One of our best clients is currently seeking new a Medical Director to provide medical oversight in appropriateness and medical necessity of healthcare services.; This individual will provide clinical support for all areas of Medical Affairs and will work to improve delivery systems to ensure the best possible quality care for members. The position reports directly to the plan’s Chief Medical Officer and will affect the lives of the under-served members the plan helps.

This position offers:

• The opportunity to be a part of the growth of a health plan in this area with the support of a nationally recognized, stable, and publicly traded company.
• The opportunity to affect the manner in which care is delivered to the underserved member population in Illinois
• Excellent benefits
• Generous base and bonus package
  

Required Qualifications:

• Doctorate Degree in Medicine
• Current Ohio Medical license
• 7 - 9 years relevant experience, including:
• 5+ years clinical practice.
• Previous experience conducting utilization review.
• Current clinical knowledge.
• Knowledge of applicable state, federal and third party regulations
• Clinical Experience in Addiction Medicine or Pain Management
  

Preferred Qualifications:

• Board Certification in Addiction or Pain Management
• 3 years experience in Utilization/Quality Program management.
• 2+ years HMO/Managed Care experience.