additional MHA or MBA training), or an equivalent combination of education and experience.
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, With 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 EnvironmentWork is performed primarily in an office location.Periodic travel to a different office location, provider office, or other meeting location.
May be required to work outside normal working hours.
Must be located in a state or territory of the United States when conducting a peer clinical review.#LI-RemoteThe 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 membersannual 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 holidaysup 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 homeup to $225 in Amazon gift cards for participating in various well-being activities.
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.
Surgical Associate Medical Director or Medical Director professionals in Seattle
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Jay Yoo
Director of Information Technology