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Medical director jobs in Kansas

- 478 jobs
  • Medical Director Physician - Competitive Salary

    Doccafe

    Medical director job in Topeka, KS

    DocCafe has an immediate opening for the following position: Physician - Medical Director in Topeka, Kansas. A variety of soft skills and experience may be required for the following role Please ensure you check the overview below carefully. DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career. ---------------- Register now to apply for this job and for access to 120,000+ other openings. DocCafe Offers: * Free Physician and Advanced Practice Job Search: Easily search, review and apply to jobs that meet your requirements. Plus, set up e-mail alerts for when new jobs are added that meet your search criteria. * Professional Profile: Attract employers with a profile page that includes your CV, credentials and other medical professional information. * Confidentiality: Decide which information you want to share and when you appear in an employer's search results. * Career Matching Support: Our experienced team can match you to your dream based on your unique preferences. Get started with DocCafe today.
    $186k-301k yearly est. 1d ago
  • Medical Director

    Family Pet Hospital

    Medical director job in Topeka, KS

    Medical Director - Family Pet Hospital | Topeka, KS Lead with Heart • Grow with Purpose • Equity + CE + PTO + Bonus Ready to make a real impact? Family Pet Hospital, a trusted small animal practice since 1995, is seeking an experienced Medical Director to guide our compassionate team and community-focused hospital through an exciting phase of growth. What You'll Do: Lead a modern, fully equipped facility (digital rads, in-house lab) Mentor and inspire a talented team Strengthen client relationships and uphold high medical standards What You'll Bring: 3+ yrs small animal experience Surgical proficiency Leadership & team-building passion Why Join Us: Competitive salary + bonuses + relocation support Medical Director stipend + Equity Package!! Generous PTO that rolls over Health, dental & vision + HSA CE + paid CE days Paid parental leave, 401(k), pet discounts & more! Topeka, KS offers small-town charm + easy access to KC, Manhattan & Lawrence. Learn more at familypethospitaltopekaks.com or email Devan Swank at ***************************** for a confidential chat. #CS #AVMA
    $186k-301k yearly est. 1d ago
  • Director-Rehab Clinical

    Powerback Rehabilitation

    Medical director job in Shawnee, KS

    At Powerback, we're on a mission to improve lives. As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive while providing essential therapy for children at home and in school. With over 38 years of trusted service, our reach spans skilled nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care. We're proud to deliver personalized care exactly where and when it's needed most. Join an industry-leading team that restores hope and makes a lasting impact. If you're passionate about making a meaningful difference and want to be part of the future of rehabilitation and wellness, Powerback is the place for you. Why Powerback? Benefits: We offer Medical, Dental, and Vision plans to Full-Time and Part-Time team members. Support for New Grads & Clinical Fellows: Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn from the best in the field. Continuing Education: Keep growing with free CEUs through Medbridge. H-1B Visa & Relocation Assistance: We support Visa or Green Card sponsorships, plus our Journey Travel Program lets you work across the U.S. with the security of a full-time role. Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition Program, and expand your expertise with our Clinicians in Action professional development program. Responsibilities: The Assistant Director of Rehab is responsible for assisting the Director of Rehab in the efficient management of rehabilitation services in their assigned account(s). This position also assists in integration of rehabilitation services in all settings. The Assistant Director of Rehab supports the delivery of the highest standard and quality of rehabilitation services. 1. Fills in for the Director of Rehab in their absence. 2. Assists therapy staff in identifying and removing barriers to treatment and providing clinical education to meet the needs of the patient. 3. Assists in the efficient and profitable management of rehabilitation services in sites of service and home care contracts. 4. Assists in operationally managing Po personnel and consultants within facility or home care contracts. 5. Assists the Director of Rehab with conducting or coordinating the timely completion of the annual merit review for therapy staff. 6. Assists in management of therapy staff. 7. Assists in daily staffing and utilization in cooperation with input from treating therapists, consideration of clinical requirements and recommendations from the Clinical Director. 8. Continues direct patient care. 9. Assists the Director of Rehab in meeting budget through revenue enhancement and control of expenses. 10. Assists in analysis of financial performance of department. 11. Assists in identification of areas of opportunity for clinical growth in collaboration with Director of Rehab, Clinical Director and Clinical Operations Area Director. 12. Assists in preparation of facility reports on a weekly and monthly basis. 13. Assists Clinical Operations Area Director and Director of Rehab in annual budget preparation. 14. Supports the delivery of the highest standard of rehabilitation services through appropriate utilization of resources, the promotion of clinical programs, and staff development in collaboration with licensed therapists, the Clinical Operations Area Director, and the Clinical Director. 15. Assists Director of Rehab with customer service. 16. Ensures that the clinical management of the rehabilitation department, including oversight related to case management, quality improvement, care planning, clinical utilization, and patient identification is overseen by a licensed therapist. 17. Assists Director of Rehab in ensuring practice act compliance. 18. Attends facility meetings and is responsible for information sharing at facility meetings at the Director of Rehab's direction. 19. Assists with discipline under the Director of Rehab and Clinical Operations Area Director's direction. 20. Performs other related duties as required. Qualifications: 1. The Assistant Director of Rehab position requires that the employee meets the requirements for a Director of Rehab or Assistant Director of Rehab. 2. Graduate of an accredited Physical Therapist Assistant Program certified by the American Physical Therapy Association. 3. The Assistant Director of Rehab must be licensed and/or eligible for licensure as required in the state of practice. 4. The Assistant Director of Rehab must have three years direct patient care experience, and either one year of management experience in a rehabilitation setting or has functioned successfully as a point person under the supervision of a Director of Rehab for a period of one year. 5. A thorough knowledge of Medicare and third party billing is also required. 6. A Bachelor's degree is preferred. Posted Salary Range: USD $31.00 - USD $48.00 /Hr.
    $31-48 hourly 15h ago
  • Medical Director

    Theoria Medical

    Medical director job in Kansas

    Position Type: Part-time, exempt Leading the charge in healthcare innovation, Theoria Medical offers a unique blend of medical excellence and technological advancement, primarily serving the post-acute and primary care sectors. Our extensive network includes multispecialty physician services and RPM, covering skilled nursing facilities across the country. In our national push for expansion, we're scouting for the brightest nurse practitioners and physicians eager to drive change and deliver superior care. Join us for a rewarding career that promises professional growth, flexibility, and the chance to shape the future of healthcare. Job Highlights Work-Life Balance: Competitive compensation with balanced hours. Weekend & On-Call Freedom: No on-call, no weekends. Always Supported: NP/PA support at all locations, always. Pre-Screened Patient Interactions: Virtual care team and APP triage before physician contact. Flexible Scheduling: Your schedule, tailored to fit your life. No set daily shift times. No Overnight Duties: Sleep peacefully with no overnight call/requirements. Effortless documentation: Conversational and Dragon dictation. Meaningful Connections: Establish lasting relationships with patients and staff. Culture of Appreciation: Your work is valued and rewarded. $1,500 CME and Conference Allowance: Invest in your growth. Full Gear: iPad with LTE, Apple Pen, AirPods provided. Licensure Reimbursed: We cover your medical licensure costs. Malpractice & Tail Covered: Full insurance peace of mind. Benefits: 401k match, Medical/Dental/Vision, Disability, Employer-paid Life Insurance. Relocation Help: Assistance for a smooth move. Referral Bonus: Earn more by expanding our team. Travel Reimbursed: Gas and mileage for work travel. Career Advancement: Leadership opportunities promoted. UpToDate Subscription: Latest medical info at your fingertips. Essential Functions & Responsibilities The physician serves as medical director for skilled nursing facilities (SNF) and participates in administrative and quality initiatives for the facilities he or she is responsible for; Medical directorship functions include attending and participating in monthly quality assurance and process improvement meetings; participating in quality improvement initiatives; providing guidance to facility staff; reviewing and revising (if necessary) facility's clinical guidelines; insuring compliance with state and federal regulations, training facility staff; and supervising facility clinical staff. In addition to the medical director role, the physician also serves as the attending physician for the residents residing at each facility; The physician collaborates with Nurse Practitioners and Physician Assistants to manage day to day resident care at each facility. Typically, each facility will have a full-time PA or NP assigned to the facility depending on the acuity and volume of the patient population; Physician will provide high quality, patient-centered, comprehensive primary care services by rounding on patients residing in SNFs; Physician is responsible for diagnosing and treating patients with acute illness, such as bacterial and viral infections, as well as chronic diseases and conditions, such as hypertension, heart disease, or diabetes Provider documentation is completed in Theoria's proprietary electronic health record (EHR) system, ChartEasyâ„¢ PointClickCare, MatrixCare, and American HealthTech are the most commonly used facility EHR systems Participating in Theoria's Chronic Care Management, Transitional Care, RPM and other medical quality initiatives and programs Physician must be able to supervise collaborating nurse practitioners and physicians assistants Physician must be able to utilize electronic/online medical tools such as EHR systems and state/county medical systems utilized for Death Certificates and administrative functions. Shift Structure Shifts are flexible depending on physicians' schedule; Typically, medical directors work a minimum of 2-3 days/week at each facility they oversee; Rounding times are flexible with no set start and end time. Preferably, physicians start in the morning between 7-10 a.m. and finish their day when their caseload has been seen; No nights, weekends, or on-call Call is covered by Theoria's virtual care team This is an in-person position Compensation and Benefits Competitive compensation package, including Medical Director stipend Compensation ranges approximately from $50,000-$400,000/year depending upon employment status and availability (PRN, Part-Time, Full-Time) Employer Paid - Life Insurance Policy Employee must be able to perform the essential functions of this position satisfactorily, with or without a reasonable accommodation. Employer retains the right to change or assign other duties to this position. All benefits and job highlights are subject to and contingent upon availability. Theoria Medical conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing, fingerprinting or other screening may also be required for certain types of positions at the Theoria Medical (ex: direct-patient care) or where required for compliance with state or federal laws, contracts or grants. #LI-Onsite #LI-JT1 #IND-MULTI
    $50k-400k yearly Auto-Apply 60d+ ago
  • Medical Director

    Mosaic Health 4.0company rating

    Medical director job in Kansas

    The Utilization Management (UM) Medical Director provides clinical leadership for the UM program, ensuring members receive appropriate, high-quality care. You will oversee review guidelines, collaborate with internal teams and external partners, and drive compliance with regulatory and accreditation standards. How will you make an impact & Requirements CareMore Health is a physician-founded and physician-led organization that has been transforming care delivery since 1992. With 25 clinics, 65,000+ members and partnerships with 30+ health plans, we've built a reputation for delivering exceptional, integrated healthcare experiences to Medicare, Medicaid, and group or private plan members. Our mission is simple: to improve health outcomes by delivering a transformative and integrated healthcare experience impacting physical, social and emotional well-being. Cultivating life-long relationships with patients, grounded in compassion and unwavering dedication to excellence in care, we've built care teams around our patients' needs - including doctors, nurse practitioners, case managers, community health workers, social workers, pharmacists and specialists, all working together to produce the best outcomes possible. This people-first, value-based model ensures physicians can practice medicine the way it was meant to be practiced - with time to connect, collaborate, and truly care for patients. Key Responsibilities Lead the development, implementation, and periodic review of UM policies and clinical criteria Provide physician oversight for concurrent and retrospective review activities Approve and interpret clinical guidelines, pathways, and criteria for admission, continued stay, and discharge Serve as the primary clinical liaison with payers, providers, and regulatory bodies Mentor and educate UM nurses, physician reviewers, and other staff on best practices Analyze utilization data and quality metrics to identify trends and areas for improvement Participate in appeals and peer-to-peer discussions to resolve clinical disputes Maintain compliance with NCQA, URAC, CMS, state regulations, and organizational standards Qualifications Medical degree (MD or DO) from an accredited institution Active, unrestricted medical license in [State/Region] Board certification in an acute-care specialty (e.g., Internal Medicine, Family Medicine, Pediatrics) Minimum of 5 years clinical practice experience, with 2+ years in utilization management or managed care Location Preference for candidates in CA, NV, or AZ Requires availability to work standard Pacific Time Zone business hours, regardless of physical location Compensation: $263,488K - $329,360K & bonus eligible
    $169k-232k yearly est. Auto-Apply 8d ago
  • Medical Director - National UM Team

    Humana 4.8company rating

    Medical director job in Topeka, KS

    **Become a part of our caring community and help us put health first** Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, level of care, and/or site of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to operationalize this knowledge in their daily work. Weekend work required one weekend per month with compensated days off during the work week The Medical Director's work includes reviewing of all submitted medical records, synthesizing complex hospital-based clinical scenarios, and providing expert decisioning on the requested services. They will have regular discussions with external providers by phone to gather additional clinical information and discuss determinations. Medical directors are expected to understand Humana processes with a focus on collaborative professional relationships. The ideal candidate will have a high degree of integrity, professionalism, resourcefulness, and enjoy working in a team-based environment. Medical Directors support Humana value throughout all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are concordant with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. After completion of structured and mentored training, daily work is performed with minimal direction, but with ready support from other team members. The ideal candidate enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations and meets compliance timelines. + Conduct comprehensive, timely, and compliant medical necessity reviews for inpatient services + Maintain accountability for productivity, quality, and compliance metrics + Communicate determinations clearly both verbally and in writing + Demonstrate adaptability and willingness to learn evolving workflows, tools, and utilization management practices + **Weekend work required one weekend per month with compensated days off during the work week** **Use your skills to make an impact** **Use your skills to make an impact** **Required Qualifications** + MD or DO degree + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required. + No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements. + Excellent verbal and written communication skills. + Evidence of analytic and interpretation skills, with prior experience working in a team environment **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, or other healthcare providers. + Utilization management experience in a medical management review organization, such as Medicare Advantage, Managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG or InterQual + Experience in hospital-based clinical practice, including specialties of Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine, and hospital-based clinical specialists + The curiosity to learn and the flexibility to adapt to changes in order to enhance efficiency, productivity, and organizational goals. + Ability to thrive in a dynamic fast-paced, team-oriented environment. + Commitment to a culture of innovation, including being facile with using technology to improve workflows + Participate in educational activities by attending required conferences and also create content to lead/teach/present for individual subject matter contribution + Passionate about contributing to an organization's focus on consistency in outcomes, consumer experiences and a highly engaged team culture **Additional Information** The medical director reports to a Lead Medical Director. Participation in weekend work on a rotational basis to ensure cases are decisioned in a timely manner May participate on project teams or organizational committees. \#physiciancareers Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $223,800 - $313,100 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 04-30-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $223.8k-313.1k yearly 1d ago
  • National Accounts Medical Director

    Carebridge 3.8company rating

    Medical director job in Overland Park, KS

    Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered. The National Accounts Medical Director is responsible for serving as the Operational Medical Director for our care management models for our National Account clients. The medical director will be responsible for supporting the clinical vision and implementation to deliver an improvement in the health of the people we serve. The medical director supports product strategy/design through medical management that impact health care quality, cost, and outcomes, and improving access to the health improvement tools offered to clients/ members. The medical director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical relevance to account reporting regarding use of medical services by members. Involved in identifying and managing medical utilization trends, emerging trends and market changes that impact the client and members. Responsible for proactively identifying and solutioning with account management, Sales RVP Medical Directors. How you will make an impact: * Day to day clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management. * Daily case reviews for both utilization and case management issues. (80/20 split) * Consistent adoption and implementation of all medical policies used for operational reviews. * Leading multidisciplinary rounds for case management /complex clinical management. * Peer-to-peer outreach for both utilization reviews and also for case management consultation with treating providers. * Clinical report reviews, trend management, benefit design consultation, and supporting overall clinical performance guarantee success. * The medical director will be responsible for supporting all state specific requirements that apply for each state where there is our business. Minimum Requirements: * Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). * Must possess an active unrestricted medical license to practice medicine or a health profession. * Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. * Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency. Preferred Qualifications: * Indiana MD license or compact state multi-licensure is preferred but not exclusive. * Board certification preferably in a Primary Health Specialty, Family or Internal medicine or Surgery (surgical specialty). * Knowledge and experience with population or segment health management is a plus. * Knowledge of the health insurance industry and the National Accounts segment is preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $ 250,236 to $411,102 Locations: Illinois, DC, Nevada. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $250.2k-411.1k yearly Auto-Apply 52d ago
  • National Accounts Medical Director

    Elevance Health

    Medical director job in Overland Park, KS

    Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered. The **National Accounts Medical Director** is responsible for serving as the Operational Medical Director for our care management models for our National Account clients. The medical director will be responsible for supporting the clinical vision and implementation to deliver an improvement in the health of the people we serve. The medical director supports product strategy/design through medical management that impact health care quality, cost, and outcomes, and improving access to the health improvement tools offered to clients/ members. The medical director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical relevance to account reporting regarding use of medical services by members. Involved in identifying and managing medical utilization trends, emerging trends and market changes that impact the client and members. Responsible for proactively identifying and solutioning with account management, Sales RVP Medical Directors. **How you will make an impact** : + Day to day clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management. + Daily case reviews for both utilization and case management issues. (80/20 split) + Consistent adoption and implementation of all medical policies used for operational reviews. + Leading multidisciplinary rounds for case management /complex clinical management. + Peer-to-peer outreach for both utilization reviews and also for case management consultation with treating providers. + Clinical report reviews, trend management, benefit design consultation, and supporting overall clinical performance guarantee success. + The medical director will be responsible for supporting all state specific requirements that apply for each state where there is our business. **Minimum Requirements:** + Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). + Must possess an active unrestricted medical license to practice medicine or a health profession. + Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. + Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency. **Preferred Qualifications:** + Indiana MD license or compact state multi-licensure is preferred but not exclusive. + Board certification preferably in a Primary Health Specialty, Family or Internal medicine or Surgery (surgical specialty). + Knowledge and experience with population or segment health management is a plus. + Knowledge of the health insurance industry and the National Accounts segment is preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $ 250,236 to $411,102 **Locations: Illinois, DC, Nevada.** In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws _._ * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $250.2k-411.1k yearly 60d+ ago
  • Field Medical Director, Oncology

    Evolent 4.6company rating

    Medical director job in Topeka, KS

    **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** What You Will Be Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert. + Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + Participates in on-going training per inter-rater reliability process. Qualifications- + MD/DO/MBBS + Minimum of five (5) years' experience in the practice of Medicine, post residency and Active Clinical practice within the last 2 years is preferred + Current, unrestricted clinical license in medicine or required specialty- + Obtaining and maintaining medical licenses in the state you reside, as well as any license required per business needs + Active Board Certification in Medical Oncology + Strong clinical, management, communication, and organizational skills + Energetic and curious with a passion for quality and value in health care + Computer Proficiency + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare. + No history of a major disciplinary or legal action by a state medical board To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $120-130/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!
    $120-130 hourly 60d+ ago
  • Medical Director

    Adventhealth South Overland Park 4.7company rating

    Medical director job in Overland Park, KS

    Are you ready to take the next step in your hospital medicine career by incorporating a leadership component? Bring your practice experience as a hospitalist physician to lead our hospital medicine (HM) program at AdventHealth South Overland Park in Overland Park, KS; a highly desirable and expanding suburb of Kansas City due to the reputable school systems and amenities available. This role is ideal for you if you are a physician who welcomes a full-time clinical position with administrative responsibilities and are passionate about clinical excellence, team leadership, and the delivery of patient-centered care. You will oversee clinical operations, ensure the highest standards of care, and collaborate with other departments to optimize patient outcomes. • Flexible block or shift based schedule • Manageable patient load • Modern and growing medical center in a booming suburb of Kansas City • EMR system: Epic • Seasoned clinical and operational leadership in place to assist you We ask that you bring strong communication and collaboration skills to engage with hospital leadership, the medical staff, and nursing staff. Embrace the opportunity to foster a culture of teamwork, innovation, and professional growth while providing exceptional patient care, together. Previous medical director and/or leadership experience desired. Apply today! California Applicant Privacy Act: - Enjoy the stability of being part of the industry leader in hospital medicine, TeamHealth • Physician-founded, provider-led practice for over 45 years • Monthly medical director stipend • Supportive and experienced leadership team available for assistance and mentoring • Educational and CME resources through TeamHealth Institute and TeamHealth Hospital Medicine Academy • Paid professional liability insurance with tail insurance provided • Practice with confidence as a member of TeamHealth's National Patient Safety Organization
    $202k-288k yearly est. 60d+ ago
  • Medical Director (Psychiatrist)

    Titan Placement Group

    Medical director job in Lawrence, KS

    A Medical Director needed in Lawrence, KS. Titan Placement Group invites you to an opportunity in a city known for its thriving Mass Street downtown with unique shops and restaurants, and its cultural vibrancy, driven by the University of Kansas (KU) and a lively arts and music scene. Salary and Benefits The pay for this position is $300,000 - $350,000 per year based on experience Health Insurance: 3 plans to choose from Dental and Vision Insurance Health Savings Account & Flexible Spending Account Retirement package - Kansas Public Employees Retirement System (KPERS) with Employer contribution Paid Time Off - 15 days for year one 12 paid holidays Life Insurance Short Term Disability Full Support Staff (Nursing, Clinicians, and Providers) Responsibilities Monday - Friday (8:00am - 5:00pm) Lead by example with strong clinical and operational excellence. Oversee and support psychiatric providers (both employed and contracted). Directly supervise psychiatric nurse practitioners. Provide guidance to medical students, residents, and contracted psychiatrists. Deliver direct patient care Requirements Clear and Active License and DEA in the State of Kansas MD/DO Board Certified or Board Eligible in Psychiatry Supervisory experience required About Us Titan Placement Group is a permanent placement healthcare recruiting firm that is bridging the gap between healthcare companies and high-quality candidates. We do that by utilizing our core values of communication, collaboration, and accountability. Titan Placement Group is an EEO/AA/Disability/Protected Veteran Employer. We encourage minority and female candidates to apply. If interested, please apply, or email your resume to *********************** We can always be reached by phone at **************.
    $300k-350k yearly Easy Apply 50d ago
  • 10,000 Bonus- Part-time Medical Director

    Centurion Health

    Medical director job in Winfield, KS

    Job Details KS, Winfield - Winfield Correctional Facility - Winfield, KS KS, Winfield - Winfield Long Term Care - Winfield, KS Part-Time Professional Degree Day Medical Physician & Advanced Practice ProviderDescription $10,000 bonus for joining our team part-time! Centurion is proud to partner with Correctional Healthcare Experts as the provider of comprehensive healthcare services to the Kansas Department of Corrections. We are currently seeking a part-time Medical Director for Winfield Correctional Facility located in Winfield, Kansas. The Medical Director provides the clinical direction needed to meet service delivery requirements, direct clinical services for patients, and clinical supervision for medical staff at the assigned site under the supervision of the Statewide Medical Director. The Medical Director collaborates with the Health Services Administrator (HSA) to ensure efficient and clinically appropriate medical services are provided and participates in various committees to include Continuous Quality Improvement (CQI), Infection Prevention and Control, and Pharmacy and Therapeutics as requested. Qualifications • Medical degree (MD or DO) from an accredited medical school required • Active and unrestricted MD/DO KS license or the ability to obtain • Board certification in Family Medicine, Internal Medicine, or Emergency Medicine required • Must show/be able to obtain active Drug Enforcement Administration (DEA) registration • Leadership/directorship experience preferred • Ability to pass credentialing, drug screening and background check Centurion Health contracts with state and local governments nationwide to provide comprehensive healthcare services to correctional facilities, state hospitals, and other community settings. Our dedication to making a difference and our passionate team of the best and the brightest healthcare employees has made us one of the leaders of the correctional health industry. Whether you are driven by purpose and impact or on a journey of professional growth, our opportunities can offer both. To learn more, please contact Natelie Blasius ************************* ************ indmhm
    $185k-301k yearly est. Easy Apply 60d+ ago
  • Medical Director - Inpatient Mental Health Program - Kansas City

    Children's Mercy KC

    Medical director job in Overland Park, KS

    Thanks for your interest in Children's Mercy! Do you envision finding a meaningful role with an inclusive and compassionate team? At Children's Mercy, we believe in making a difference in the lives of all children and shining a light of hope to the patients and families we serve. Our employees make the difference, which is why we have been recognized by U.S. News & World Report as a top pediatric hospital, for eleven consecutive years. Children's Mercy is in the heart of Kansas City - a metro abounding in cultural experiences, vibrant communities and thriving businesses. This is where our patients and families live, work and play. This is a community that has embraced our hospital and we strive to say thanks by giving back. As a leader in children's health, we engage in meaningful programs and partnerships throughout the region so that we can improve the lives of children beyond the walls of our hospital. Overview Are you looking for an exceptional opportunity and a desire to be a part of the biggest change in behavioral health for youth in the Kansas City area? Children's Mercy Kansas City, in partnership with Camber, is seeking a Medical Director to lead a new inpatient psychiatric hospital in Olathe, KS. The Medical Director will participate in the implementation and ongoing management of psychiatric and medical operations including the development of health management strategies, quality of psychiatric and medical care, and new clinical initiatives; provide professional pediatric and adult psychiatry services to the Psychiatric Hospital's patients, including the diagnosis and treatment of mental, emotional, and behavioral disorders; provide psychiatry standard medical education and supervision services to psychiatric fellows at the Psychiatric Hospital; Provide oversight, evaluation, and review of quality of work of psychiatric practitioners for appropriate diagnosis, treatment, and documentation; The preferred candidate will be triple board certified in General Psychiatry, Pediatrics and Child & Adolescent Psychiatry and have four to six years of post-residency clinical experience with at least three years of experience in medical leadership roles in an inpatient environment. Key features of this program: Stand alone, newly constructed, state of the art, inpatient psychiatric hospital - 72-beds (48 dedicated to children). Diverse patient population - Sixty-six percent of Children's Mercy youth mental health patients are people of color; Seventy-four percent of mental health patients are from lower median household incomes (according to US Census data from 2022. Team based care focused on families - In collaboration with interdisciplinary behavioral health care clinical team at the Psychiatric Hospital including physicians, psychologists, social workers, psychiatric nurses, or other professionals regarding the treatment planning process. Competitive compensation and fringe benefits Collaborative and winning culture Academic appointment commensurate with experience Olathe, Kansas is a suburb of Kansas City and located in Johnson County. Olathe has been rated as one of the 25 fastest growing communities in the nation. Money Magazine lists it as one of the top 100 small cities in which to live. Olathe offers highly ranked school districts, great restaurants, entertainment and is rich with history and culture. Kansas City is a thriving cultural and economic city with more than 2.1 million residents in the metro area. Kansas City offers some of the best public-school districts in the nation and a low cost of living. KC has small-town friendliness, with big-city dining, a variety of entertainment options, incredible jazz, professional sports, world renowned museums, great shopping and more fountains than any city in the world, other than Rome. Our city's long list of attractions includes world-class museums and entertainment from the World War 1 Museum, American Jazz Museum, Negro Leagues Baseball Museum, Nelson-Atkins Museum of Art, Kemper Museum, Missouri Repertory Theatre, and Kauffman Center for the Performing Arts. Kansas City is large enough to provide the amenities of a metropolitan area, while small enough to allow for easy commutes, assessable amenities, and a very high quality of life. For more information, please contact us at ************ (866-CMH-in KC), or please submit CV and cover letter to: ********************* For more information visit: cmkc.link/TakeYourPlace. EEO Employer/Disabled/Vet At Children's Mercy, we are committed to ensuring that everyone feels welcomed within our walls. A successful candidate for this position will join us as we strive to create a workplace that reflects the community we serve, as well as our core values of kindness, curiosity, inclusion, team and integrity. Additionally, it's important to us that we remain transparent with all potential job candidates. Because we value the safety of the patients and families we serve, as well as the Children's Mercy staff, we want to let you know that the seasonal influenza vaccine is a condition of employment for all employees in our organization. New employees must be willing to be vaccinated if found non-immune to measles, mumps, rubella (MMR) and chicken pox (varicella) and/or without evidence of tetanus, diphtheria, acellular pertussis (Tdap) vaccination since 2005. If you become a finalist for this position, and have any concerns about receiving these vaccines, medical and/or religious exemptions can be further discussed with Human Resources. EEO Employer/Disabled/Vet Children's Mercy hires individuals based on their job skills, expertise and ability to maintain professional relationships with fellow employees, patients, parents and visitors. A personal interview, formal education and training, previous work experience, references and a criminal background investigation are all factors used to select the best candidates. The hospital does not discriminate against prospective or current employees based on the race, color, religion, sex, national origin, age, disability, creed, genetic information, sexual orientation, gender identity or expression, ancestry or veteran status. A drug screen will be performed upon hire. Children's Mercy is smoke and tobacco free. CM is committed to creating a workforce that supports the diverse backgrounds of our patients and families. We know that our greatest strengths come from the people who make up our team, so we hire great people from a wide variety of backgrounds, not just because it's the right thing to do, but because it makes our hospital stronger and our patient care more compassionate. If you share our values and our enthusiasm for service, you will find a home at CM. In recruiting for our team, we welcome the unique contributions that you can bring, including education, ideas, culture, and beliefs.
    $186k-300k yearly est. Auto-Apply 60d+ ago
  • Medical Office Director

    Heartspring 3.6company rating

    Medical director job in Wichita, KS

    About Us At Heartspring, we are driven by our core values: excellence, possibility, leadership, service, celebration, and integrity. We provide innovative and compassionate care for individuals with neurodevelopmental disabilities in a therapeutic school and residential setting. Position Summary The Medical Office Director provides strategic leadership and operational oversight of our school medical and nutrition services teams. In partnership with the Lead RN, this role ensures the delivery of high-quality, client-centered healthcare tailored to the unique needs of our students and clients. Key Responsibilities Lead Medical Operations: Set strategic direction and delegate clinical oversight to the Lead RN. Coordinate Client Care: Drive interdisciplinary collaboration and communication across medical and residential teams. Quality & Compliance: Oversee audits, implement corrective actions, and ensure adherence to Kansas school medication guidelines. Risk Management: Develop policies and lead audit readiness and licensure compliance. Budget & Resources: Manage department budgets and recommend staffing and equipment needs. Team Leadership: Guide and develop team members, promote morale, and uphold company policies. Problem-Solving: Foster innovation and resolve systemic challenges through cross-functional collaboration. Ready to lead with purpose? Apply today and help us make a difference. Requirements Education and Experience: 7+ years' experience in medical office or healthcare operations management is required. Must maintain current CPR and NCI certifications (attain within first month of employment, if don't currently have). Demonstrated ability to manage complex RN department challenges and initiatives. Demonstrated ability to align medical office initiatives with overall business goals, driving work culture and anticipating future workforce needs. BSN/MSN in Nursing or Healthcare Administration, preferred. A history of demonstrated leadership working with individuals with developmental complexities, preferred. Kansas Licensure (APRN, RN or higher) , preferred . You are a great fit for this role if you have knowledge and abilities in: Deep understanding of medical office and/or nursing practices, particularly with developmental behavioral disabilities. Demonstrated ability to lead and manage a diverse clinical team, fostering a positive and productive work environment. Excellent time management, organizational, and problem-solving skills in a fast-paced environment. Solid communication skills, both verbal and written, for effective interaction with others. Teamwork, dependability, and strong customer-centric approach. Proficiency in Microsoft Office Suite, Adobe Creative Suite, and digital tools/platforms.
    $169k-250k yearly est. 37d ago
  • PCO Medical Director - UM - Part Time (Hourly)

    Centerwell

    Medical director job in Topeka, KS

    **Become a part of our caring community and help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims. The Medical Director, Primary Care work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, participation in care management and possible participation in care facilitation with hospitals. The clinical scenarios predominantly arise from inpatient or post-acute care environments. There are discussions with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some instances, these may require conflict resolution skills. An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market care facilitation and priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health Services. After completion of mentored training, daily work is performed with minimal direction. Enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations and meets compliance timelines. **Required Qualifications** + MD or DO degree. + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board Certification in an approved ABMS Medical Specialty as well as ABQAURP, or other boarddemonstratingadvanced training in transitions of care, quality assurance,utilizationmanagementand care coordination. + A current and unrestricted license in at least onejurisdictionand willing to obtainadditionallicense, ifrequired. + No currentsanctionfrom Federal or State Governmental organizations, and able to pass credentialing requirements. + Excellent organizational,verbaland written communication skills. + Evidence of analytic and interpretation skills, with prior experienceparticipatingin teams focusing on transitions of care, quality management,utilizationmanagement, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilizationmanagement experience in a medical management review organization, such as Medicare Advantage,managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG or InterQual. + Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists + Advanceddegreesuch as an MBA, MHA, MPH + Exposure to value-based care, Public Health, Population Health, analytics, and use of business metrics. + Experience working with Casemanagersor Caremanagerson complex case management, including familiarity with social determinants of health. + The curiosity to learn, the flexibility toadaptand the courage to innovate. **Additional Information** Will report to the Director of Physician Strategy at Utilization Management. The Medical Director conducts Utilization review of the care received by members in an assigned region, market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 1 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $223,800 - $313,100 per year **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident. Application Deadline: 12-31-2025 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
    $223.8k-313.1k yearly 7d ago
  • ER Medical Director - Up to $100K Sign -On!

    The Staff Pad

    Medical director job in Topeka, KS

    Highlights Role: Emergency Medicine Physician with Medical Directorship responsibilities Position Type: Full -time, W2 employment with comprehensive benefits Directorship Incentives: Competitive monthly stipend for medical director duties Sign -on bonus up to $100,000 Clinical Volume: ~34,000 annual ER visits supported by 34 physician coverage hours and 30 hours of APC coverage Affiliation: Partnered with the University of Kansas, enhancing academic and clinical collaboration Location & Community Benefits Base Locations: Work in either Topeka, KS (state capital) or Lawrence, KS, home to the University of Kansas (~30 minutes away) Lifestyle Perks: Affordable cost of living and real estate well below national average Access to collegiate athletics, cultural events, museums, arts, and short commutes to Kansas City Ideal Candidate Profile Medical degree (MD or DO) from accredited institution Board Certified in Emergency Medicine (ABEM or AOBEM) Proven leadership experience in clinical or administrative roles Eligible for or able to obtain Kansas medical licensure For Emergency Medicine professionals ready to take on both patient care and leadership responsibilities, this role provides: Significant financial incentives via directorship and a robust benefits package A balance of clinical autonomy and academic partnership A rewarding lifestyle in a welcoming Western Kansas community If you're interested in stepping into a high -impact position that combines leadership, clinical excellence, and academic engagement, let's connect to discuss candidate fit or next steps.
    $186k-301k yearly est. 60d+ ago
  • Assistant Chief Medical Officer

    Gracemed Health Clinic 3.8company rating

    Medical director job in Topeka, KS

    Classification: Exempt, Full-time Supervision Responsibilities: No Reporting Relationship: Reports to the Chief Medical Officer Essential Role: Provides support to the Chief Medical Officer in clinical leadership, quality of patient care, provider support, and coordination of operations. This role will focus on primary care with time allotted for administrative responsibilities. Duties & Responsibilities: * Provides medical evaluation, treatment and consultation services to patients of the clinic. * Responds to emergencies and answers medical questions. * Support the CMO in implementing clinical protocols, initiatives, onboarding, mentoring, performance reviews, disciplinary actions, clinical workflows, and overall patient care structures. * Participates in provider recruitment and retention efforts as needed. * Obtains and documents, appropriate chief complaint, past medical, family and social history, review of systems, examination, medications and allergies, assessment and plan for each patient. * Provides medical orders for prescription refills, administration of medications, ancillary testing, and/or referrals. * Reviews ancillary test results and coordinates notification to the patient. * Provides patient education as needed. * Supervises patient care by non-clinic agencies such as home health care, nursing home, or hospice. * Available to patients personally or through clinical staff to answer questions and relay information regarding their care. * Completion of appropriate paperwork to comply with insurance and reimbursement guidelines. * Completion of all documentation and paperwork in a timely manner. * Participates in on-call schedule. * Works closely with the Chief Medical Officer and operational leadership to provide leadership for the clinics. * Participates in training of medical students/residents or other midlevel providers as requested. * Clinically supervises assigned midlevel providers in the conduct of clinical care and delegates authority and responsibility when and where needed. * Reviews assigned midlevel provider's patient charts to check for quality of care. * Attends all staff, clinical, board or other special meetings as requested. Qualifications: Education/Certifications/Licenses/Registrations * Family Medicine Doctor or Doctor of Osteopathy degree. * Current State of Kansas MD or DO licensure. * Current DEA certificate. * CPR certification (must be obtained within 30 days of employment). * Maintains appropriate licensure and certification including meeting and/or exceeding CME requirements. * Board Certification in Specialty preferred. Experience * 5 years of provider level experience preferred. * Experience in FQHC or public health clinic preferred. Technical Skills * Must possess a thorough knowledge of modern office practices, procedures, and equipment, including computers, copiers, and other standard office equipment. * Ability to work independently, organize, monitor, and adjust work as necessary to ensure accuracy and timeliness. * Demonstrated ability to identify and solve problems. Behavioral * Ability to strongly embrace and personify the mission and values of GraceMed with socio-economic and cultural sensitivity in mind. * Must display good verbal and written communication skills, and be able to professionally receive and follow oral instructions. * Compassion for patients, family members, and others; along with a nurturing spirit to provide care during stressful situations. Work Schedule: Monday, Tuesday, Wednesday, Friday, 8:00 am to 5:00 pm, Thursdays are 10:00 am to 7:00 pm. May require work outside of usual business hours; including evenings or weekends, to handle customer service or personnel issues and attend meetings and/or community events. Working Conditions: Medical office setting. Ability to sit and/or stand for long periods of time. Bending, stooping, and lifting (up to 50lbs.) may be required. Interaction with physicians, patients and other office personnel. May involve contact with angry, upset or ill persons. May involve potential exposure to blood and body fluids and other hazardous substances. Must have visual acuity and manual dexterity to interface with computer. Must have auditory acuity to handle phone calls. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed, as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. This job description has been examined for compliance with the Americans with Disabilities Act (ADA) and the Fair Labor Standards Act (FLSA) (May 1995).
    $169k-243k yearly est. 17d ago
  • Director of Acute Care/Med Surg

    Coffeyville Regional Medical Center 4.3company rating

    Medical director job in Coffeyville, KS

    Make a Difference as a Nursing Director....Work with Coffeyville Regional Medical Center. Ask any of our staff members what makes CRMC special, and you're likely to hear them answer "the people," from employees who have been with us up to 40 years. Our Standards of Excellence are demonstrated daily through patient care and interaction, unwavering community support and The Joint Commission Gold Seal of Quality. Serving Southeast Kansas and Northeast Oklahoma out of Montgomery County is an experience beyond the hospital walls as we work, live and relax with our neighbors and friends. Cost of living is low, and quality of living is high. Our communities bring the region of Kansas' southern Flint Hills alive with outdoor and indoor activity. Enjoy a little slower pace in life to enjoy camping, fishing and boating at any of our lakes; hunting, hiking and sport throughout our terrain; strong education systems with two area community colleges and neighboring state university; as well as art and culture which abound in all of our communities. Our Main Street pubs to nearby casinos offer year-round entertainment, along with many annual festivals including Coffeyville's Summer Celebration, Independence's Neewollah Festival, KanOkla 100 mi highway sale, rodeos and other events. When you need some city, get to Tulsa in about an hour; Wichita or Oklahoma City in about two hours; and Branson or Kansas City in about three hours. CRMC has stable positioning for growth and opportunity with strong Board support and thus far, navigating away from furloughs or shutdowns during the COVID crisis. We are proud of our very proactive response to the crisis and agility to allow us to pull together a specialized and separated COVID clinic in the early stages. We have become a chosen partner for many area businesses and continue to grow our practices with recent staff physician additions, deployment of TeleHealth opportunities, and updating our processes for strongest efficiency and care across our service lines. CRMC and Montgomery County welcome you to explore our hospital, communities and opportunity for Nursing Director. * Dynamic, Servant Leadership Team * Comprehensive Benefits Available * Relocation Reimbursement Available * Kansas Rural Opportunity Zone 100% Personal Tax Credit up to five years for out of state relocations JOB DESCRIPTION: The Nursing Director is a professional nurse (RN) who manages the day to day operations of the CRMC nursing unit while working closely with nursing supervisory staff, unit staff and physicians. The Nursing Director assumes 24/7 responsibility for the unit while supporting the Chief Nursing Director (CNO) ensuring highest quality, safety, appropriate nursing care, staff competency and appropriate resources management for clients aged from infant to geriatric. The Registered Nurse (RN) reports to the Chief Nursing Officer and supports the hospital providing specific duties including: * Schedule staff appropriate for census and reconcile employee time reports. * Perform competency evaluation, performance appraisal, employee engagement, recognition and corrective action activities, as necessary. * Prepare and monitor unit budget. * Assure clinical nursing skills are appropriate for the unit assigned. * Liaison between nursing staff and Chief Nursing Officer as needed for optimum patient care to CRMC Standards of Excellence, JCAHO standards and local/state/federal rules and regulations. * Apply sound nursing judgment in patient care management decisions. * Collaborate with the nursing team to create a Plan of Care for all patients. * Direct and guide ancillary personnel and maintain standards of professional nursing. * Provide patient care as a Registered Nurse (RN), when needed to support staff and hospital needs. The Nursing Director (RN) assumes other responsibilities as assigned by the Chief Nursing Officers. JOB REQUIREMENTS: * Ability to read, analyze and interpret common specific and technical journals * Reasoning ability to define problems, collect data, establish facts and draw valid conclusions * Analytical ability to apply criteria and evaluate information to make decisions * Strong verbal and written communication skills; and excellent interpersonal skills * Accurate clinical assessment skills regarding patient medical conditions * Computer skills including MSOffice, Outlook, Meditech, preferred * Willingness to cross train and cover other positions and responsibilities in the Quality Department as needed. * Ability to read, analyze, and interpret common scientific and technical journals * Ability to stand, walk, talk, hear, sit; reach with arms, hands and fingers to handle and feel; climb or balance; stoop, kneel, crouch or crawl; taste and smell as demonstrated by the Occupational Performance Capacity (OPC) test and/or pre-employment physical administered by CRMC at offer, required EDUCATION AND EXPERIENCE: * Associate Degree or Diploma in nursing, required * Current Registered Nurse licensure with the State of Kansas, required * Three to five years' of progressive experience as a Registered Nurse (RN) in an acute care setting, required * Three years' minimum experience in specific area for role, required * BLS, ACLS, PALS, BRP, TNCC and ENP, required * Two years' management related experience. preferred * Bachelor degree in Nursing or actively enrolled in Bachelor program for Nursing, preferred * Pursues programs of continuing education consisted with requirements of the Kansas State Board of Nursing, as well as educational conferences and updates to maintain professional knowledge and skills related to the areas of responsibilities * For acute care, acute care experience, preferred * For clinical care, clinical care experience, preferred * For obstetrics, OB care experience, preferred * For surgical, surgery experience, preferred * For ICU, ICU experience, preferred * For Emergency Department, ED experience preferred * For Home Health, Home Health experience preferred 2022
    $207k-298k yearly est. 24d ago
  • Physician - Emergency Medicine Medical Director

    The University of Kansas Hospital 3.8company rating

    Medical director job in Great Bend, KS

    Title Physician - Emergency Medicine Medical Director Great Bend Hospital / Career Interest: Physician - Emergency Medicine Medical Director The University of Kansas Health System Great Bend Campus is growing their full-service Emergency Medicine team. The Department of Emergency Medicine is looking for a strong leader to build a physician lead model with APP support. The Medical Director's responsibilities will be to provide direct patient care while overseeing administrative and clinical activities. As an active member of the Medical Staff, this individual will attend necessary meetings and take charge of clinical and administrative issues, collaborate with the lead PA and conduct chart reviews for PAs and NPs. The ideal candidate will be Board Eligible/Board Certified in Emergency Medicine or Family Medicine with ED experience and licensed in Kansas, additionally we are currently accepting candidates requiring J1 Visa sponsorship. We Offer: * Employed Opportunity * Competitive Salary * Comprehensive Benefits Package * Annual CME Allowance * Sign-On Bonus * Relocation Allowance About the University of Kansas Great Bend Campus: The University of Kansas Health System Great Bend Campus includes a 33-bed, not-for-profit hospital providing short-term acute care services along with orthopedic, obstetric, and surgical care units, radiology and an emergency department including Level IV trauma services. The medical pavilion, also located on the Great Bend Campus, provides specialty ambulatory care including obstetrics/gynecology, family medicine, general surgery and specialty clinics. In the Great Bend community, The University of Kansas Health System also has St. Rose Medical Pavilion. St. Rose Medical Pavilion, located on Broadway Avenue, provides Family Medicine (Including Family Medicine with Obstetrics and Family Medicine with Sports Medicine, specialty outpatient care including cardiac rehab and various specialty care clinics during the month. It also provides a Convenient Care Walk-In Clinic for nonemergency situations. The University of Kansas Health System employs approximately 400 associates in its Great Bend, Kansas, facilities. About Great Bend, Kansas: Situated in Barton County, Great Bend is home to nearly 15,000 residents. It is an ideal community for families, boasting excellent schools and numerous attractions. Spend your weekends at Wetlands Waterpark, join a Great Bend Rec program, or explore the free Great Bend-Brit Spaugh Zoo. During the summer, don't miss the local farmers market, the Summer Street Stroll, outdoor movies in Jack Kilby Square, mud volleyball during June Jaunt, or concerts at Party in the Park. The active downtown area offers plenty to enjoy, from food trucks to the local brewery. Final Fridays on Forest provide a wonderful opportunity to connect with fellow community members and soak in the lively atmosphere. The holiday season brings beautifully illuminated displays, best enjoyed by taking a ride on the Great Bend trolley. For sports enthusiasts, the recently renovated sports complex hosts multiple sporting events and Barton Community College activities. Outdoor recreation options abound, with Cheyenne Bottoms, the largest inland marsh in the United States, located near Great Bend. The community is surrounded by numerous parks and trails, ensuring ample opportunities for outdoor activities. No matter your interests, Great Bend offers something for everyone to enjoy. Interested applicants send CV to Ann Terry at **************** or call ************. Time Type: Full time Job Requisition ID: R-14029 We are an equal employment opportunity employer without regard to a person's race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information. Need help finding the right job? We can recommend jobs specifically for you! Create a custom Job Alert by selecting criteria that suit your career interests.
    $158k-235k yearly est. Auto-Apply 60d+ ago
  • Contracted Part Time Medical Director

    Mainstream Nonprofit Solutions 3.7company rating

    Medical director job in Topeka, KS

    Part-time, Contract Description Pathway Family Services is seeking a dedicated and experienced psychiatrist to serve as the Medical Director for our PRTF programs. This contracted role is pivotal in ensuring high-quality psychiatric and medical care for youth in our facilities, while supporting clinical and program staff in delivering efficient and effective treatment. The ideal candidate will align with our trauma-informed philosophy and commitment to eliminating restraints and seclusions. Key Responsibilities Provide regular contact with residents, especially those on medication. Collaborate with treatment teams to develop and monitor individualized care plans. Maintain communication with residents' families as needed. Conduct and document psychiatric evaluations. Advise staff on medical matters, including psychotropic medication management. Authorize seclusion or restraint per CMS regulations. Review medical records for necessity, timeliness, and treatment progression. Evaluate quality and utilization data and recommend actions. Ensure agency medical policies comply with federal and state regulations. Serve as a consultant and resource across departments. Identify opportunities for innovation in medical services. Represent the agency in internal and external committees. Travel as required for meetings and training (valid driver's license required). Qualifications MD or DO degree from an accredited medical or osteopathic school. Completion of an approved hospital internship. Minimum of 5 years practicing medicine, including psychiatric care. Licensed to practice medicine in the State of Kansas. Trained in emergency safety interventions. Skills and Abilities Strong analytical and problem-solving skills. Ability to interpret technical and scientific information. Effective communication and presentation skills. Proficient in computer-based data analysis and documentation. Work Environment Moderate noise level with frequent interruptions. Exposure to both indoor and occasional outdoor conditions. Potential for verbal and physical threats from youth. Physical demands include standing, walking, sitting, and safe vehicle operation. Why Join Us? At Pathway Family Services, you'll be part of a mission-driven team committed to improving lives through compassionate care and clinical excellence. If you're ready to make a meaningful impact in the lives of youth and families, we encourage you to apply.
    $175k-270k yearly est. 60d+ ago

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