REMOTE - Part Time-Associate Medical Director(Required Weekends) - R9107

CareSource; United States; Remote; USD 150,000 - 200,000; Part time

Job summary

An established industry player in healthcare is seeking a Part Time Associate Medical Director to provide essential support through training, clinical consultation, and case reviews. This role offers the opportunity to influence healthcare quality and compliance while working remotely. Ideal candidates will possess a medical degree and extensive clinical experience, along with strong communication and problem-solving skills. Join a company committed to fostering an inclusive environment and making a meaningful impact on the communities served.

Qualifications

• Completion of an accredited Medical Degree program is required.
• Minimum of five years of clinical practice experience is required.

Responsibilities

• Provide training and clinical consultation for staff.
• Participate in peer-to-peer discussions and provider education.
• Conduct clinical reviews for designated CareSource members.

Skills

Excellent communication skills

Decision making/problem solving skills

Attention to detail

Ability to maintain confidentiality

Conflict resolution skills

Education

Medical Degree (MD or DO)

Residency training in primary care

Bachelor's or Master's in Healthcare Administration

Tools

Microsoft Word

Job description

Join to apply for the REMOTE - Part Time-Associate Medical Director(Required Weekends) - R9107 role at CareSource

Join to apply for the REMOTE - Part Time-Associate Medical Director(Required Weekends) - R9107 role at CareSource

Job Summary

The Part Time Associate Medical Director supports staff by providing training, clinical consultation, and clinical case review for members.

Job Summary

The Part Time Associate Medical Director supports staff by providing training, clinical consultation, and clinical case review for members.

Essential Functions

• Participate in peer-to-peer discussions
• Provide provider education, training, data sharing, performance evaluations and orientation to the plan
• Participate in the evaluation and investigations of cases suspected of fraud, abuse, and quality of care concerns
• Participate in development of policies and procedures
• Provide cross-coverage for other Medical Directors and/or markets, as needed
• Provide prior authorization medical reviews, consultation and clinical review services
• Conduct clinical reviews for designated CareSource members
• Clinical Appeals
• Support of regulatory and accreditation functions (eg. CMS, State, NCQA and URAC) and compliance for all programs
• Perform any other job related instructions, as requested
  
  

Education And Experience

• Completion of an accredited Medical Degree program as a medical doctor (MD) or Doctor of Osteopathic (DO) medicine is required
• Successful completion of a residency training program, preferably in primary care is required
• Minimum of five (5) years of clinical practice experience is required
• Managed care medical review/medical director experience is preferred
• Bachelor's or Master's degree in Business Administration, Operational Excellence, Healthcare Administration or Medical Management is preferred
  
  

Competencies, Knowledge And Skills

• Basic Microsoft Word skills
• Excellent communication skills, both written and oral
• Ability to work well independently and within a team environment
• Ability to create strong relationships with Providers and Members
• High ethical standards
• Attention to detail
• Critical listening and systematic thinking skills
• Ability to maintain confidentiality and act in the company’s best interest
• Ability to act with diplomacy and sensitivity to cultural diversity
• Decision making/problem solving skills
• Conflict resolution skills
• Strong sense of mission and commitment of time, effort and resources to the betterment of the communities served
  
  

Licensure And Certification

• Current, unrestricted license to practice medicine in state of practice as necessary to meet regulatory requirements is required
• Board Certification, preferably in primary care specialty is required
• Re-certification, as required by specialty board, must be maintained (exceptions may be granted by Chief Medical Officer
• MCG Certification is required or must be obtained within six (6) months of hire
  
  

Working Conditions

• General office environment; required to use general office equipment
• May be required to work evenings/weekends
• May be required to travel to fulfill duties of position
  
  

Compensation Range

$191,400.00 - $334,900.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type

Hourly

Competencies

• Create an Inclusive Environment - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business
  
  

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Part-time

Job function

• Job function

  Health Care Provider

• Industries

  Insurance

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