Senior Medical Director (Based in FL)

Leads and manages a team of medical directors delivering oversight and expertise in appropriateness and medical necessity of services provided to members.

Requirements

• At least 8 years of relevant experience, including clinical practice experience, and at least 2 years as a medical director in managed care setting supporting utilization management/quality management initiatives, or equivalent combination of relevant education and experience.
• At least 3 years management/leadership experience.
• Doctor of Medicine (MD) or Doctor of Osteopathy (DO). License must be active and unrestricted in state of practice (FL).
• Board Certification in Pediatrics or Family Medicine.
• Working knowledge of applicable national, state (FL), and local laws and regulatory requirements affecting medical and clinical staff.
• Demonstrated ability to make strategic decisions.
• Knowledge of health care regulatory and legislative processes, including ability to read and interpret legislation.
• Experience gaining consensus, and collaborating in a highly matrixed organization.
• Experience demonstrating strong leadership, communication, consensus building, collaboration and financial acumen abilities.
• Evidence-based clinical criteria competency.
• Peer review, medical policy/procedure development, and provider contracting experience.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.

Benefits

• Competitive benefits and compensation package.