Medical Director


New York, NY

Industry: Staffing & Recruiting


5 - 7 years

Posted 394 days ago


The Medical Director position is accompanied with a generous compensation and benefits. Responsibilities include:

  • Participating in implementing standards of medical service and advising General Manager on medical and administrative questions and policies
  • Planning for and participating in physician education; investigating and implementing new medical and clinical practices and techniques
  • Serving as consultant for unusual and difficult medical cases
  • Assisting in the supervision of medical operations to ensure high quality and cost effective medically necessary services, along with ongoing care management, are provided by assigned staff based on medical standards while abiding with contract relationships in home, community and facility-based settings within a capitated reimbursement rate
  • Participating in establishing medical policies; designing and implementing advanced care/case management strategies; and communicating, as needed, with providers to ensure effective quality care is being provided
  • Reviewing care / case management reports and identifying trends and needs of the program population
  • Providing guidance and consultative services to Utilization Management (UM) and Care Management (CM) staff on issues relating to clinical services, case management, condition management, and health risk assessments
  • Developing solutions for complex cases; reviewing prior authorizations / denial of services, grievances and appeals


  • 5+ years of experience in Clinical Medicine, including Geriatrics or HIV population; 3+ years of Medical Management experience 
  • M.D., D.O.
  • Board Eligible / Certified
  • Administrative and/or Management experience