Associate Medical Director
Adelphi Staffing•Dallas, TX
23d
About The Position
Job Quick Facts: • Specialty: OB/GYN – Associate Medical Director • Job Type: Locum to Perm • Facility Location: Dallas, TX • Service Setting: Administrative • Reason For Coverage: Supplemental • Coverage Period: 13 weeks • Coverage Type: Clinical only • Shift Schedule: Mon - Fri; 8a-5p • Support Staff: Multidisciplinary teams within managed care and clinical operations • Other Info: Locum-to-perm transition expected • Travel, lodging, and malpractice insurance covered
Requirements
- Active TX License (or willingness to obtain)
- Board Certified in OB/GYN
- Clean malpractice/license history
Responsibilities
- Review prior authorization & appeals for medical necessity
- Peer-to-peer provider reviews
- Clinical oversight for UM, disease management, and quality management
- Develop medical policies, clinical guidelines, and coverage rules
- Analyze provider performance data
- Review provider applications and quality concerns
- Oversight of; pharmacy benefit coordination,fraud, waste, and abuse clinical aspects
- Participate in regulatory interactions (state/local agencies), managed care committees
- Support development & monitoring of annual organizational goals
- Evaluate job design, workflows, and processes for improvement
- Ability to interpret/understand Texas Medicaid regulations
- Demonstrate leadership, communication, and managed-care–oriented skills
- Application of medical knowledge within operational/business environments
Benefits
- Travel
- lodging
- malpractice insurance
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What This Job Offers
Education Level
No Education Listed
