Executive Medical Director at The Judge Group Inc. in Boise City, Idaho

Job Description:

Location: Boise City, ID

Description: We are currently seeking a Executive Medical Director in Idaho!



The Executive Medical Director provides leadership to create and drive clinical and business strategies focused on improving clinical performance and quality throughout the health plan.



Responsibilities:

• Utilize exceptional communication skills and a deep understanding of our clinical programs and the competitive market to influence internal and external constituencies, drive change, and promote growth


• Provides leadership in development and oversight of medical policies, clinical programs and competitive strategies to improve clinical performance and achieve business objectives


• Identify improvement opportunities and champion and drive change related to clinical outcomes, cost effectiveness and improved member experience


• Manage assigned departments, programs, line of business or vendor partnership


• Support Network Management for both contracting and provider collaboration in the markets


• Deliver compelling media presentations - print, radio, and video (i.e. TV streaming services)


• Provide internal and external executive leadership to promote provider partnership and business growth with key stakeholders and accounts


• Communicate in various forums as a medical and health plan subject to matter report


• May manage VIP cases and higher-level appeals


• Stay abreast of industry, medical and technology trends


• Identifies and communicates new opportunities in utilization management, provider contracting or other areas that would enhance outcomes and the reputation of the organization

Requirements:

• MD or DO degree (also prefer a MBA, MPH, or MHA degree)


• 5+ years clinical experience


• 4 + years health plan managed care experience and leadership experience


• sales and/or provider partnership experience or equivalent combination of education and experience


• Demonstrated competency working with hospitals, provider groups, or integrated delivery systems to reduce healthcare costs and improve outcomes


• Excellent communication, influencing, presentation and facilitation skills with all levels of the organization and executive level partners


• Proven ability to develop and maintain positive working relationships with provider, vendor, community and account partners


• In-depth knowledge of the health insurance industry, state and federal regulations, provider reimbursement methods and evolving accountable care and payment models


• Ability to effectively manager and coach others

Required Certificates and Licenses:

• Currently licensed Physician with an MD or DO degree


• Must have an active, unrestricted license to practice medicine in one or more states or territories in the U.S.


• Board certification

If you are interested in this opportunity, please reach out to Taylor at trichard@judge.com

Contact: trichard@judge.com


This job and many more are available through The Judge Group. Find us on the web at www.judge.com Apply Now