Medical Management Director jobs in North Dakota

Medical Management Director directs and oversees the operations and strategic planning of the organization's medical management initiatives and programs. Establishes case management, utilization review, quality and outcome management, and community education programs to provide high quality, cost effective health care services. Being a Medical Management Director develops and implements clinical guidelines for care designed to improve outcomes while managing costs. Requires a bachelor's degree. Additionally, Medical Management Director typically reports to top management. The Medical Management Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Medical Management Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

R
Medical Director, Denials Management (FT/M-F/REMOTE) (No UM exp. req'd)
  • RemoteWorker US
  • Michigan, ND FULL_TIME
  • For the quickest response, please apply directly via CorroHealth's website. Click Company>Careers>Medical Director, Denials Management>Apply. Thank you.

    About CorroHealth:

    At CorroHealth our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.

    We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

    JOB SUMMARY:

    As a Medical Director, Denials Management you will have the unique opportunity to evaluate hospitalizations across the country while utilizing your medical knowledge and gaining experience as an expert advisor to client hospitals. You will perform clinical case reviews and provide recommendations that focus on establishing the appropriate admission status. CorroHealth offers a career path that allows you to continue using your clinical knowledge, drive value to hospitals while providing you with a predictable schedule. This opportunity allows for the work/life balance you desire while expanding your knowledge base in Utilization Review.

    The Impact You Will Have:

    CorroHealth is led by like-minded clinicians who share the same innate calling to help. Hospitals nationwide have recently struggled with managing complex and unforeseen challenges such as global pandemics, complex regulatory updates, and downstream policy changes set forth by Medicare and private payer organizations resulting in financial difficulty. CorroHealth physicians lead challenging and rewarding careers by providing our hospital clients with guidance to improve compliance and ensure appropriate payment for the care delivered. The impact of your role will allow attending physicians to focus on what is most important, providing dedicated care to the patients they serve.

    Your Schedule:

    Training (The first 3-4 weeks):

    • Training will occur Monday-Friday 9A-5P ET

    After Completion of Training:

    • Schedule will be Monday-Friday, anywhere between 8a-5p ET to 10a-7p ET.
    • Each of your shifts will be 9 hours in length, which includes one hour of dedicated break time.
    • Includes an expectation of 1 weekend 6-hour shifts of prep for peer-to-peer cases, within a 6-week business period

    Working at CorroHealth:

    • All necessary hardware and software is provisioned to each of our Medical Directors
    • You have the ability to work remotely in a comfortable environment

    In This Role You Will:

    • Perform Peer-to-Peer case discussions with payer medical directors
    • Utilize clinical expertise to identify the salient points within a case review
    • Perform focused real-time and post-discharge hospital case reviews in hospital s EMR
    • Identify areas of process improvements and inefficiencies
    • Perform related duties and projects as assigned

    Do You Have What It Takes?

    • MD or DO degree with strong clinical knowledge
    • Active unrestricted medical license in at least one state within the United States
    • Required specialization in Adult Internal Medicine, Emergency Medicine, Hospitalist, Nephrology, or Infectious Disease; Board certification (preferred)
    • At a minimum, 1 year of acute care adult hospital experience in a US hospital within the past 5 years or recent relevant physician advisor experience
    • Working knowledge of hospitals EMR
    • Computer proficient
    • Excellent verbal and written communication skills
    • Team Player

    We Offer:

    • Quality of life with a remote predictable, full-time schedule
    • Comprehensive training and education program
    • Opportunities for career growth within the organization
    • Salary plus bonus opportunities
    • Medical, Dental, Vision coverage, 401K
    • Holidays, paid time off, short term and long-term disability insurance, and life insurance
    • Allowance for CME and/or license renewals

    ESSENTIAL DUTIES AND RESPONSIBILITIES:

    Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member s performance objectives as outlined by the Team Member s immediate Leadership Team Member.

    PHYSICAL DEMANDS:

    Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described.

    Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.

    A job description is only intended as a guideline and is only part of the Team Member s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
  • 1 Day Ago

P
Assistant Area Director
  • Princeton Management
  • Watford, ND FULL_TIME
  • Description Princeton, a leading nationwide property management company, is seeking an experienced and motivated individual to join our team as an Assistant Area Director in Watford City. As the Assis...
  • 24 Days Ago

D
Chronic Care Management/Transitional Care Management RN
  • Dakota Regional Medical Center
  • Cooperstown, ND FULL_TIME
  • Specific Responsibilities to Position Coordinate and provide care that is safe, timely, effective, efficient, equitable, and client centered Handle case assignments, draft service plans and review cas...
  • 2 Days Ago

C
Director, Change Management
  • Cox Automotive
  • UNKNOWN, ND FULL_TIME
  • Director, Change Management As the Change Management Director, reporting to the Senior Director of Business Process Design & Improvement or Contact Center Operations and Center of Excellence, you will...
  • 12 Days Ago

S
Operations Management Program Director
  • Sevita
  • Grand Forks, ND FULL_TIME
  • REM Community Services, a part of the Sevita family, provides community-based services for individuals with intellectual and developmental disabilities. Here we believe every person has the right to l...
  • 14 Days Ago

K
Multifamily Director
  • Kilbourne Group (Kilbourne Construction Management)
  • Fargo, ND FULL_TIME
  • Kilbourne is a catalyst for inspiration and action for vibrant neighborhoods that create memorable experiences for people. We are a leading real estate investment firm specializing in managing diversi...
  • 30 Days Ago

A
Managing Director
  • Asian Pacific Environmental Network
  • Oakland, CA
  • The Asian Pacific Environmental Network (APEN) was founded in 1993 to bring together a collective voice among the divers...
  • 6/2/2024 12:00:00 AM

P
Risk Management Director - Asset Management
  • Principal Financial Group
  • Des Moines, IA
  • What You'll Do: Were looking for a Risk Management Director to join our Principal Asset Management team. In this role, y...
  • 6/1/2024 12:00:00 AM

D
Managing Director, Conflict Management & Dispute Resolution
  • Dallas College
  • Dallas, TX
  • Position Summary The Managing Director of Conflict Management & Dispute Resolution will be responsible for effectively d...
  • 5/31/2024 12:00:00 AM

E
Managing Director
  • Experis
  • Winston-Salem, NC
  • Build your career with Experis, a ManpowerGroup company as we connect human potential to the power of business. Through ...
  • 5/30/2024 12:00:00 AM

M
Associate Program Management Director/Program Management Director
  • MacroGenics, Inc.
  • Rockville, MD
  • MacroGenics is a leader in the discovery and development of innovative medicines that utilize our next generation antibo...
  • 5/30/2024 12:00:00 AM

N
Managing Director
  • NEWMARK
  • Dallas, TX
  • Job Description Newmark (NMRK) is one of the world's leading commercial real estate advisory firms. We provide a fully i...
  • 5/30/2024 12:00:00 AM

O
Managing Director / Senior Managing Director - Debt Advisory
  • Oberon Securities, LLC
  • New York, NY
  • Oberon Securities, based in New York City, is seeking experienced Managing Directors with expertise raising asset, cash ...
  • 5/29/2024 12:00:00 AM

L
Managing Director Investment Management
  • Leadenhall Search & Selection
  • Leadenhall Search & Selection are currently recruiting for Directors and Partners on behalf of a global, fast-growing In...
  • 5/29/2024 12:00:00 AM

North Dakota is a Midwestern state of the United States. It borders Canada and lies at the center of the North American continent. The geographic center of North America is near the town of Rugby. Bismarck is the capital of North Dakota, and Fargo is the largest city. Soil is North Dakota's most precious resource. It is the base of the state's great agricultural wealth. But North Dakota also has enormous mineral resources. These mineral resources include billions of tons of lignite coal. In addition, North Dakota has large oil reserves. Petroleum was discovered in the state in 1951 and quickly...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Management Director jobs
$152,590 to $204,348

Medical Management Director in Santa Fe, NM
As SecureCare Physical Therapy Medical Director, my role includes.
January 06, 2020
Medical Management Director in Port Arthur, TX
Employees who have this job retrieve patient information and data for physicians and medical personnel.
January 09, 2020
Medical Management Director in Green Bay, WI
A medical office manager is responsible for the overall operations of a medical practice.
November 30, 2019