Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

Physician Medical Director Behavioral Health

Expired Job

MMS Group Kansas City , KS 66109

Posted 2 months ago

Physician looking for a purposeful career will enjoy this chance to make a difference in care for the medically frail and underserved population Mission driven organization is focused on quality care through close collaboration with providers This plan has EXCEPTIONAL leadership and has been a strong performer with consistent growth Assist the Chief Medical Director to direct and coordinate the medical management quality improvement and credentialing functions for the business unit Provides medical leadership of all for utilization management cost containment and medical quality improvement activities Performs medical review activities pertaining to utilization review quality assurance and medical review of complex controversial or experimental medical services determines medical necessity approximately 100 reviews per month Participates in policy development ndash; shape of service provisions Interfaces with the state Supports effective implementation of performance improvement initiatives for capitated providers Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost effectiveness of care and service for members Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory state corporate and accreditation requirements Assists the Chief Medical Director in the functioning of the physician committees including committee structure processes and membership Oversees the activities of physician advisors Utilizes the services of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals Participates in provider network development and new market expansion as appropriate Assists in the development and implementation of physician education with respect to clinical issues and policies Identifies utilization review studies and evaluates adverse trends in utilization of medical services unusual provider practice patterns and adequacy of benefit payment components Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality Reviews claims involving complex controversial or unusual or new services in order to determine medical necessity and appropriate payment Develops alliances with the provider community through the development and implementation of the medical management programs As needed may represent the business unit before various publics both locally and nationally on medical philosophy policies and related issues Represents the business unit at appropriate state committees and other ad hoc committees

MD or DO Board certification by the American Board of Psychiatry and Neurology Current state medical license without restrictions The candidate must be an actively practicing physician Previous experience within a managed care organization is preferred Experience treating or managing care for a culturally diverse population preferred 5 years of experience working in behavioral health managed care or behavioral health clinical settings Min 2 years in a clinical setting Certification in addiction medicine or in the sub specialty of addiction psychiatry preferred

Experience: 5-10 years

See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Admin Asst To Physician

The University Of Kansas Hospital

Posted 6 days ago

VIEW JOBS 11/9/2018 12:00:00 AM 2019-02-07T00:00 Position Summary/Career Interest This position provides administrative support to the Physician in our Urology Clinic. Provides high-level administrative support by conducting research, preparing statistical reports, handling information requests, and performing clerical functions such as preparing correspondence, receiving visitors, arranging conference calls, and scheduling meetings. Duties include general clerical, receptionist and project based work. Must project a professional company image through in-person and phone interaction. Responsibilities * Answers and screens incoming telephone calls, determining appropriate routing, transcribes messages with accurate detail * As delegated by the Physician - may manage projects such as office moves, policy compilation, and event planning. Handles duties related to continuing education programs, registration, schedules, materials preparation for meetings and notifying meeting participants * As delegated by the Physician – may represent department management for communicating information to hospital executive team, vendors, physicians, staff, and community agencies * Assists with the coordination of payroll, acting as a backup for the KRONOS managers. - * Composes correspondence, memos, and reports: types and proofs materials; edits, collates, assembles, and distributes documentation as needed. Prepares reports, activities calendars, mass mailings (i.e., letters and memos for staff) * Creates information database products to support Management as requested. - * Demonstrates competencies in computer programs such as: Microsoft Office Word, * Excel and PowerPoint, email, intra/internet program * Maintains patient confidentiality in accordance with HIPPA regulations at all times - * Prioritizes correspondence, memos, reports,internal signature files and appointments; coordinates and schedules meetings, appointments, and conferences * Reviews, classifies, and files correspondence, documents, and materials in main filing system; secures confidential file system dealing with sensitive documentation * Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department. * Note: These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required. Qualifications Required: * High school diploma or equivalent * Minimum of 3 years broad administrative/secretarial experience * Must have excellent telephone skills, verbal and written communication skills. * Proficiency in Microsoft Word, Excel, PowerPoint and Access Ability to be flexible and adapt to change while maintaining a high level of professionalism, with an * emphasis on positive customer relations Preferred: * Bachelor's Degree or Technical/Professional training/degree in Business School Training * Ability to communicate effectively * Knowledge of Microsoft Project Manager The University Of Kansas Hospital Kansas City KS

Physician Medical Director Behavioral Health

Expired Job

MMS Group