✨ About The Role
- The Medical Director will work remotely, collaborating with the Aetna One Advocate team to assess and address members' healthcare needs.
- Daily responsibilities include leading clinical staff, conducting educational rounds, and providing clinical guidance in medical management and utilization review programs.
- The role involves proactive engagement with providers and facilities to improve the quality of care delivered to members.
- The Medical Director will participate in various clinical team activities, including precertification, concurrent review, discharge planning, and disease management.
- The position requires collaboration with multiple functional areas to achieve business goals and enhance member care experiences.
âš¡ Requirements
- The ideal candidate will have at least five years of experience in the healthcare delivery system, demonstrating a strong understanding of clinical practice and the healthcare industry.
- A current and active state medical license is essential, ensuring the candidate can provide clinical expertise without any encumbrances.
- Candidates should possess an M.D. or D.O. degree, with board certification in an ABMS recognized specialty and relevant post-graduate direct patient care experience.
- Strong leadership skills are necessary to effectively lead clinical staff and coordinate quality care for members.
- The successful candidate will be adept at using data analysis to identify opportunities for quality improvement and engage providers in enhancing care quality.