Part-Time Medical Director
Company: Affinity Health Plan
Location: Bronx
Posted on: February 23, 2021
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Job Description:
*Please note this a part-time contract role; 10 hours per
month.
PURPOSE OF THE POSITION: Assures the competence and soundness of
Affinity's service delivery program by providing professional
expertise (i.e., guidance, advice, decisions, actions and
judgments) to all areas of the organization including, but not
limited to, Care Delivery operations, regulatory affairs, corporate
compliance and quality improvement. This position also assists the
Chief Medical Officer in articulating Affinity's health care vision
and medical management model, and in establishing clinical
policies, practices, standards and programs that are a) coherent
and internally consistent, b) comply with relevant laws, rules,
regulations and professional standards, and c) contribute to
achievement of corporate strategies, goals and objectives, and
fulfillment of the corporate mission and vision.
ESSENTIAL FUNCTIONS:
1. Provides professional expertise and services that support the
Care Delivery Division, including, but not limited to, the
following. a) Utilization management:
QUALIFICATIONS:
1. License to practice medicine in New York State.2. Board
Certification in a primary care specialty.3. Minimum of three(3)
years of experience as an associate medical director or medical
director working with utilization management, peer review, network
assessment and provider relations, and quality improvement,
preferably in an HMO environment. Working knowledge of clinical
protocols, utilization review standards, and professional
credentialing standards, policies and procedures.4. Minimum of five
(5) years of clinical practice experience, preferably serving an
urban population.5. General and managed care business knowledge
demonstrated by:
Keywords: Affinity Health Plan, New Rochelle , Part-Time Medical Director, Executive , Bronx, New York
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