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Medical Director

New York, NY, USA | PRIDE Health

  • Industry:
    HR / Recruitment Services
  • Position Type:
    Full-Time
  • Functions:
    Biotech/R&D/Science
  • Experience:
Job Description:
106 people have viewed this job

Our client is looking for aMedical Director.

Will oversee Managed Long Term Care program (MLTC), Institutional Special Needs Program (I-SNP), Fully Integrated Dual Advantage (FIDA) program, and Medicare Advantage Plus program (MAP). 

Will work with an interdisciplinary team of administrative and clinical staff.

Responsible for assuring that the medical care provided to the members meet the current standards of care and is consistent with individual member needs and wishes. 

Develops policies and procedures related to care, develops practice guidelines, assures compliance with state and federal regulatory requirements for medical care, participates in the training and education of staff, and reviews and discusses problematic cases with physicians, nurses, nurse care managers and other providers to change and improve treatment plans.

Will be responsible for the quality assurance program. Chairs the Quality Assurance Committee, appoints its members and sets the agenda.

Identify opportunities for improvement and lead the development of projects to improve health outcomes.

Chairs the Medical Advisory Committee which suggests and evaluates clinical practice recommendations.  

Requirements:

Must possess a current NYS license and registration

MD degree from an accredited medical school

Board Certification (Internal Medicine a plus)

Familiarity with Medicare and Medicaid regulatory and reporting requirements 


 


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