Medical Director(Preferred Experience in Managed Care)
CareSource(2 months ago)
About this role
The Medical Director provides clinical oversight for the health plan, offering physician review, clinical consultation, training, and case review to support staff and members. The role helps maintain clinical standards, supports regulatory and accreditation compliance, and contributes to quality improvement and policy development. The position collaborates with market and product leaders and participates in community and cross-market initiatives.
Required Skills
- Clinical Review
- Provider Education
- Utilization Review
- Quality Improvement
- Case Management
- Clinical Consultation
- Peer Review
- Regulatory Compliance
- Data Analysis
- Communication
Qualifications
- MD or DO
- Residency Training
- Current Unrestricted Medical License
- Board Certification
- MCG Certification
- Bachelor's or Master's (preferred)
Apply instantly with AI
Let ApplyBlast auto-apply to jobs like this for you. Save hours on applications and land your dream job faster.
More jobs at CareSource
Similar Jobs
Medical Principal - Gastroenterologist
Cigna Healthcare(1 month ago)
Orthopedic Surgery Associate Medical Director
Elevance Health(1 month ago)
Assistant Medical Director (Utilization Management - Oncology))
Premera Blue Cross(1 month ago)
Field Medical Director, Interventional Cardiology (Remote)
Evolent Specialty Services, Inc(2 months ago)
Medical Management Clinician
Elevance Health(1 month ago)
Medical Director, Commercial Line of Business
Excellus BCBS(3 months ago)