At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. MemorialCare stands for excellence in Healthcare. Across our family of medical centers and physician groups, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork.
Position Summary: The Associate Medical Director will work closely with the Medical Director, Hospitalist Team, Skilled Nursing Facility Physicians, Physicians of GNP, and the Director of UM/QM and the staff to manage all aspects of the UM/QM programs for GNP. This role will be crucial in executing the strategies and tactics to help GNP continue its history of success
Primary Responsibilities: • Utilization Management • Quality Management • Disease and Chronic Care Programs • Credentialing and Peer Review • Hospital and Skilled Nursing Facility Management • Compliance and Oversight of all Delegated Functions • Coordination and Implementation of Cost Efficiency Programs
Qualifications: • M.D. or D. O. degree with at least 2-3 years clinical practice experience • Current California medical license without restrictions • Board Certification by the American Board of Medical Specialties • In – depth knowledge of medical delivery systems, utilization management, quality management, peer review, credentialing, benefits interpretation, physician relations and member services • Excellent interpersonal, leadership and persuasive communication skills • Knowledge and experience in the operations of a prepaid delivery system • Good analytical skills and the ability to manage for results