GENERAL SUMMARY OF POSITION:

The Medical Director provides clinical leadership for the Disability Evaluation Services (DES) Program. As part of the DES senior leadership team, the Medical Director reviews disability regulations, directs internal clinical procedures and provides consultation to state policy makers.

The Medical Director is responsible for supervising the physician advisors and quality assurance consultants as well as ensuring compliance for contracted network consultative examination providers.

MAJOR RESPONSIBILITIES:

Provides clinical leadership for the disability evaluation process.
• Provides leadership for the disability process for Medicaid agencies and Public Employees Retirement Systems.
• Monitors productivity and provides oversight and clinical direction to DES clinicians, including Physician Advisors.
• Participates in creation of physician compensation models in conjunction with leadership team
• Leads internal Clinical Consultation Committee for the handling and decision making of contested cases.
• Assists in formulating and implementing new business development strategies and marketing and sales efforts to achieve growth aligned with the strategic priorities of UMass Chan and ForHealth Consulting.
• Collaborates with DES clinical leadership in the interpretation of disability regulations.
• Participates in the review of regulation and policy changes impacting the disability evaluation process. This may include
• providing consultation services to state agency out of state client leadership.
• Leads the development of clinical procedural standards and quality evaluations.
• Supervises, monitors and provides feedback to DES physicians and psychologists.
• Oversees DES quality management programs, including ongoing quality assurance, program evaluation initiatives, and
• performance goal management
• Provides feedback to DES physicians and psychologists as well as other DES clinical staff regarding clinical policies and the outcomes of quality evaluations.
• Participates in the development and training for network providers and DES clinical staff, including physicians and
• psychologists.
• Advises DES staff on client issues involving sensitive medical information, adverse clinical findings, and safety issues.
• Directs contract compliance initiatives for DES contracted network physicians and psychologists.
• In conjunction with the Physician Network Manager, contributes to the recruitment and credentialing of contracted
• network physicians and psychologists.
• Responsible for feedback, quality assurance and disciplinary process of DES contracted network physicians and
• psychologists.

REQUIRED QUALIFICATIONS:

• MD, DO or PhD prepared Psychologist licensed to practice
• Board certified in area of specialty
• 5-7 years experience in direct patient care