Market Medical Director

5 - 7 years experience  •  Insurance

Salary depends on experience
Posted on 09/21/17
Dallas, TX
5 - 7 years experience
Insurance
Salary depends on experience
Posted on 09/21/17

Primary Responsibilities:

  • Educate primary care physicians on systems, structure, processes and outcomes that are necessary for assurance of regulatory compliance related to market activities
  • Develop strategies for improving all aspects of market performance including coding, documentation, membership and medical management
  • Analyze aggregate data and reports to primary care physicians
  • Approximately 70% daily travel within market
  • Supervise functions of Care Coordination
  • Assess the effectiveness of the specialty network to ensure members have access to multi-specialties within their demographic area
  • Educate primary care network and assists in problem resolution
  • Evaluate performance of physicians with regard to goals and objectives
  • Interface with physicians / medical group staff professionally developing credibility
  • Delivery timely response / communications to physicians on all needed follow up issues
  • Provide quality assurance and education of current medical technologies, review criteria, accepted practice of medicine guidelines
  • Other related duties as assigned / needed 

Professional / Physician Development:

  • Actively facilitate training and weekly, monthly etc. physician meetings
  • Guide and educate new physicians to ensure understanding of company policy and resources available for physician support
  • Encourage teamwork and cooperation amongst medical group staffs and prepare for cross training and float positions
  • Assist in the growth and development of subordinates by mentoring, sharing knowledge and promoting continued education
  • Attend continuing education classes to keep abreast of medical advancements and innovative practice guidelines


Requirements

To be considered for this position, applicants need to meet the qualifications listed in this posting.

Required Qualifications:

  • Current, unrestricted Texas Medical License or ability to obtain within 90 days of employment
  • MD or DO
  • Board certification in a specialty
  • 5+ years of clinical practice experience
  • Proficiency with Microsoft Excel, Word, PowerPoint, Outlook 
  • DEA licensure or ability to obtain

Preferred Qualifications:

  • Physician network development and/or provider relationship experience
  • HEDIS, Coding, Risk Adjustment experience

  • 2 years of experience working in a managed care health plan environment
  • Board Certified Family Practitioner or Internal Medical Specialist 

733932

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