Job Quick Facts:

Specialty: OB/GYN Associate Medical Director
Job Type: Locum to Perm
Facility Location: Dallas, TX
Service Setting: Administrative
Reason For Coverage: Supplemental
Coverage Period: 13 weeks
Coverage Type: Clinical only
Shift Schedule: Mon - Fri; 8a-5p
Support Staff: Multidisciplinary teams within managed care and clinical operations
Core

Responsibilities: Review prior authorization & appeals for medical necessity Peer-to-peer provider reviews Clinical oversight for UM, disease management, and quality management Develop medical policies, clinical guidelines, and coverage rules Analyze provider performance data Review provider applications and quality concerns Oversight of; pharmacy benefit coordination,fraud, waste, and abuse clinical aspects Participate in regulatory interactions (state/local agencies), managed care committees Support development & monitoring of annual organizational goals Evaluate job design, workflows, and processes for improvement Ability to interpret/understand Texas Medicaid regulations Demonstrate leadership, communication, and managed-careoriented skills Application of medical knowledge within operational/business environments

Other Info: Locum-to-perm transition expected
Travel, lodging, and malpractice insurance covered

Requirements:

Active TX License (or willingness to obtain)
Board Certified in OB/GYN
Clean malpractice/license history

Physician / ObGyn / Texas / Locum to Perm / Associate Medical Director Job - Now Hiring

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