Medica Medical Director - Clinical Operations (Part Time - 1 to 2 days per week) in Minnetonka, Minnesota
What you'll get to do:
This is a part time opportunity that could satisfy a 1-2 day time commitment per week.
The Medical Director – Clinical Operations has the responsibilities of supporting care management, quality, utilization management, credentialing, pharmacy, health policy implementation, technology assessment and risk management activities. This position requires a solid medical and business mind, with strong judgment and investigative nature, and an ability to develop medical policy that effectively balances provider, patient, and health plan interests. This person also works to bring consistency to all aspects of the decision-making surrounding the above noted activities.
Medical Degree required
5 years of experience in health care, clinical medical practice, and leadership in a delivery system/hospital
- Licensed Physician, Board Certified in an ABMS
Skills and Abilities:
Demonstrated proficiency in pre-service review, concurrent review, post-service review, case management and appeals (excellent case investigation skills
Knowledge of pharmacy and therapeutics process, including prior experience in formulary development and utilization review is very desirable
Outstanding written, verbal and communications skills
Strong collaboration skills
Ability to represent Clinical on various Medica Committees
Strong process management skills
Strong ability to utilize various application technology systems
Excellent leadership skills
Customer service orientation - must enjoy speaking to network physicians
Actively influences and drives discussions toward resolution - shows good judgment and decisiveness
Equal Opportunity Employer including Veterans and Disabled Individuals
At Medica, you'll enjoy working with talented people who share a mission to meet our customers' needs.
Medica will support you through your personal growth and involvement in the community.
Medica provides resources that allow you to take charge of your health and career.
Title: Medical Director - Clinical Operations (Part Time - 1 to 2 days per week)
Requisition ID: 17114