Create a Job Alert.

Enter your email below to save this search and receive job recommendations for similar positions.
Thank you. We'll send jobs matching these to
You already suscribed to this job alert.
US
0 suggestions are available, use up and down arrow to navigate them
What job do you want?

Medical Director job in Atlanta at The Judge Group

Create Job Alert.

Get similar jobs sent to your email

List of Jobs

Apply to this job.
Think you're the perfect candidate?
Apply Now
Medical Director at The Judge Group

Medical Director

The Judge Group REMOTE Full Time
Apply Now
Location: REMOTE
Salary: commensurate and based on prior experience
Description:
Are you an MD or DO with utilization management/review experience? If so, keep reading!

One of our clients is seeking a Medical Director for a remote opening. 

Responsibilities: 
  • Research and analyze clinical or other data such as:
    • Medical records, claims data, authorization data, and appeals data
  • Read and interpret medical and clinical literature and apply to understand of research study design and quality of clinical evidence
  • Review and interpret policies, accreditation standards, regulations, etc. related to medical and clinical topics
  • Conduct assessments and implementations of medical policies and clinical operations within the organization and department
  • Gather and review clinical and other information related to specific cases or decisions (e.g., contact and listen to providers; case managers)
  • Present clinical programs and results to:
    • Client, employer meetings, physicians, and healthcare providers
  • Deliver group presentations on clinical programs, data, and information
  • Explain and influence the development of technical and clinical communications that will be delivered to external audiences (e.g., new clinical policies, programs, processes)
  • Discuss clinical program outcomes, data, and performance with providers, employers, accreditors, and regulators
  • Deliver clinical and coverage decisions and information and respond to questions and concerns (e.g., from regulators, accreditors, legal/risk management, employers, healthcare providers)
  • Develop, update, and review relevant clinical and other documents (e.g., clinical guidelines, operational policies, benefits documents, SOPs)
  • Develop, recommend, and implement quality, affordable service initiatives
  • Solicit or respond to feedback and input on clinical initiatives and guidelines (e.g., providers, specialty societies, clinical experts)
  • Assess current and prospective staff's clinical knowledge and capability and the ability to apply these skills in a medical management environment
  • Identify and address gaps in clinical, medical, and administrative knowledge and skills of internal team members
  • Conduct self-assessment of competence in various areas of medicine and implement development strategies to build knowledge and apply evidence-based on medicine to perform in these clinical areas
  • Deliver presentations to others (e.g., employer groups, providers, internal staff) on clinically - related topics
  • Educate teams on clinical quality, cost, and service initiatives

Qualifications:
MUST be a Medical Doctor or Doctor of Osteopathic Medicine 

*Proof of COVID vaccination required 

READ CAREFULLY:
All qualified candidates must send an updated copy of their resume to Caroline Cristini at [ Email address blocked ] - Click here to apply to Medical Director for immediate consideration. Upon emailing Caroline or applying to this role, be on the lookout for an email from [ Email address blocked ] - Click here to apply to Medical Director to set up a phone screen (a phone screen is required in order to complete your application). If you do not have a phone screen set up, you will be unable to be considered by our client. 

Looking forward to our conversation!

Regards,
Caroline Cristini, National Healthcare Recruiter
[ Email address blocked ] - Click here to apply to Medical Director 

Contact: [ Link removed ] - Click here to apply to Medical Director
This job and many more are available through The Judge Group. Find us on the web at [ Link removed ] - Click here to apply to Medical Director
 

Recommended Skills

  • Appeals
  • Claims
  • Communication
  • Presentations
  • Research
  • Authorization (Medical)
Apply to this job.
Think you're the perfect candidate?
Apply Now

Help us improve CareerBuilder by providing feedback about this job:

Job ID: 775165

CareerBuilder TIP

For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.