Executive Director of Medical Affairs
Metropolitan Jewish Health System, Inc., New York, New York, us, 10261
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
Acts as a medical resource to the health plan, directing clinical and government mandated utilization and quality improvement efforts. Responsible for the consistent, effective use of clinical guidelines and clinical nursing rounds. Monitors quality and the appropriateness of medical care. Collaboration on clinical program development in concert with the operational leadership of the plan.
Minimum of 5 years of clinical experience
Managed Care Experience
Board Certification in a General Practice, Internal Medicine, Primary Care or Geriatrics
Practical understanding and strong commitment to managed care
Knowledge of Quality Assurance, Utilization Review, program development and implementation skills
Strong communication and leadership skills
#J-18808-Ljbffr
Acts as a medical resource to the health plan, directing clinical and government mandated utilization and quality improvement efforts. Responsible for the consistent, effective use of clinical guidelines and clinical nursing rounds. Monitors quality and the appropriateness of medical care. Collaboration on clinical program development in concert with the operational leadership of the plan.
Minimum of 5 years of clinical experience
Managed Care Experience
Board Certification in a General Practice, Internal Medicine, Primary Care or Geriatrics
Practical understanding and strong commitment to managed care
Knowledge of Quality Assurance, Utilization Review, program development and implementation skills
Strong communication and leadership skills
#J-18808-Ljbffr