What are the responsibilities and job description for the Medical Director- Hospital & Ancillary Relations position at Inland Empire Health Plans?

What you can expect!

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!

Excitingly lead as the Medical Director of Hospital & Ancillary Relations, steering clinical leadership towards operational and quality improvement. Drive strategic initiatives with a dynamic approach, fostering collaboration with health plan and provider leaders. From identifying clinical opportunities to promoting best practices, you’ll enhance care delivery, educate clinicians, and influence legislative impact. Additionally, collaborate with inter-departments to ensure member needs are met while simultaneously building strong peer relationships. Be at the forefront of quality improvement, ensuring optimal care goals and innovative approaches.

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.

CalPERS retirement
457(b) option with a contribution match
Generous paid time off- vacation, holidays, sick
State of the art fitness center on-site
Medical Insurance with Dental and Vision
Paid life insurance for employees with additional options
Short-term, and long-term disability options
Pet care insurance
Flexible Spending Account – Health Care / Childcare
Wellness programs that promote a healthy work-life balance
Career advancement opportunities and professional development
Competitive salary with annual merit increase
Team bonus opportunities

Education & Requirements

Medical Degree in a clinically related field (e.g., MD, DO) from an accredited institution required

Possession of an active, unrestricted, and unencumbered Physician’s and Surgeon’s Certificate issued by the State of California Medical Board required

A physician certified in a state other than California may be employed prior to receipt of California certification provided that an application for a California physician and surgeon’s certificate is filed in the state of California prior to date of appointment.)

Five (5) years of post-residency or Licensure experience in a recognized specialty that includes but is not limited to Family Medicine, Internal Medicine, Pediatrics, and Emergency Medicine

Experience in quality, care coordination, utilization management in an inpatient, ACO or FQHC environment

Strong product and program management experience, product delivery, product environments, and management consulting

Key Qualifications

Medical practice and understanding of clinical operations in the hospital and ancillary setting

Various regulatory bodies and setting-specific requirements, including DHCS, NCQA, CMS, TJC / DNV

Current trends in health care and clinical operations

Administrative practices and procedures including but not limited to quality assessment and improvement, care coordination, utilization review, peer review, credentialing and risk management

Start your journey towards a thriving future with IEHP and apply

TODAY

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Medical Director- Hospital & Ancillary Relations

What are the responsibilities and job description for the Medical Director- Hospital & Ancillary Relations position at Inland Empire Health Plans?

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