Seeking a well-qualified, experienced physician leader with expert knowledge in Medicare appeals and regulations to act as full-time Sr. Medical Director, Medicare for a health plan. In this role, you will serve as the primary liaison between administrative and medical staff, assuring the ongoing development and implementation of policies and procedures that guide and support the provision of medical staff services. Join Molina Healthcare and enjoy meaningful work in the scenic beauty of the Pacific Northwest.
A minimum of 7 years' relevant experience, including prior HMO or Managed Care leadership experience, Utilization Review, Case Management and Prior Authorization as it relates to Medicare
Work with Medicare providers to ensure they are meeting evidence-based, clinical standards
Where You'll Work
Molina Healthcare partners with a large network of independent providers in hospitals and clinics across the country to provide low-income, uninsured individuals access to personalized and affordable care. Providers join the Molina network because they know Molina's health plans will care for their patients today and into the future. Molina care partners strive to treat all patients the same way they would want their own families treated.
Where You'll Live
Bothell is a popular suburb about 20 miles northeast of Seattle across beautiful Lake Washington. Numerous parks, lakes, rivers and mountain trails provide easy access to outdoor recreation, while art centers, galleries, restaurants and wineries provide plentiful entertainment options. With a population of 44,000, Bothell offers a quiet alternative to the urban center of Seattle, while being close enough to easily enjoy all the big city has to offer.
Who You'll Work For
Molina Healthcare is a Fortune 500 company providing managed health care services under the Medicaid and Medicare programs and through the state insurance marketplaces. It contracts with state governments, serving as a health plan for 3.4 million members in 14 states and Puerto Rico. Headquartered in Long Beach, California, Molina has been operating for 35 years with a mission of delivering quality health care to people receiving government assistance and keeping members' out-of-pocket expenses to a minimum.
Job ID Number: 9921
Facility Name: Molina Healthcare
Location Name: Bothell, WA
Brand Name: Molina Healthcare
Provider Profession: Physician/Surgeon
Medical Specialty: Family Medicine
Medical Specialty: Internal Medicine
Job Setting: Other
Type of Role: Medical Director
Phone Number: (503) 203-0769
Schedule: Full Time
Let's get in touch
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