Medical Director - 59807SY
Location: Atlanta, Georgia
Description: WellPoint is at present recruited Medical Director - 59807SY right now, this job will be settled in Georgia. Further informations about this job opportunity please give attention to these descriptions. WellPoint is one of the nations leading health benefits insurers and a Fortune Top 50 company. At WellPoint, we are dedicated to improving the lives of the people we serve and the health of our communities. WellPoint strives to simplify the connection between health, care, and value for our customers.
Bring your expertise to our innovative, achievement-driven culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.
This position is located in Atlanta, GA.
Critically needed medical director to manage incoming new membership to meet compliance, contractal and regulatory requirements. 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.
Job Qualifications
Requires MD and 10 years of experience with extensive managed care or Medicare knowledge. Requires board certification where applicable to the duties being performed, preferably as a primary care physician , family practice, internal medicine, or Pediatrics (general practice background). Two years of Utilization Management, Case Management, and Disease Management experience required.
WellPoint is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine, one of the 100 Best Places to Work by Working Mother magazine, and is a 2011 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at www.wellpoint.com/careers . EOE
Once an offer is accepted, all external applicants are subject to a background investigation and if appropriate, drug testing. Offers of employment shall be contingent upon passing both the background investigation and drug testing (if required).
- Current WellPoint associates: All referrals must be submitted through the formal
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This job will be started on: Thu, 30 Aug 2012 05:46:59 GMT
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