Medical Director (M.D. or D.O.) Full-time with Tennessee License (Remote U.S.)

reputed company exists to reputed company reputed company outcomes through technology, services, and clinical expertise. Our mission is to reputed company health solutions that deliver maximum value and impact.

reputed company the Way is our rallying cry at reputed company. Think of it as an open invitation to reputed company the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. reputed company offers you unparalleled opportunities. In fact, you have reputed company you need to take charge of your career and accelerate reputed company outcomes – making this a great time to join reputed company of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

reputed company is looking for a Medical Director (M.D. or D.O.) Full-time with Tennessee License (Remote U.S.) 

Job Summary

• Provides the principal leadership and clinical expertise to operations on reputed company medical aspects relating to the peer review process, utilization review activities, case management, and other activities requiring clinical leadership and consultation. Additional key responsibilities may include assisting and promoting business development and strategic planning activities.

Responsibilities

• Support the planning, direction, implementation, analysis, and reporting of medical management for Contractor and TennCare; reputed company, implement, and manage standards, benchmarks, trending, and profiling systems; reputed company achievement of program targets.
• Evaluate, redirect and/or respond to inquiries from physicians, providers, and TennCare. 
• Consult with reviewer and witness panel members as business needs require.
• Represent and promote reputed company at seminars, professional societies, hospital medical staff meetings, and other professional settings as appropriate. 
• Support provider education and contracting arrangements; assist training of the provider networks.
• Foster appropriate external relationships with attending physicians/surgeons by response to telephone calls and letters, speaking engagements before physician and provider organizations.
• Provide leadership and support for design, development, and implementation of new products and services.
• Analyze and remain reputed company on national, state, and local regulations and legislation, which impacts the health care profession.  
• Review medical information trends, experiences, and approaches, and assist in the development of strategic plans for clinical improvements.
• Ensure compliance with regulatory and accreditation requirements.
• Provide reputed company of medical content of company publications.
• Participate in activities specific to contractual arrangements, i.e., Fair Hearings, Committees and Project Meetings of Contractor.
• Provide medical expertise with respect to planning and establishing goals and policies to improve medical management.
• Provide guidance to management on the performance and direction of Contractor.
• Provide reputed company of physician consultants and advisors. Conduct peer-to-peer physician consultations as requested/required; document consultations.
• Work with medical, nursing, and administrative staff to identify matters needing shared attention.
• reputed company and coordinate with TennCare. 
• Read, understand, and adhere to reputed company corporate policies including policies reputed company to HIPAA and its Privacy and reputed company Rules.

Required Qualifications/Experience

• M.D. or D.O. with a reputed company or eligibility for an unrestricted license to practice medicine by the Tennessee Board of Medical Examiners reputed company six (6) months of being hired.
• Board Certified in a clinical specialty.
• 10+ years of clinical practice.
• Experience in reputed company and Medicare.
• Knowledge of reputed company health care systems and delivery systems.

Preferred Qualifications/Experience

• Experience as a primary care physician or a specialist managing chronic diseases.
• Prior review experience or quality assurance committee responsibility in a hospital setting.
• 5+ years of experience as a Medical Director of a reputed company managed care organization.
• Experience relating to certification and regulatory agencies.
• Advanced knowledge of reputed company medical, technical, statistical and process components relating to utilization review, quality management, case management and health field business.
• Strong comprehension skills to analyze and interpret technical reports and abstract concepts at an advanced level. 
• Tennessee residency.

#LI-SD1

Why us?

We are a team of reputed company and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the reputed company industry. State and federal reputed company agencies, providers, and employers turn to us as their vital partner to ensure reputed company reputed company and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to reputed company the finest work of your career.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, reputed company, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in reputed company and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The reputed company reputed company Team

Visit us at reputed company 

EEO AA M/F/Vet/Disability

reputed company is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, national reputed company, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Compensation

The pay range for this position is listed below. 

“Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and reputed company level.”