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Medical Director

The Judge Group Rochester Full-Time
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Judge Group is seeking a ‘Medical Director’ to join one of our clients near Rochester NY. 

This opportunity is Full Time and Permanent! 

Summary 
The position participates in the broad array of activities of the Medical Services area including medical and pharmacy utilization management, quality management, case management, credentialing, and corporate medical policy processes for the medically fragile children in Medicaid Managed Care. The incumbent also provides input into the development of policies, programs and strategic objectives for company lines of business, and acts as a liaison with local physicians and hospitals.

Minimum Qualifications 
• Licensed Pediatrician or Family Doctor with experience and knowledge of the unique and complex needs of the Medically Fragile population and NYS’s child serving systems (e.g., Child welfare, Education, Juvenile Justice, etc.). 
• Active unrestricted medical license; appropriate and current board certification. 
• A minimum of ten years medical experience and strong working knowledge of QM/UM and credentialing activities or (5) years of comparable health plan experience.



All interested candidates please send your resume to Email blocked - click to apply or apply directly.

Thank you!

 

Skills required

Healthcare Effectiveness Data And Information Set
Managed Care
Medicare
Primary Care
Medicaid
Fiscal Policies
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Job ID: 593326

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The Judge Group is a privately owned, leading professional services firm with nearly 50 years of experience in providing technology, talent, and learning solutions. Our services are successfully delivered through a network of more than 35 offices in the United States, Canada, and India. The Judge Group serves more than 47 Fortune 100 companies and is responsible for 7,000 professionals on assignment annually across a wide range of industries.

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