Florida Licensed Medical Director

Job Summary

To enhance the efficiency of healthcare services, the full-time Executive Director of Medical Revenue Cycle will manage physician reviews of utilization, claims management, and quality assurance while collaborating with various departments and external partners in a fully remote setting.

Key responsibilities

• Oversee inpatient utilization patterns and develop strategies for improvement, collaborating with medical staff and managed care payers
• Educate and advise Care Managers on clinical issues and assist in utilization review and quality improvement initiatives
• Analyze data trends to identify opportunities for utilization improvement and facilitate relationships with community health resources

Required qualifications

• Current, valid State of Florida license as a physician
• Board certified and eligible for membership on the Hospital medical staff
• Graduate from medical school and residency program
• Ten years of recent clinical practice experience
• Seven years of leadership experience