Administrative Physician - Physicians Only Apply - Perm
Company: Catherine Stenberg
Location: Saint Louis
Posted on: June 25, 2022
A Administrative Physician practice is seeking a qualified
physician for St. Louis, MO. This and other physician jobs brought
to you by ExactMD. Medical Doctors Only Apply.
Senior Medical Director
This job will have the following responsibilities:
- Lead, develop, direct and implement clinical and non-clinical
activities that impact health care quality, cost and
- Direct the utilization review process and oversee the quality
of utilization determinations.--
- Be responsible for overall medical policies of the unit to
ensure the appropriate and most cost effective medical care is
received.--Recommend changes and enhancements to current managed
care, review guidelines, and clinical criteria .
- Develop, implement, and interpret medical--polices.--
- Lead clinical staff in the coordination of quality care.
- Provide clinical expertise and business direction in support of
medical management programs through participation in clinical team
- Act as lead business and clinical liaison to network providers
and facilities to support the effective execution of medical
services programs by the clinical teams.
- Responsibility for predetermination reviews ad reviews of claim
determinations, providing clinical, coding, and--reimbursement
- Expand--their medical management programs to address member
needs across the continuum of care.
Qualifications & Requirements:
- 3 to 5 + years of--experience in the health care delivery
system with 3-5 years additional leadership and management
experience in the health care industry.
- Active unrestricted--MD or DO license is required.
- Specialty in Primary Medicine or Internal Medicine
- Prior Managed Care experience
- Active unrestricted Board Certification is required. Must be
board certified, not board "eligible"
Keywords: Catherine Stenberg, St. Louis , Administrative Physician - Physicians Only Apply - Perm, Other , Saint Louis, Missouri
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