Regional Medical Director
Company: The Clinical Recruiter
Posted on: August 3, 2022
(Physician/MD qualifications required) Family Practice -
Regional Medical Director
Spartanburg, South Carolina
The Regional Medical Director serves as a health-care professional
and capable of handling a variety of health-related problems. The
Regional Medical Director requires an in-depth understanding of how
organization capabilities interrelate across the function or
As a Medical Director you will plan, organize, manage and supervise
health care services offered in the medical centers. Work in
conjunction with the Area Medical Directors to motivate and provide
medical direction in pursuit of cost effective, quality
Plan, organize, manage and supervise the roles of the Center
Identify physician recruitment needs and collaborate in the hiring
and contracting of providers.
Establish work schedules and assignments for medical staff
according to workload, space and equipment and center needs.
Oversee daily operations of physician services.
99% Leadership, 1% limited-occasional coverage
Build strong relationship with specialist, hospitalist, SNF and
other providers to form a narrow network of quality service focused
on senior population health
Responsible for medical interpretation, reviews, and decisions as
required for plan administration.
Monitor medical performance and provide guidance to ensure that the
quality of care being provided meets appropriate standards and to
ensure cost-effective utilization practices.
Oversee the development, revision, and implementation of policies
and procedures, systems, programs and standards for health care
Represent the organization in community and marketing events.
Develop and maintain compliance with the departmental and physician
Assess, develop and recommend strategies for compliance with
Develop and maintain an effective relationship with all departments
providing medical guidance and expertise.
Develop, implement and monitor the outcomes of utilization review
and disease management programs to meet the quality and cost
Identify trends of over- and under-utilization and implement
actions plans to improve.
Direct and orient physicians in the correct application of approved
Oversee the operations of the wellness activities and medical
Guide and enforce Perfect Service Standards (Customer Service).
Other duties as requested
8 or more years of technical experience
5 or more years of management experience
Licensure requirements of the state of jurisdiction
Graduate of accredited MD or DO program of accredited
Prefer Internal Medicine specialty
Board Certification in Family Medicine, Internal Medicine or
This role is considered patient facing and is part of Humana-Senior
Bridge's Tuberculosis (TB) screening program. If selected for this
role, you will be required to be screened for TB.
Must be passionate about contributing to an organization focused on
continuously improving consumer experiences
Knowledge of Medicaid and Medicare programs
Excellent oral and written communication skills
Good understanding of best practice coding and documentation in
value based environment
Keywords: The Clinical Recruiter, Spartanburg , Regional Medical Director, Executive , Spartanburg, South Carolina
Didn't find what you're looking for? Search again!