CharlestonRecruiter Since 2001
the smart solution for Charleston jobs

Medical Director - Pediatrician

Company: Max Populi, LLC
Location: Charleston
Posted on: April 8, 2021

Job Description:

This is an exceptional opportunity with our top tier managed care client to support the--Medicaid Clinical Operations business in the state of West Virginia. The ideal candidate will be responsible--for the administration of medical services for company health plans including the overall medical policies of the business unit to ensure the appropriate and most cost-effective medical care is received. Primary duties-- Interprets existing policies and develops new policies based on changes in the healthcare or medical arena. Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes. Identifies and develops opportunities for innovation to increase effectiveness and quality. Serves as a resource and consultant to other areas of the company, may chair or serve on company committees, may be required to represent the company to external entities and/or serve on external committees, conduct peer clinical and/or appeal case reviews and peer to peer clinical reviews with attending physicians or other ordering providers to discuss review determinations, provides guidance for clinical operational aspects of the program. Supports the medical management staff ensuring timely and consistent responses to members and providers. Qualifications: Requires M.D. or D.O.; Board certification approved by the American Board of Medical Specialties required where applicable to duties being performed (Internal Medicine or Family Medicine or double-boarded Internal Medicine/Pediatrics strongly preferred). Must possess an active unrestricted medical license to practice medicine or a health profession in the state of WV or Must be able to obtain a WV license (expenses will be reimbursed). West Virginia resident highly preferred. 5 years of clinical experience or any combination of education and experience, which would provide an equivalent background. Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Managed care experience highly preferred. Proficiency with MS products (Word, Excel) and familiarity with large electronic system (for example EMRs) required. Contact information: ________________________________________________

Keywords: Max Populi, LLC, Charleston , Medical Director - Pediatrician, Executive , Charleston, South Carolina

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Domino's General Manager in Training - (Tanger) - Earn btw $10-15 per hour FIRST YEAR (5650)
Description: ABOUT THE JOB You were born to be the boss. We know. You get up in the morning and you make sure everyone else in the house is doing what they need to do. Then you go to work and you make sure that everyone (more...)
Company: Domino's
Location: Johns Island
Posted on: 04/11/2021

Field Operations Manager
Description: 3000 Sign on Bonus br USS is looking for a dynamic Field Operations Manager in Ridgeland, SC who will be responsible for managing all operational functions at a branch. Route based driver industry (more...)
Company: United Site Services
Location: Savannah
Posted on: 04/11/2021

Domino's General Manager in Training - (Park West) - Earn btw $10-15 per hour FIRST YEAR (7284)
Description: ABOUT THE JOB br br You were born to be the boss. We know. You get up in the morning and you make sure everyone else in the house is doing what they need to do. Then you go to work and you make sure (more...)
Company: Domino's
Location: Charleston
Posted on: 04/11/2021


Senior Manager-Supply Chain Excellence
Description: Olsten Staffing is assisting in recruiting for a current Senior Manager-Supply Chain Excellence job in the Williamsburg Co of SC. If you meet the following requirements please click on Apply Now.Requirements (more...)
Company: Olsten
Location: Hemingway
Posted on: 04/11/2021

Associate Project Manager - NetSuite Services (SuiteJobs-PSNA)
Description: As a member of the Consulting organization, you are responsible for ensuring that a quality, integrated software solution is delivered in a timely manner, at budget, and to our client s satisfaction. (more...)
Company: Oracle
Location: Charleston
Posted on: 04/11/2021

Salon Manager - Trolley Square
Description: Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to hire and support other stylists Then let's talk Maybe you're a stylist who wants more responsibility,
Company: Great Clips
Location: Ridgeville
Posted on: 04/11/2021

ASSISTANT STORE MANAGER
Description: Family Dollar, Inc - 924 Elm Street ASM As an Assistant Store
Company: Family Dollar, Inc
Location: Hampton
Posted on: 04/11/2021

Fast Food Manager - Sign On Bonus
Description: GROW With US br br Hudson is North America's leading travel retailer. For over 30 years, Hudson has met the needs and wants of travelers in more than 1,000 duty-free, duty-paid, and food beverage (more...)
Company: Hudson Group
Location: Bonneau
Posted on: 04/11/2021

Domino's General Manager in Training - (Daniel Island) - Earn btw $10-15 per hour FIRST YEAR (8775)
Description: ABOUT THE JOB You were born to be the boss. We know. You get up in the morning and you make sure everyone else in the house is doing what they need to do. Then you go to work and you make sure that everyone (more...)
Company: Domino's
Location: Johns Island
Posted on: 04/11/2021

Salon Manager - Market Center Shoppes
Description: Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to hire and support other stylists Then let's talk Maybe you're a stylist who wants more responsibility,
Company: Great Clips
Location: North Charleston
Posted on: 04/11/2021

Log In or Create An Account

Get the latest South Carolina jobs by following @recnetSC on Twitter!

Charleston RSS job feeds