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Provides clinical expertise and guidance to the daily operations and administration of medical management for VNS Health Plans. Assists senior leadership in planning, directing and coordinating all medical and related activities. Participates in implementing standards of medical service and advises senior leadership on medical and administrative questions and policies as they relate to the VNS Health Plans population. Investigates and implements new medical policies based on clinical expertise, in depth data analysis and interpretation designed to improve clinical outcomes. . Serves as consultant for unusual and difficult medical cases. Participates in the QARR/HEDIS Quality Improvement Activities and utilization management of the population. Works under limited direction.
Compensation:$243,000.00 - $324,000.00 Annual
What We Provide:
What You Will Do
Licenses and Certifications:
Licensed to practice medicine in New York State required
Multi-state licensure preferred
Board Certification in internal or family medicine preferred
Certification in Geriatric Care preferred
Valid driver's license or NYS Non-Driver photo ID card, as determined by operational/regional needs may be required
Education:
Medical Degree, required
Work Experience:
Minimum five years of experience in clinical medicine, including three years in managed care, and application of evidence based medical necessity criteria and CMS guidance required
Prior experience in geriatric medicine preferred
Prior experience in a Medical Services Organization preferred
Demonstrated strong knowledge of Medicare and Medicaid regulatory and reporting requirements required
Strong communication and influential skills required
Exceptional leadership, critical thinking and decision-making skills preferred
Full Time
$319k-383k (estimate)
05/18/2024
07/14/2024
The job skills required for Medical Director include Leadership, Planning, Clinical Services, Quality Improvement, Case Management, Medical Services, etc. Having related job skills and expertise will give you an advantage when applying to be a Medical Director. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Medical Director. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Medical Director positions, which can be used as a reference in future career path planning. As a Medical Director, it can be promoted into senior positions as a Chief Medical Officer that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Medical Director. You can explore the career advancement for a Medical Director below and select your interested title to get hiring information.