Medical Director - Primary Care - Denver - Colorado
(Physician/MD qualifications required) Medical Director - THE OPPORTUNITY: Medical Director – Primary Care Physician
THE LOCATION: Denver, Colorado
Ready for a change? We have an excellent opportunity available for an experienced medical director to join our practice in Denver, Colorado. Established in 1986, our high-tech and high-touch offerings include innovative medical management systems, face to face community care coordination services, utilization review, clinical data integration and business intelligence analytical reporting – all focusing on increased quality outcomes and optimization of provider and payer networks. Our company serves a variety of entities across the US, including federal, state and commercial clients.
RESPONSIBILITIES INCLUDE:
- Functions as Senior Physician Executive responsible for clinical activities of company in Denver, Colorado
- Provides clinical leadership to the strategic, operational, and quality issues of any of Utilization Management contract
- Responsible for contract’s clinical policies and decisions
- Seeks strategic opportunities and relationships in fulfillment of mission
- Ensures that all functions of the medical department are carried out in a manner that meets the needs of the company
- Provides supervision and training for physician review panel
- Maintains second level review panel at level and specificity to support contract needs
- Serves a key leadership role in directing and communicating mission and vision to both internal and external audiences
COMPENSATION AND BENEFITS:
- Compensation: $225K – 250K
- Bonus: Annual merit based review
- Benefits: $5K for CME, health (vision dental), malpractice, PTO, PLI and vacation
- Work schedule: 8 hour days, flexible. You will work at the office 3 days a week and 2 days each week, you will work from home
QUALIFICATIONS:
- Degree of Doctor of Medicine or Doctor of Osteopathy and licensed to practice medicine in the state of Colorado
- Minimum of seven (7) years of postgraduate experience in clinical practice
- A minimum two (2) years of experience in state Medicaid programs with a focus on clinical care processes and outcomes, clinical guidelines, medical economics research, particularly the evaluation of medical utilization, hospital inpatient reviews, population-based care practices and Provider billing practices
- Experience serving medically underserved populations
- Experience creating and editing clinical guidelines and providing clinical recommendations to care management firms, cost management firms, insurance carriers, primary care medical homes, or accountable care organizations
- Experience in Medicaid or Medicare plans, or related health plans
- Experience evaluating evidence-based studies including review of the quality of the evidence
- Experience evaluating new or modified codes such as the Healthcare Common Procedure Coding System (HCPCS)
- Demonstrated success working in a managed care environment including experience in health maintenance and preventive care; anticipatory guidance and health education; acute and chronic illness care; coordination of medications, specialists, and therapies, and provider participation in hospital care
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