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Regional Medical Director

Company: The Clinical Recruiter
Location: Spartanburg
Posted on: August 3, 2022

Job Description:

(Physician/MD qualifications required) Family Practice - Regional Medical Director
Spartanburg, South Carolina
JO# BH-28751

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 segment.

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 healthcare.

Plan, organize, manage and supervise the roles of the Center Medical Directors.
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 services.
Represent the organization in community and marketing events.
Develop and maintain compliance with the departmental and physician budgets.
Assess, develop and recommend strategies for compliance with regulatory requirements.
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 expectation of.
Identify trends of over- and under-utilization and implement actions plans to improve.
Direct and orient physicians in the correct application of approved guidelines. .
Oversee the operations of the wellness activities and medical department.
Guide and enforce Perfect Service Standards (Customer Service).
Other duties as requested

Required Qualifications:

Master's Degree
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 university
Prefer Internal Medicine specialty
Board Certification in Family Medicine, Internal Medicine or Geriatric Medicine
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

Preferred Qualifications:

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

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