$215K - $344K/yr
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Need 3-5 or more years in practice experience, prefer 2-4 years in FT/PT medical director or ...
$215K - $344K/yr
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Need 3-5 or more years in practice experience, prefer 2-4 years in FT/PT medical director or ...
Columbus, OH · Remote
... meet utilization review criteria while located in a state or territory of the United States ... required No nights, no weekends, not call. Predictable work schedule Full and part time ...
Columbus, OH · Remote
... meet utilization review criteria while located in a state or territory of the United States ... required No nights, no weekends, not call. Predictable work schedule Full and part time ...
Columbus, OH · Remote
... meet utilization review criteria while located in a state or territory of the United States ... required No nights, no weekends, not call. Predictable work schedule Full and part time ...
Columbus, OH · Remote
... meet utilization review criteria while located in a state or territory of the United States ... required No nights, no weekends, not call. Predictable work schedule Full and part time ...
Columbus, OH · Remote
... meet utilization review criteria while located in a state or territory of the United States ... required No nights, no weekends, not call. Predictable work schedule Full and part time ...
Columbus, OH · Remote
... meet utilization review criteria while located in a state or territory of the United States ... required No nights, no weekends, not call. Predictable work schedule Full and part time ...
Columbus, OH · Remote
... meet utilization review criteria while located in a state or territory of the United States ... required No nights, no weekends, not call. Predictable work schedule Full and part time ...
Columbus, OH · Remote
... meet utilization review criteria while located in a state or territory of the United States ... required No nights, no weekends, not call. Predictable work schedule Full and part time ...
Columbus, OH · Remote
... meet utilization review criteria while located in a state or territory of the United States ... required No nights, no weekends, not call. Predictable work schedule Full and part time ...
Columbus, OH · Remote
... meet utilization review criteria while located in a state or territory of the United States ... required No nights, no weekends, not call. Predictable work schedule Full and part time ...
Columbus, OH · Remote
... meet utilization review criteria while located in a state or territory of the United States ... required No nights, no weekends, not call. Predictable work schedule Full and part time ...
Columbus, OH · Remote
... meet utilization review criteria while located in a state or territory of the United States ... required No nights, no weekends, not call. Predictable work schedule Full and part time ...
Columbus, OH · Remote
... meet utilization review criteria while located in a state or territory of the United States ... required No nights, no weekends, not call. Predictable work schedule Full and part time ...
Columbus, OH · Remote
... meet utilization review criteria while located in a state or territory of the United States ... required No nights, no weekends, not call. Predictable work schedule Full and part time ...
Westerville, OH · On-site
Description: RN Case Manager - Part-time, weekend coverage for St. Ann's Position Purpose: Our RN ... This is done with the intentions of cost effective utilization of hospital resources, minimizing ...
Westerville, OH · On-site
Description: RN Case Manager - Part-time, weekend coverage for St. Ann's Position Purpose: Our RN ... This is done with the intentions of cost effective utilization of hospital resources, minimizing ...
Description: RN Case Manager - Part-time, weekend coverage for St. Ann's Position Purpose: Our RN ... This is done with the intentions of cost effective utilization of hospital resources, minimizing ...
Description: RN Case Manager - Part-time, weekend coverage for St. Ann's Position Purpose: Our RN ... This is done with the intentions of cost effective utilization of hospital resources, minimizing ...
Description: RN Case Manager - Part-time, weekend coverage for St. Ann's Position Purpose: Our RN ... This is done with the intentions of cost effective utilization of hospital resources, minimizing ...
Description: RN Case Manager - Part-time, weekend coverage for St. Ann's Position Purpose: Our RN ... This is done with the intentions of cost effective utilization of hospital resources, minimizing ...
Columbus, OH · On-site
$42 - $60/hr
Shift: Part-time, as needed Location: Remote (US based) About Gifthealth Gifthealth is on a mission ... Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and ...
Quick apply
Columbus, OH · On-site
$42 - $60/hr
Shift: Part-time, as needed Location: Remote (US based) About Gifthealth Gifthealth is on a mission ... Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and ...
Westerville, OH · On-site
Description: RN Case Manager - Part-time, weekend coverage for St. Ann's Position Purpose: Our RN ... This is done with the intentions of cost effective utilization of hospital resources, minimizing ...
Westerville, OH · On-site
Description: RN Case Manager - Part-time, weekend coverage for St. Ann's Position Purpose: Our RN ... This is done with the intentions of cost effective utilization of hospital resources, minimizing ...
$51.12 - $63.91/hr
Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and ... Availability to work weekends and holidays (rotations) * Willingness to obtain additional ...
$51.12 - $63.91/hr
Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and ... Availability to work weekends and holidays (rotations) * Willingness to obtain additional ...
Columbus, OH · On-site
$51.12 - $63.91/hr
Shift: Part-time, as needed weekend hours Location: Columbus, Ohio About Gifthealth Gifthealth is ... Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and ...
Quick apply
Columbus, OH · On-site
$51.12 - $63.91/hr
Shift: Part-time, as needed weekend hours Location: Columbus, Ohio About Gifthealth Gifthealth is ... Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and ...
Columbus, OH · On-site
$51.12 - $63.91/hr
Shift: Part-time, as needed weekend hours Location: Columbus, Ohio About Gifthealth Gifthealth is ... Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and ...
Columbus, OH · On-site
$51.12 - $63.91/hr
Shift: Part-time, as needed weekend hours Location: Columbus, Ohio About Gifthealth Gifthealth is ... Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and ...
Columbus, OH · On-site
... Hospital - Part Time Weekend Warrior Positions New Vista Health and Wellness is currently ... Conduct weekly treatment plan reviews and update treatment plans. * Perform other duties as ...
Columbus, OH · On-site
... Hospital - Part Time Weekend Warrior Positions New Vista Health and Wellness is currently ... Conduct weekly treatment plan reviews and update treatment plans. * Perform other duties as ...
$56K - $76K/yr
Inpatient Therapist, Behavioral Health Full-time, Weekends Your experience matters Columbus Springs ... Works well with the interdisciplinary team including physicians, utilization review and nursing ...
$56K - $76K/yr
Inpatient Therapist, Behavioral Health Full-time, Weekends Your experience matters Columbus Springs ... Works well with the interdisciplinary team including physicians, utilization review and nursing ...
Dublin, OH · On-site
$56K - $76K/yr
Inpatient Therapist, Behavioral Health Full-time, Weekends Your experience matters Columbus Springs ... Works well with the interdisciplinary team including physicians, utilization review and nursing ...
Dublin, OH · On-site
$56K - $76K/yr
Inpatient Therapist, Behavioral Health Full-time, Weekends Your experience matters Columbus Springs ... Works well with the interdisciplinary team including physicians, utilization review and nursing ...
Columbus, OH · On-site
$51.12 - $63.91/hr
Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and ... Availability to work weekends and holidays (rotations) * Willingness to obtain additional ...
Columbus, OH · On-site
$51.12 - $63.91/hr
Perform Drug Utilization Reviews: Review prescribed medications for safety, efficacy, and ... Availability to work weekends and holidays (rotations) * Willingness to obtain additional ...
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
Columbus, OH
$215K - $344K/yr
Full-time, Part-time
Re-posted 27 days ago
55-233 Physician / Family Practice: Medical Director / Columbus, OH sm
55-233 Physician / Family Practice: Medical Director / Columbus, OH
Allied Specialty -
State Ohio
Physican Speciality Pediatrics: Medical Director
Sub Specialty -
Position Type Permanent
Recruiter 258
Internal ID JJJ9
Description
Physician / Family Practice: Medical Director / Columbus, OH
Assist the Chief Medical Director to direct & 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 requirements.
Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership. Oversees the activities of physician advisors. Utilizes the services of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Participates in provider network development and new market expansion as appropriate. Assists in the development and implementation of physician education with respect to clinical issues and policies.
Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components. Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care. Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality. Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.
Develops alliances with the provider community through the development and implementation of the medical management programs. As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues. Represents the business unit at appropriate state committees and other ad hoc committees.
Participating and chairing committees, meeting with provider groups, help developing policies.
Education/Experience:
Medical Doctor or Doctor of Osteopathy, board certified preferable in a primary care specialty (Internal Medicine, Family Practice, Pediatrics or Emergency Medicine).
The candidate must be an actively practicing physician.
Need 3-5 or more years in practice experience, prefer 2-4 years in FT/PT medical director or associate medical director positions.
Previous experience within a managed care organization is preferred.
Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is preferred.
Experience treating or managing care for a culturally diverse population preferred.
License/Certifications:
Board Certification through American Board Medical Specialties.
Current state medical license without restrictions.
Salary:
$215,400 - $344,700
Community:
Columbus, Ohio.
