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Medical Director job in Atlanta at The Judge Group

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Medical Director at The Judge Group

Medical Director

The Judge Group REMOTE Full Time
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Location: REMOTE
Salary: commensurate and based on prior experience
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. 

  • 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

MUST be a Medical Doctor or Doctor of Osteopathic Medicine 

*Proof of COVID vaccination required 

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!

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)
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Job ID: 775165

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