Judge Group is seeking a ‘Medical Director’
to join one of our clients near Rochester NY.
This opportunity is Full Time and Permanent!
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.
• 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.
Healthcare Effectiveness Data And Information Set