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FULL TIME PHYSICIAN

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Date: Apr 6, 2019

Location: YONKERS, NY, US

Company: Montefiore Medical Center

CMO Medical Director

 

POSITION SUMMARY:

 

The Montefiore Care Management Organization (CMO) is seeking to fill an opening on its team of Medical Directors. The CMO is responsible for population health management and value based programs within the Montefiore Health System which cover over 400,000 patients and involve over 6,000 providers. The role of the Medical Director includes the following key responsibilities:

  • Provides clinical leadership for quality improvement activities across value based program populations with a focus on the quadruple aim of improving population health outcomes, quality and experience of care, and total cost of care for the populations served as well as improving care team well-being
  • Contributes to provider engagement, network development  and care management efforts 
  • Acts as a senior clinical resource to clinical, non-clinical and care management support staff and identifies opportunities for process improvement
  • Participates in clinical integration and clinical transformation strategies and operations based on specialty and training
  • Makes decisions regarding benefit coverage and authorization of health care services in accordance with principles of medical necessity, CMS and New York State DOH regulatory requirements and health plan coverage guidelines
  • Collaborates with IPA providers in planning and facilitating care

 

EDUCATION, TRAINING AND EXPERIENCE:

  • Current unrestricted NYS Doctor of Medicine license to practice
  • American Board of Medical Specialties or American Osteopathic Association Board Certification
  • Five years of professional experience in medical or clinical practice
  • Experience in managed care setting preferred
  • Knowledge of Medicare coverage criteria
  • Experience in performing utilization review activities preferred
  • Familiarity with utilization management documentation systems preferred
  • Experience in population health, clinical integration  and cost containment activities
  • Excellent public presentation skills
  • Master’s degree in Business, Public Health or Health Care Administration preferred
  • Experience with Microsoft Office (Word, Excel and PowerPoint)

 

Department: CMO Bargaining Unit: Non Union Campus: YONKERS  Employment Status: Regular Full-Time Address: 200 Corporate Boulevard S, Yonkers
Shift: Day Scheduled Hours: 8:30 AM-5 PM Req ID: 97444 

 

Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law. 

 

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Nearest Major Market: Yonkers
Nearest Secondary Market: New York City

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