Senior VP, Clinical Programs & Medical Strategy

Martin's Point Health Care Inc.; Nevada (MO); Remote; USD 150,000 - 250,000; Full time

Job summary

Martin's Point Health Care Inc. is seeking a Vice President Medical Director of Clinical Programs to oversee the Health Plan Medical Directors. In this role, you will lead evidence-based utilization and care management programs while driving high-quality clinical outcomes.

The ideal candidate should have at least 10 years of clinical experience and a strong background in health plan management. Strong leadership and communication skills are essential to align teams and processes effectively.

Qualifications

• 10+ years of experience in clinical practice and leadership.
• HMO/Managed Care experience, including Utilization and Quality Program management.
• Experience with STARS and RAF in a Health Plan space preferred.

Responsibilities

• Manage Health Plan Medical Directors and provide clinical support.
• Drive development of high-quality care management programs.
• Ensure compliance with government program regulations.

Skills

Interpersonal communication

Problem-solving skills

Analytic skills

Proficiency in Microsoft Office

Presentation skills

Education

Medical Degree (MD or DO) from accredited medical school

Board Certification in relevant discipline or specialty

Tools

Microsoft Office applications

Job description

Martin's Point Health Care Inc. is seeking a Vice President Medical Director of Clinical Programs to oversee the Health Plan Medical Directors. In this role, you will lead evidence-based utilization and care management programs while driving high-quality clinical outcomes.

The ideal candidate should have at least 10 years of clinical experience and a strong background in health plan management. Strong leadership and communication skills are essential to align teams and processes effectively.