Job Summary
A healthcare company is searching for a person to fill their position for a Remote Medical Director in Maitland.
Individual must be able to fulfill the following responsibilities:
- Maintain a local presence in the Orlando/Central Florida area
- Attendance require at monthly HCHCP medical sub-committee and Network Medical Director's meetings
- Collaboration with analytics team to review claims and make policy recommendations
Applicants must meet the following qualifications:
- M.D. or D.O. with active, non-restricted Florida license/registration
- Must be Board certified in Family Medicine or Internal Medicine
- Minimum 2 years' experience in State Medicaid programs with clinical care processes and outcomes, clinical guidelines, medical economics research,
- Minimum 3 years' experience with UM, CM/DM
- MUST HAVE EXPERIENCE WITH INTERQUAL or MILLIMAN
- MUST HAVE HEALTH PLAN EXPERIENCE