Description
About the Job
General Summary of Position
The System Medical Director is responsible for strategic oversight program development staff oversight and performance management subject matter expertise metric development and implementation for physician advisor services across MedStar Health while also remaining an active MedStar Health Physician Advisor. This position will lead a collaborative standardized approach to the strategic development and implementation of MedStar's physician advisor program. The System Medical Director will be responsible for reviewing concurrent and retrospective cases referred by the Utilization or Case Management team and for assigning these reviews to other members of the Physician Advisor team. Collaborates and partners with physician case management and hospital leadership finance compliance population health and other pertinent stakeholders/ committees to ensure an aligned approach to patient care with providing efficient quality care discharge planning and utilization review
Primary Duties and Responsibilities
Education
- Doctoral degree Board certified Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.) required
- 10+ years In physician advisory and experience as a practitioner. Knowledge of case management utilization physician advisory and regulatory standards and a working knowledge of denials observation medicine and length of stay management. Experience with MCG and Interqual criteria. required
- MD - Physician - State Licensure Licensed to practice medicine in the state of hospital location Upon Hire required and
- Certification in healthcare administration/business physician advisory preferred or
- Physician Advisory ACPA-C or ABQUARP within 1 Year preferred
- Excellent communication and presentation skills strong interpersonal skills. Leadership skills and demonstrates ability to lead teams and work effectively in a team matrixed environment.
- Demonstrated ability to develop and implement strategic initiatives.
- Proven ability to influence others manage and resolve conflict and collaborate effectively as necessary to execute goals.
- Improvement mind-set focused on driving change using actionable data & lead change
- Independently solves complex problems related to utilization management human resource issues payer and managed care and care coordination
This position has a hiring range of
USD $20.00 - USD $20.00 /Yr.
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