Clinical Decisions Medical Director
Bothell, WA, USA | Leading Non-Profit / Social Enterprise Company
Industry:Non-Profit / Social Enterprise
Job Description:55 people have viewed this job
Seeking a well-qualified, experienced physician leader to act as full-time Senior Medical Director. This position will serve as the primary liaison between administrative and medical staff, assuring the ongoing development and implementation of policies and procedures that guide and support the provision of medical staff services. The new medical director will maintain a working knowledge of applicable national, state and local laws, as well as regulatory requirements affecting the medical and allied health staff. Join Molina Healthcare and help shape the future of health care in the Pacific Northwest.
Administrative duties only
Competitive compensation; excellent benefits package
A minimum of 5 years' experience in HMO or Managed Care operations required, including experience in Utilization Review, Case Management, Prior Authorizations and expert knowledge in Medicaid and Medicare appeals/regulations