Responsible for the administration of medical services for company health plans and ensures clinical integrity of broad and significant clinical programs, including the overall medical policies of the business unit. Primary duties may include, but are not limited to:
Interprets existing policies and develops new policies based on changes in the healthcare or medical arena.
Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes.
Supports the Medical Management staff ensuring timely and consistent responses to members and providers.
Identifies and develops opportunities for innovation to increase effectiveness and quality.
Serves as a resource and consultant to other areas of the company.
May chair or serve on company committees.
May be required to represent WellPoint to external entities and/or serve on external committees.
Requires MD and current,unrestricted medical license in the State of OH; More than 5 years of experience with extensive managed care or Medicare knowledge; or any combination of education and experience, which would provide an equivalent background. Current ABMS recognized board certification required.
/WellPoint is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2013 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at//www.wellpoint.com/careers//. EOE.M/F/Disability/Veteran.
Title: Medical Director or Associate Medical Director - Central Region - 122759
Other Locations: IN-Indianapolis, OH-Cincinnati, OH-Youngstown, OH-Mason
Requisition ID: 122759
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