Medical Director (Internal Medicine, Family Practice, Pediatrics or Emergency Medicine)

Job Listing No: 9740000

Medical Director (Internal Medicine, Family Practice, Pediatrics or Emergency Medicine)

Necnic Group – Des Moines, IA – Medical Director (Internal Medicine, Family Practice, Pediatrics or Emergency Medicine) Position Purpose: 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. 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 require… – Permanent – Full-time

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