Are you a passionate and experienced healthcare leader looking for a new challenge? Do you have a strong background in medical management and a desire to make a positive impact in the Southeast region? If so, then we have an exciting opportunity for you! Humana is seeking a highly qualified Medical Director to join our team and lead medical strategy and initiatives in the Southeast region. In this role, you will have the opportunity to collaborate with top industry professionals, develop innovative solutions, and drive positive outcomes for our members and communities. Join us in our mission to improve the health and well-being of our members and make a difference in the healthcare industry.
- Develop and implement regional medical strategy in alignment with company goals and objectives.
- Act as a key leader and decision-maker in medical management, providing guidance and direction to the medical team.
- Collaborate with cross-functional teams to develop and implement innovative solutions and programs that improve health outcomes for members.
- Monitor and analyze healthcare trends and data to identify opportunities for improvement and make strategic decisions.
- Provide guidance and support to medical staff, including physicians and other healthcare professionals, to ensure the delivery of high-quality, cost-effective care.
- Oversee and manage the utilization review and medical necessity review process.
- Ensure compliance with all regulatory and accreditation requirements.
- Develop and maintain strong relationships with key stakeholders, including providers, community organizations, and government agencies.
- Represent the company in meetings and conferences related to medical management and healthcare initiatives.
- Continuously evaluate and improve processes and procedures to enhance efficiency and effectiveness in medical management.
- Mentor and train junior medical staff to promote professional growth and development.
- Stay updated on industry developments and best practices to incorporate into the company's medical strategy.
- Collaborate with marketing and communication teams to develop and implement communication plans for medical initiatives.
- Manage and allocate resources effectively to achieve desired outcomes.
- Support and promote the company's mission to improve the health and well-being of its members.
Medical Degree From An Accredited Medical School: A Medical Director At Humana Must Have A Medical Degree From An Accredited Medical School To Ensure They Have The Necessary Clinical Knowledge And Expertise.
Board Certification In A Relevant Medical Specialty: Humana Requires Their Medical Director To Be Board Certified In A Relevant Medical Specialty Such As Internal Medicine, Family Medicine, Or Pediatrics.
Minimum Of 5 Years Of Clinical Experience: To Be Considered For The Role Of Medical Director, Candidates Must Have A Minimum Of 5 Years Of Clinical Experience, Preferably In A Leadership Or Management Position.
Experience In Managed Care Or Health Insurance Industry: Humana Is A Healthcare Company That Specializes In Managed Care And Health Insurance. Therefore, A Medical Director Must Have Previous Experience In This Industry To Understand The Unique Challenges And Regulations.
Strong Leadership And Communication Skills: As A Medical Director, One Must Lead And Collaborate With A Team Of Healthcare Professionals. Therefore, Strong Leadership And Communication Skills Are Crucial For Success In This Role.
Risk Management
Quality Assurance
Strategic Planning
Contract Negotiation
Budget management
Leadership
Team Building
Compliance
Staff Development
Healthcare management
Performance evaluation
Physician Recruitment
Communication
Conflict Resolution
Emotional Intelligence
Leadership
Time management
Organization
Critical thinking
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Medical Director - Southeast Region is $220,000 - $250,000 per year. This may vary depending on the specific company and location.
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Humana Inc. is a for-profit American health insurance company based in Louisville, Kentucky. Its strategy integrates care delivery, the member experience, and clinical and consumer insights to encourage engagement, behavior change, proactive clinical outreach and wellness for the millions of people they serve across the country. The company operates its business through the following segments: Retail, Group, and Healthcare Services.
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