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I thought you might be interested in the Family Practice Medical Director- Utilization Review-Medicare job listed at Top Dog Recruiting. Just copy and paste the following link into your browser: http://jobs.topdog-inc.com/JobSeeker/Detail.aspx?jid=02516787
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Family Practice Medical Director- Utilization Review-Medicare
Camp Hill, PA
$196,000.00 - $230,000.00
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Are you a BC MD or DO BC by an Approved ABMS Board preferably in a primary care specialty (Internal Medicine, Med/Peds, Family Practice, Psychiatry, Pediatrics or Emergency Medicine) or other specialty (and familiar with Medicare patients) who is ready for a change?
This is and outstanding opportunity for someone who is interested in working a Utilization Review role in the Camp Hill region. It is required you have a Pennsylvania license that is in good standing. It is a plus if you have Medical Director experience or even experience working with a health plan company.
Client is willing to offer in-state relocation.
This is an opportunity that will allow you to use all your years of clinical knowledge giving back in which you would be working for a health plan advising on the best care for patients through case reviews and peer to peer reviews.
In this role you will :
report to the VP of Medical Affairs
work 4 days a week as a Medical Director in the office and one day a week in clinical practice either in your own practice or providing patient care in an under- served community.
In addition to doing utilization management activities, but also medical review activities pertaining to utilization review, quality assurance, medical review of complex, and controversial or experimental medical services such as transplants utilizing the services of consultants
Operate in accordance with regulatory, state, corporate, and accreditation requirements.
Identify unusual provider practice patterns, and adequacy of benefit/payment components
Assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.
Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment
To be considered for this role, you must still be in direct patient care practice.
Our client offers a robust benefits package which includes:
• Competitive pay • Health, Vision and Dental Benefits • Life Insurance • Tuition Reimbursement • 401 (k) Retirement Program • Employee Stock Purchase Program • Generous Paid Time Off • Flexible Spending Accounts • Wellness Program To learn more about this great opportunity please email your resume along with salary requirements.
Salary is negotiable depending on the # of years clinical experience you have. To learn more about this great opportunity please email your resume along with salary requirements.
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