MaderaRecruiter
the smart solution for Madera jobs

55-247 Physician / Pediatric: Medical Director / Fresno, CA sm 93702

Company: Executive Staff Recruiters
Location: Madera
Posted on: December 30, 2018

Job Description:

Allied Specialty - State California Physican Speciality Pediatrics: Medical Director Sub Specialty Medical Director Position Type Permanent Recruiter 258 Internal ID JJJ23 Description Physician / Pediatric: Medical Director / Fresno, CA Assist the Chief Medical Director to direct & coordinate the medical management, quality improvement and credentialing functions for the business unit. Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective implementation of performance improvement initiatives for capitated providers. Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members. Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements. Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership. Oversees the activities of physician advisors. Utilizes the services of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Participates in provider network development and new market expansion as appropriate. Assists in the development and implementation of physician education with respect to clinical issues and policies. Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components. Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care. Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality. Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment. Develops alliances with the provider community through the development and implementation of the medical management programs. As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues. Represents the business unit at appropriate state committees and other ad hoc committees. Participating and chairing committees, meeting with provider groups, help developing policies. Education/Experience: Medical Doctor or Doctor of Osteopathy, board certified preferable in a primary care specialty (Internal Medicine, Family Practice, Pediatrics or Emergency Medicine). The candidate must be an actively practicing physician. Need 3-5 or more years in practice experience, prefer 2-4 years in FT/PT medical director or associate medical director positions. Previous experience within a managed care organization is preferred. Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is preferred. Experience treating or managing care for a culturally diverse population preferred. License/Certifications: Board Certification through American Board Medical Specialties. Current state medical license without restrictions. Salary: $215,400 - $344,700 Community: Fresno, California.

Keywords: Executive Staff Recruiters, Madera , 55-247 Physician / Pediatric: Medical Director / Fresno, CA sm 93702, Healthcare , Madera, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


Pulmonary Practice Opportunity in California's Central Valley
Description: Pulmonology opening in Turlock, California. This and other physician jobs brought to you by DocCafe.com Emanuel Medical Center is a 209 bed acute care hospital with a medical staff of 250 physicians servicing (more...)
Company: Tenet Healthcare
Location: Turlock
Posted on: 01/22/2019

Adventist Health Hanford - PA or NP (Physician Assistant #)
Description: Become a Valued Member of Your Emergency Department TeamAs a Physician Assistant or Nurse Practitioner you play a critical role in improving the level of care in Emergency Department. At Vituity, we never (more...)
Company: Vituity
Location: Hanford
Posted on: 01/22/2019

Earn 800-1200 Weekly as a Health Rep working from Home. Computer and Phone are a must
Description: Comprehensive full training is provided and an excellent
Company: Jumpstart consult
Location: Ceres
Posted on: 01/22/2019


Internal Medicine Physician General Internist - Physicians Only Apply - Perm
Description: Medical Doctors Only Apply. A Internal Medicine Physician General Internist practice is seeking a qualified physician for Porterville, CA. This and other physician jobs brought to you by ExactMD. br (more...)
Company: Baymark Health Services
Location: Porterville
Posted on: 01/22/2019

Radiologist (Physician #)
Description: Radiologist - Central CA Client seeking BE/BC Radiologist. Serving California's Central Valley. Client stands out as an exceptional healthcare employer.
Company: Continuum Medical Staffing
Location: Porterville
Posted on: 01/22/2019

Licensed Therapist / Speech Language Pathologist Job in Hollister, California
Description: Job Category Speech/Language Pathologist Profession School Specialty Shift Duration 42 Weeks Start Date 08/20/2018 Pay Rate 39.00 - 41.50 Job Description Requirements Speech Language Pathologist (more...)
Company: Club Staffing
Location: Gilroy
Posted on: 01/22/2019

Family Practice Physician (Physician #197591)
Description: Outpatient clinic in central California has a job opportunity for
Company: Kendall & Davis
Location: Porterville
Posted on: 01/22/2019

Family Medicine Physician Needed in Northern California (Physician #15
Description: Sutter Gould Medical Foundation, ranked in the top 10 in consumer reports for California Doctor Ratings, is seeking a BC/BE Family Medicine Physician to join Sutter Health-affiliated Gould Medical Group (more...)
Company: Sutter Gould Medical Foundation
Location: Ceres
Posted on: 01/22/2019

Infection Control Registered Nurse
Description: Infection Prevention Nurse RN Located just 25 minutes from Madera, 45 minutes north of Visalia and 1 hour south of Merced Job Summary: Responsible for planning, developing, directing, implementing,
Company: AVA Search Group
Location: Porterville
Posted on: 01/22/2019

General Practitioner Physician Permanent Job for Health Center in Cent
Description: General Practitioner Physician Our medical center located in Porterville, California was established as a Rural Health Clinic in 1994. Health services have been provided at the site since 1973. Our organization (more...)
Company: TNN Healthcare Solutions
Location: Porterville
Posted on: 01/22/2019

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Madera RSS job feeds