Medical Director, Health Plan Leadership

Neighborhood Health Plan of Rhode Island; Smithfield (RI); On-site; USD 200,000 - 250,000; Full time

Job summary

Neighborhood Health Plan of Rhode Island seeks a Medical Director in Smithfield to provide clinical leadership across various departments, enhancing quality care and member satisfaction.

The ideal candidate will have an active Physician license in Rhode Island, with significant clinical and health plan experience. Responsibilities include oversight of clinical strategies, regulatory compliance, and direct management of medical quality initiatives.

Qualifications

• Three or more years of clinical practice experience.
• Two or more years of health plan experience.

Responsibilities

• Provide clinical leadership and consultation to promote clinical excellence.
• Oversee Associate Medical Directors and Medical Consultants.
• Participate in regulatory and accreditation reviews.
• Manage credentialing activities.
• Engage in performance management of staff.

Skills

Analytical skills

Communication skills

Education

Active, unrestricted Physician license in Rhode Island

Board eligibility in a primary care or relevant specialty

Job description

Neighborhood Health Plan of Rhode Island seeks a Medical Director in Smithfield to provide clinical leadership across various departments, enhancing quality care and member satisfaction.

The ideal candidate will have an active Physician license in Rhode Island, with significant clinical and health plan experience. Responsibilities include oversight of clinical strategies, regulatory compliance, and direct management of medical quality initiatives.