JOB TITLE: Regional Medical Director Geisinger Health Plan
DEPARTMENT: Geisinger Health Plan
WORK SCHEDULE: Days/Evenings
WORK TYPE: FULL TIME
Geisinger Health Plan (GHP) is seeking a physician leader, board-certified in family medicine, emergency medicine, or internal medicine, to act as Regional Medical Director Geisinger Health Plan.
About the position
· Assure appropriate health care delivery for plans and members within an assigned regional network.
· Provide professional leadership and direction in the utilization management and clinical quality improvement of the health plan.
· Acts as a visible champion of continuous improvement in the quality of care and services for health plan members.
· Works collaboratively as a clinical resource to other health plan functions that interface with medical management such as provider relations, member services, benefits, claims management, etc.
· Carries out medical policies at the health plan consistent with the National Committee for Quality Assurance and other regulatory bodies
· Participate in Medical Director On-Call and On-Duty and Appeals Committee activities as necessary.
The ideal candidate will have a minimum of 3 years’ experience in an integrated delivery system and managed care experience is preferred.
Doctoral Degree in Medicine
Specialty board certification required
Pennsylvania unrestricted medial license required
Geisinger Health Plan (GHP) is the health insurance component of Geisinger Health System and serves over 460,000 members in Pennsylvania and West Virginia. Begun in 1985, GHP provides high quality, affordable health-care benefits for businesses of all sizes, individuals and families, and Medicare beneficiaries*.
*PPO and high deductible plans are sold through Geisinger Quality Options, Inc. Self-funded plans are sold through Geisinger Indemnity Insurance Company.
For more information, please visit geisinger.org/careers or contact: Tammy Bonawitz, Talent Management Consultant, 570-214-4777 or firstname.lastname@example.org
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
About Geisinger: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of the Geisinger Family.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.
** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
*Domestic partner benefits not applicable at Geisinger Holy Spirit.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh Food
Farmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencing
programs, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.
Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.
What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.