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Medical Officer jobs at IPRO

- 3 jobs
  • Medical Director

    Lancesoft 4.5company rating

    Remote

    Required licensure: TX, KY, FL, WA licenses are preferred The Behavioral Health Physician will serve as an independent contractor providing physician-level utilization management (UM) services for behavioral health services. This role is non-clinical and limited exclusively to medical necessity determinations, peer-to-peer reviews, and appeals in accordance with applicable regulations, accreditation standards, and plan policies. Scope of Services The Contractor will perform UM activities including, but not limited to: Initial Medical Necessity Reviews for behavioral health services requiring physician-level determination Concurrent Reviews for continued authorization of services Peer-to-Peer (P2P) Reviews with treating providers Appeals Reviews, including first- and second-level determinations, as applicable Issuance of adverse determinations when clinically indicated, ensuring compliance with federal and state regulations, parity requirements, and plan policies Documentation of determinations in UM systems with clear clinical rationale and supporting criteria Participation in quality improvement processes related to UM decisions, as requested Exclusions / Non-Scope This role does not include: Direct patient care or treatment Prescribing services Care coordination or case management Administrative leadership or supervisory responsibilities Clinical Expertise & Requirements MD or DO with board certification in Psychiatry (required) Active, unrestricted medical license in applicable state(s) of review Experience in behavioral health utilization management, preferably in managed care or health plan settings Demonstrated knowledge of: Medical necessity criteria (e.G., MCG, InterQual, or equivalent) Federal and state behavioral health regulations MHPAEA requirements NCQA and CMS standards Strong peer-to-peer communication skills Work Expectations Remote work environment Flexible scheduling based on case volume and turnaround time requirements Ability to meet required regulatory and contractual decision timelines Maintain confidentiality and comply with HIPAA and data security standards Reporting & Oversight Operates independently while adhering to health plan UM policies, delegated authority parameters, and medical policy Subject to audit, quality oversight, and performance monitoring consistent with UM regulatory requirements
    $180k-291k yearly est. 1d ago
  • Director Proposal Writing

    ASRC Federal Holding Company 4.2company rating

    Reston, VA jobs

    ASRC Federal is a leading government contractor furthering missions in space, public health and defense. As an Alaska Native owned corporation, our work helps secure an enduring future for our shareholders. Join our team and discover why we are a top veteran employer and Certified Great Place to Work ASRC Federal is seeking a **Director, Proposal Writing** to join the Proposal Operations organization. This position provides strategic leadership to a team of seven Proposal Writers and the Past Performance and Training Manager. The Director serves as a working lead, contributing to proposal development efforts while advancing proposal writing standards, processes, and team performance. This is a remote position with some travel requirements (mainly within the Washington DC metropolitan area but can be throughout the U.S.). **Key Responsibilities** + **Leadership and Team Development** + Lead, mentor, and coach a team of Proposal Writers to foster a high-performance, collaborative environment. + Provide thought leadership to advance writing quality and consistency across the organization. + **Resource and Workload Management** + Allocate writing resources in coordination with the Vice President of Proposal Operations and the Proposal Operations Leadership Team. + Support proposal staffing strategies to meet business development priorities. + **Process and Quality Improvement** + Partner with leadership to enhance proposal writing processes, tools, templates, and best practices. + Develop and deliver training to ensure consistent application of writing standards. + **Proposal Development** + Collaborate with Proposal Managers, Capture Managers, Solution Architects, and Subject Matter Experts to develop compliant, compelling proposal content. + Write and edit technical, management, and past performance sections that align with solicitation requirements and corporate messaging. + Integrate key themes and discriminators to strengthen proposal competitiveness. + **Quality Assurance and Compliance** + Participate in color team reviews and ensure proposal sections meet compliance and quality standards. **Required Qualifications** + Bachelor's degree; additional experience may substitute for education. + Minimum of 10 years of Federal Government proposal writing experience. + Demonstrated experience managing and mentoring proposal professionals. + Proven ability to collaborate effectively with senior leaders and cross-functional teams. + Strong analytical, organizational, and time management skills. + Experience developing annotated outlines and draft responses for Federal solicitations. + Ability to work non-traditional hours (evenings, weekends, holidays) and travel as required. **Preferred Qualifications** + APMP or equivalent proposal management certification. + Familiarity with AI-based tools for proposal drafting and content development. We invest in the lives of our employees, both in and out of the workplace, by providing competitive pay and benefits packages. Benefits offered may include health care, dental, vision, life insurance; 401(k); education assistance; paid time off including PTO, holidays, and any other paid leave required by law. **_EEO Statement_** _ASRC Federal and its Subsidiaries are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, gender, color, age, sexual orientation, gender identification, national origin, religion, marital status, ancestry, citizenship, disability, protected veteran status, or any other factor prohibited by applicable law._ **Job Details** **Job Family** **Business Development** **Job Function** **Proposal Writing** **Pay Type** **Salary** **Travel Required** **Yes** **Travel Percentage** **25**
    $86k-127k yearly est. 49d ago
  • Director Proposal Writing

    ASRC Federal Holding Company 4.2company rating

    Reston, VA jobs

    ASRC Federal is seeking a Director, Proposal Writing to join the Proposal Operations organization. This position provides strategic leadership to a team of seven Proposal Writers and the Past Performance and Training Manager. The Director serves as a working lead, contributing to proposal development efforts while advancing proposal writing standards, processes, and team performance. This is a remote position with some travel requirements (mainly within the Washington DC metropolitan area but can be throughout the U.S.). Key Responsibilities Leadership and Team Development Lead, mentor, and coach a team of Proposal Writers to foster a high-performance, collaborative environment. Provide thought leadership to advance writing quality and consistency across the organization. Resource and Workload Management Allocate writing resources in coordination with the Vice President of Proposal Operations and the Proposal Operations Leadership Team. Support proposal staffing strategies to meet business development priorities. Process and Quality Improvement Partner with leadership to enhance proposal writing processes, tools, templates, and best practices. Develop and deliver training to ensure consistent application of writing standards. Proposal Development Collaborate with Proposal Managers, Capture Managers, Solution Architects, and Subject Matter Experts to develop compliant, compelling proposal content. Write and edit technical, management, and past performance sections that align with solicitation requirements and corporate messaging. Integrate key themes and discriminators to strengthen proposal competitiveness. Quality Assurance and Compliance Participate in color team reviews and ensure proposal sections meet compliance and quality standards. Required Qualifications Bachelor's degree; additional experience may substitute for education. Minimum of 10 years of Federal Government proposal writing experience. Demonstrated experience managing and mentoring proposal professionals. Proven ability to collaborate effectively with senior leaders and cross-functional teams. Strong analytical, organizational, and time management skills. Experience developing annotated outlines and draft responses for Federal solicitations. Ability to work non-traditional hours (evenings, weekends, holidays) and travel as required. Preferred Qualifications APMP or equivalent proposal management certification. Familiarity with AI-based tools for proposal drafting and content development.
    $86k-127k yearly est. 30d ago

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