FortSmithRecruiter Since 2001
the smart solution for Fort Smith jobs

Associate Medical Director

Company: Affinity Management Group
Location: Fort Smith
Posted on: March 24, 2020

Job Description:

Exciting Direct Hire Opportunity! Our Client in Fort Smith, Arkansas has an immediate need for as Associate Medical Director. - This role requires you to work 2, 3 or 4 days per week. In this role you will be responsible for the overseeing of physician advisor reviews for private and Medicaid contracts and perform initial and/or reconsideration reviews as necessary and developing relationships and promoting mutually beneficial partnerships with employees, clients, key stakeholders, constituents, other healthcare organizations and the community at large. Responsibilities: Responsible for oversight of physician advisor reviews for all private and Medicaid contracts and performs initial and/or reconsideration reviews as necessary: Perform ongoing quality assurance/improvement for physician advisor reviews Correction of mistakes in physician advisor review Education of current physician advisors Train new physician advisors Facilitate mission goals across teams at the organizational level. Meet regularly with the Medical Director to stay informed, to offer direction and support for inter-departmental projects and to confer on organizational goals, objectives and policies. Confer with the Medical Director and management to identify and develop new opportunities for expanding the business. Monitor current contracts and clients to identify and establish "new business" - goals and revenue growth opportunities. Contribute and edit scientific articles, which will be submitted to medical, epidemiology, or statistical journals. Annually evaluate and update, if necessary, all clinical review criteria. Review pertinent medical record and represent the details of the rationale provided by external physician reviewers and willingness to provide testimony based on that review in an open court proceeding (i.e. fair hearing). Fair hearings could require an in-person appearance if requested. Function as a resource for clinical and non-clinical staff by providing oversight and follow-up for clinical related questions or issues. Provide support to initial clinical reviewers. Select, direct, coach and evaluate assigned staff. Develop standards of staff performance and set annual performance objectives. Ensure the quality and accuracy of employees' work product and that staff meet performance goals within designated time frame. Participate in peer-to-peer clinical review phone conversations, as necessary, to meet contractual obligations. Ensure compliance with company policy, contractual obligations, state and federal laws and regulations. Maintain current knowledge of corporate contracts with emphasis on opportunities for new business. Attend Board Meetings upon CEO request. - Adhere to format, content and style guidelines, giving consideration to usability and ensuring accuracy, consistency and quality. Follow company, state and federal protocols regarding data confidentiality/security and HIPAA compliance. Meet regularly with assigned staff to communicate pertinent information, needs and requests to other team members as appropriate. Train assigned staff on job specific regulations and contract requirements. Qualifications: Current unrestricted clinical license in the state of Arkansas as a Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO). Must be Board certified (current Board certification may be waived if only performing initial reviews). Master's degree in public health, healthcare administration, or business administration a plus. Five years of experience as a practicing physician. Must be a practicing physician involved in direct patient care. Two years of experience in medical review, quality improvement or health care management. Experience in providing professional testimony in a legal setting. Experience and knowledge of Medicaid and other major managed health care programs. - Ability to lead and participate in multi-disciplinary team projects involving professional personnel from several fields. Ability to manage and direct the work of outside consultants, outsourced services and other external entities. Well-developed planning, organizational development and business skills " -Ability to build and manage partnerships and relationships with a variety of stakeholders required. Strong detail orientation, organizational and project management skills evidencing an ability to respond to multiple projects simultaneously with appropriate sensitivity and tact including the ability to manage through conflict. Knowledge of ICD-9/ICD-10 Coding, HIT/HER and Medical terminology. For more information or immediate consideration, please email resume directly to .

Keywords: Affinity Management Group, Fort Smith , Associate Medical Director, Executive , Fort Smith, Arkansas

Click here to apply!

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

I'm looking for
in category
within


Other Executive Jobs


Store Manager
Description: Job Description Store number: 390 Shopping center: Fort Smith Pavilion Street address: 4125 Phoenix AvenueTitle: -- -- -- -- -- -- -- -- -- --Store Manager-- Reports To:-- ------------ General Manager---------------------- (more...)
Company: Shoe Carnival
Location: Fort Smith
Posted on: 04/9/2020

OPERATIONS ASSISTANT MANAGER
Description: Responsible for assisting with all operational tasks within the store as delegated and assigned by the Store Manager with main focus on the front-end and sales floor operations. Also assist with the (more...)
Company: Dollar Tree
Location: Broken Arrow
Posted on: 04/9/2020

Director Division of Consumer Access
Description: DutiesDuties SummaryThis position is located in the National Credit Union Administration NCUA , Office of Credit Union Resources and Expansion CURE , Division of Consumer Access. This position serves (more...)
Company: National Credit Union Administration
Location: Tulsa
Posted on: 04/10/2020


Shift Supervisor Management Trainee
Description: Job DescriptionThe Shift Supervisor Trainee role is an entry-level, short-term role that prepares an employee to perform a higher-level supervisory role, such as Operations Supervisor or Shift Supervisor. (more...)
Company: CVS Health
Location: Fayetteville
Posted on: 04/9/2020

Assistant Center Manager - Bilingual
Description: Advance America is a respected leader in the consumer financial and loan services industry. Helping people advance in life - with fast access to cash transfers, pre-paid debit cards, loans and tax services (more...)
Company: Advance America
Location: Tulsa
Posted on: 04/9/2020

Area Sales Director
Description: Are you passionate about Building Financial Security Are you interested in developing your career with a technology powerhouse who empowers entrepreneurs' creativity to change, challenge, and influence (more...)
Company: Titan LED
Location: Springdale
Posted on: 04/10/2020

Director of Marketing for the National Center for Wellness and Recovery
Description: Position Details Req ID: req7943 Position Title: Director of Marketing for the National Center for Wellness and Recovery Position Type: Staff Full-Time Position Number: GS9701 OSU Campus: Center for Health (more...)
Company: Oklahoma State University at Tulsa - Center for He
Location: Tulsa
Posted on: 04/9/2020

Restaurant General Manager
Description: 1923 GRAND AVE FORT SMITH, AR 72901 Restaurant General Manager br Description:To eat. To laugh. To share. That's why people come to Pizza Hut. It's the calling of our Restaurant General Managers to (more...)
Company: Pizza Hut
Location: Fort Smith
Posted on: 04/9/2020

Restaurant Management
Description: Please apply in person at the address listed.--This job posting is for a position
Company: Qdoba
Location: Tulsa
Posted on: 04/9/2020

Project Manager
Description: JOB TITLE: Project ManagerBRANCH: Tulsa 91st and Yale HOURS: 8:00 a.m. ndash 5:00 p.m. Monday ndash Friday JOB SUMMARY: The project Manager for Stride Bank
Company: Stride Bank
Location: Tulsa
Posted on: 04/10/2020

Log In or Create An Account

Get the latest Arkansas jobs by following @recnetAR on Twitter!

Fort Smith RSS job feeds