Medical Director, Select Health, Utah

Intermountain Health • SelectHealth - Murray, GA

12d • $160 - $181 • Onsite

About The Position

Select Health is a not-for-profit community health plan serving more than one million members in the Intermountain west across multiple states and multiple lines of business. Select Health is seeking a part-time medical director within Utah. Reporting to the Select Health Chief Medical Officer, this Medical Director role is a part-time local Medical Director with a heavily matrixed accountability to the Select Health Market President to aid in local clinical relationships, product and plan performance and to understand local market specifics.

Requirements

• Medical Doctor or Doctor of Osteopathic Medicine degree with Board Certification in one of the following areas: Internal Medicine, Pediatrics, Family Practice, Psychiatry or Emergency Medicine.
• Current MD or DO licensure within the State of Utah, Idaho, Nevada or Colorado
• Five years of experience in clinical practice.

Nice To Haves

• Previous management experience.
• Experience with financial and medical expense management.
• Knowledge of managed care products and processes as well as the impact of managed care on the market and cost of health care
• Understanding of health care delivery system as it relates to government programs and agencies.
• Excellent communication skills including ability to establish and maintain rapport with coworkers, providers, brokers, employers, plan members, representatives/executives from other health care entities, government and regulatory bodies and others in the community.

Responsibilities

• Reviews physician review operation and provides high-level consultation, review and medical direction.
• Provides medical consultation in the development and implementation of operational policies and procedures for the accurate and appropriate administration of contracted benefits.
• Reviews and approves all medical changes and options for all products and/or health benefits.
• Coordinates with the credentialing process including developing standards, evaluating provider credentials, advising others and resolving issues with credentialed and non-credentialed providers.
• Works with others across the organization on the paneling and contracting process to ensure appropriate outcomes.
• Participates in corporate strategic planning with other leaders across the organization and helps facilitate seamless integration by maintaining effective cross-divisional and cross-functional decision-making processes and relationships.
• Works closely and collaboratively with other departments to optimize operational success.
• Coordinates with the Medical Technology review process.
• Willingness to perform physician reviews in addition to oversee medical reviewers to ensure completeness, timeliness and accuracy.

Benefits

• Eligible for an annual leadership incentive opportunity based on system goals
• Sign-on and relocation bonus when applicable.
• Comprehensive benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
• Tuition coverage paid directly to the academic institution through the PEAK program.
• 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: Ph.D. or professional degree