This site uses cookies. To find out more, see our Cookies Policy

Medical Director in Tallahassee, FL at KEPRO

Date Posted: 2/17/2018

Job Snapshot

Job Description

KEPRO is arapidly growing national quality improvement and care management organization.We work to ensure that over 1 billion people receive the right care, at theright time, in the right setting. KEPRO is seeking resumes for a highlyexperienced professional 

Medical Director


Provide the principal leadership to the operation on all medical aspects relating to the peer review process, provider audits,utilization review activities, case management, and other activities requiring clinical leadership and consultation.  Evaluates, redirects and/or responds toinquires; provides recommendations concerning suggested modifications forenhanced efficiency and effectiveness.  Participates in activitiesspecific to contractual requirements such as hearings. etc.
  • Responsiblefor orienting all medical personnel
  • Isresponsible for final decisions with respect to al medical matters resultingfrom peer review and other medical matters resulting from the Recipient Face-to-FaceAssessments process
  • While the position encompasses a wide range ofclinical line responsibilities, additional key responsibilities includeassisting and promoting business development and strategic planning activities.


Qualifications

  • M.D. or D.O. with active, non-restricted Florida license
  • Minimum 5 years’ experience in State Medicaid programs with clinical care processes and outcomes, clinical guidelines, medical economics research, particularly the evaluation of medical utilization, population-based care practices, and provider billing practices. 
  • Minimum 5 years’ experience with Utilization Management/Review and/or Case Management
  • Minimum 2 years' as a Medical Director
  • Working knowledge of Federal, State and private health related activities.
  • Adaptable with strong collaborative management style, a creative thinker with high energy and enthusiasm, and a team player who promotes the concepts of people working together. Ability to adapt to frequently changing work parameters. 

KEPRO offers challenging careers, excellent benefits andopportunities for advancement.  For consideration, please submit resumeand cover letter with salary requirements. Only those candidatesidentified for an interview will be contacted. No Phone CallsPlease.  Visit our website at www.KEPRO.com for more information on the KEPRO Family of Companies.   

                                                                                   EOE AAM/F/Vet/Disability

 KEPRO is anE-Verify employer. E-Verify is an internet based system operated by theDepartment of Homeland Security (DHS) in partnership with the Social SecurityAdministration (SSA) that allows participating employers to electronicallyverify the employment eligibility of their newly hired employees in the UnitedStates.



CHECK OUT OUR SIMILAR JOBS

  1. Care Manager Jobs
  2. Program Manager Jobs