Job ID: 3180129
Full-time Onsite with Paid Relocation
We are currently seeking a Hybrid Medical Director for our client, a leading player in the healthcare industry. This award-winning organization has a global presence, providing top-notch medical services across various locations.
As a Hybrid Medical Director, you will be responsible for overseeing both physical and behavioral health medical services, ensuring the delivery of optimal and cost-effective medical care. Your role will involve developing and implementing programs to enhance quality, cost efficiency, and overall outcomes. This position is crucial in providing clinical consultation and acting as a strategic advisor to optimize clinical operations.
Location: Nashville, Tennessee
- Provide essential support to clinicians, ensuring consistent and timely responses to both members and providers.
- Offer guidance on the operational aspects of various programs.
- Conduct peer-to-peer clinical reviews with attending physicians or other providers, discussing determinations and patient office visits.
- Act as a resource and consultant across different areas within the organization, potentially representing the company externally and participating in internal/external committees.
- Interpret medical policies and clinical guidelines, with the potential to propose new policies based on healthcare changes.
- Lead, develop, direct, and implement both clinical and non-clinical activities, influencing healthcare quality, cost, and outcomes.
- Identify and develop innovative opportunities to enhance effectiveness and quality.
- MD or DO degree with Board certification approved by relevant certifying boards such as ABMS, AOA, or NBPAS.
- Active unrestricted medical license to practice medicine or a health profession.
- Minimum of 10 years of clinical experience, or equivalent background through a combination of education and experience.
- For Health Solutions and Carelon organizations (including behavioral health), a minimum of 5 years of healthcare experience is required.
- Board certification as a psychiatrist in the State of Tennessee, as per state contract requirements.
If you are a dynamic and experienced medical professional looking to make a significant impact, we invite you to apply for this Hybrid Medical Director position.
Job ID: 3180129