Part-time Pediatric / Family Medicine Medical Director - Florida
Sunshine State Health Plan
Hialeah, FL
1 month ago
$231,900.00 - $440,500.00
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Job Description
Join Sunshine State Health Plan as a Part-time Pediatric / Family Medicine Medical Director, where you'll lead medical management initiatives and enhance care quality for 28 million members. Enjoy competitive pay, flexible work arrangements, and the opportunity to make a significant impact in healthcare.
Key Responsibilities
Direct and coordinate medical management and quality improvement functions
Provide medical leadership for utilization management and cost containment
Perform medical review activities for utilization review and quality assurance
Support performance improvement initiatives
Assist in planning and establishing goals for quality and cost-effectiveness
Conduct regular rounds to assess care for high-risk patients
Collaborate with clinical teams and providers for complex cases
Participate in provider network development
Assist in physician education on clinical issues and policies
Identify and evaluate trends in medical service utilization
Develop alliances with the provider community
Required Qualifications
Medical Doctor or Doctor of Osteopathy
Current Florida state license as a MD or DO without restrictions
Board certification in a medical specialty
Preferred Qualifications
Utilization Management experience
Knowledge of quality accreditation standards
Experience treating or managing care for a culturally diverse population
Course work in Health Administration, Health Financing, Insurance, and/or Personnel Management
Benefits & Perks
Competitive payHealth insurance401K and stock purchase plansTuition reimbursementPaid time off plus holidaysFlexible work schedules (remote, hybrid, field or office)