Medical Director Washington State

Medical Director Washington State

Seattle Washington

Experience : 10-15 years

Relocation : Yes

Bonus : Yes

Occasional Travel : Yes

Job Description

Responsible for the administration of medical services for company health plans including the overall medical policies of the business unit to ensure the appropriate and most cost-effective medical care is received and for the day-to-day management of medical management staff. Primary duties may include, but are not limited to :

• Interprets existing policies 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 health care quality, cost, and outcomes.
• Identifies and develops opportunities for innovation to increase effectiveness and quality.
• Serves as a resource and consultant to other areas of the company, may chair or serve on company committees, may be required to represent the company to external entities and / or serve on external committees, conduct peer clinical and / or appeal case reviews and peer-to-peer clinical reviews with attending physicians or other ordering providers to discuss review determinations, and provides guidance for clinical operational aspects of the program.
• Supports the medical management staff ensuring timely and consistent responses to members and providers.

Qualifications

Bonus : target 22.5% and position is stock eligible.

Additional Information

All your information will be kept confidential according to EEO guidelines.

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