The Medical Director is responsible for providing clinical expertise, oversight for medical policy implementation and business direction in support of the development, implementation, and evaluation of clinical/medical programs to promote the delivery of high quality, constituent responsive medical care.
The Plant Medical Director position offers a highly competitive salary package, bonus plan, and world-class benefits including, Medical, Dental, Vision, 401k + Pension Plan, Life Insurance and Disability protection; excellent vacation policy.
In this role, the selected candidate will be responsible for directing and coordinating the overall functions of our medical billing office to ensure that billing and collection activities are performed in an accurate, efficient and timely fashion.
In this role, you will provide expert advice and recommendations about chronic disease issues to other CDPH programs and City agencies, as well as to outside organizations including delegate agencies, and providers.
The Director, Medical Staff Administration directs and oversees the medical administrative functions of the Medical Staff Office Department and site Medical Staff Organization in order to fulfill applicable regulatory requirements in accordance with state and federal law.
In this role, you will be responsible for
working with the Chief Medical Officer Government Programs to provide strategic leadership in the areas of cost of care, utilization parameters, and delivery of new clinical programs to the enterprise and to external partners.
In this role, the selected candidate will conduct coverage review based on individual member plan documents, and national and proprietary coverage review guidelines, render coverage determinations, and discuss with requesting providers as needed in peer-to-peer telephone calls.
In this role, the selected candidate will lead Medical Affairs activities surrounding the development and launch of new products; develop product launch plans and manage medical education measures for KOLs, Healthcare professionals, physicians, prescribers, providers, patients, and payors.
In this role, you will maintain standards for productivity set by AHF seeing an average minimum of 14 patients per day. Ensures compliance with standard by coordinating patient scheduling to compensate for no-show rate.
In this role, the selected candidate will develop and execute plans to educate external stakeholders - including KOLs (Key Opinion Leaders), HCPs (Healthcare Professionals), Physicians, Payors, and Patients - on disease state, drug mechanism of action, etc.