New York, NY, USA
28 days ago
Medical Director

Position Summary: 

The Medical Director will work with the Clinical Services Department’s staff to execute and review clinical protocols, performance objectives, productivity benchmarks, compliance measures, provider workflow planning, and optimal provider scheduling. As well as establish and manage the medical and mental health documentation review process and medical and mental health assessment services for participants within mandated timeframes. 

 

What You'll Do:

 Manage all medical and related services, including, but not necessarily limited to the Clinical Services Department’s administration, participant reception, psychosocial assessments, general medical 

examinations (including labs), specialty medical and mental health examinations, and functional capacity outcome (FCO) determinations, including pre-determination, inter-disciplinary meetings, etc. 

Provides direct input on medical education and training priority areas for health care personnel 

Work closely with all medical service managers and administrators to identify and analyze operational 

challenges, and to design and implement process improvements 

Identify operational issues and facilitate corresponding process improvements in close collaboration 

with the Project Director and, as necessary, medical service managers and administrators 

Keep Project Director abreast of progress towards programmatic and contractual goals as measured by performance management reports and other tracking methods 

Provide ongoing training and Grand Rounds for clinical staff 

Review and approve recommended determinations and modifications and referrals for participants who have challenged the determination made by the physician; a new and acute medical or mental health condition that may warrant a change in the determination; or not actively participated in the program for 90 days 

Review and approve recommended determination modifications and wellness plan extensions for 

participants who completed their initial wellness plan 

Identify operational issues and facilitate corresponding process improvements, in collaboration with the Program Director 

You'll be a Great Fit For this Role If:

Board certified Doctor of Medicine or Osteopathy 

Five years of supervisory and managerial experience 

A New York State licensed doctor (MD) with training in internal medicine, family practice, physical 

medicine and rehabilitation, or in other medical disciplines as designated by HRA who reviews the 

Clinical Assessments/Clinical Reassessments immediately following their completion when indicated 

Experience managing large-scale projects and driving change initiatives, including as-is process mapping 

and the design and rollout of new processes and standard operating procedures 

Knowledge of and ability to follow agency’s policies and procedures 

Ability to analyze, interpret and make various deductions from varying facts or circumstances 

Demonstrated ability to thrive in environments OF frequent change and diverse objectives 

Excellent presentation and writing skills required, including ability to make oral presentations 

Compensation

$175,000

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