Medical Director, Health Plan & Cost Management Leader

Martin’s Point Health Care; Washington (District of Columbia); Presencial; USD 238 000 - 294 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical insurance

Dental insurance

Vision insurance

Retirement savings with employer match

Paid time off

Resumo da oferta

Martin’s Point Health Care is seeking a Medical Director to provide professional leadership for utilization and cost management and clinical quality across the Health Plans. You will work with Health Management, Network Management, Member Services, and Compliance to plan and implement programs and ensure accreditation.

The role requires an MD/DO, board certification, and strong clinical and leadership experience in health plans.

Qualificações

• MD/DO with board certification and active license in a U.S. state.
• Experience in health plan medical management is a plus.
• Strong analytical and leadership abilities.

Responsabilidades

• Lead utilization management, cost management, and quality management functions.
• Collaborate with Health Management, Quality, Network Management, and Compliance.
• Oversee medical necessity reviews and ensure regulatory accreditation.

Conhecimentos

Analytic skills

Interpersonal skills

Formação académica

MD/DO

Descrição da oferta de emprego

Martin’s Point Health Care is seeking a Medical Director to provide professional leadership for utilization and cost management and clinical quality across the Health Plans. You will work with Health Management, Network Management, Member Services, and Compliance to plan and implement programs and ensure accreditation.

The role requires an MD/DO, board certification, and strong clinical and leadership experience in health plans.