Physician - Medical Director, Pediatric CVICU
Medical director job in Saint Rose, LA
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! Ochsner Children's Hospital is seeking an experienced Pediatric Cardiac Intensivist to serve as Medical Director of of Pediatric CVICU in New Orleans, Louisiana. Responsibilities will focus on all aspects of non-invasive imaging including fetal echocardiography, transesophageal echocardiography and general echocardiography with teaching responsibilities for pediatric residents, medical students, and sonographers. There is also an opportunity for cross-sectional imaging as part of our growing cardiac MRI and CT program. The job with also include outpatient clinic, inpatient service and telemedicine. Ochsner Children's provides services for all pediatric cardiac sub-specialties including heart failure/transplant, EP, ACHD, interventional cardiology, imaging including echocardiography and cardiac MRI and CT, and fetal cardiology, comprehensive single ventricle program, and neurodevelopmental clinic. The heart center includes 21 cardiologists, 3 congenital heart surgeons, 6 cardiac intensivists practicing in a dedicated pediatric 12 bed cardiac intensive care unit and 3 pediatric cardiac anesthesiologists. The program performs approximately 250 cardiac surgeries, 400 cardiac catheterizations (75% interventional) and 19,000 ambulatory visits at 15 locations across Louisiana and Mississippi per year. Our heart center has been ranked by US New and World Report for the last 6 years and is the only ranked program in Louisiana; survival after cardiac surgery for our most complex patients (STS STAT 4 and 5 categories) is in the top 10% of programs reporting to STS. Our comprehensive Ochsner Children's program is the region's leading integrated provider of multispecialty care for newborns, infants, children, adolescents, and young adults. We offer a full range of pediatric complex specialty services including, liver and bone marrow transplantation, a comprehensive surgical sub-specialty group, advanced GI and Hepatology, advanced spine surgery, Hematology-Oncology and AYA Oncology, Cleft Palate/Cranio-Facial Surgery and the region's only comprehensive multidisciplinary developmental pediatrics center. Ochsner Children's Hospital includes a 67-bed Level IV Neonatal Intensive Care Unit, a 14-bed PICU, a 12-bed pediatric CV-ICU, a NAEC-accredited level IV, 4 bed Pediatric EMU and a 44-bed Pediatric Acute Care unit, with a dedicated pediatric emergency room, supported by a 24-7 pediatric and neonatal transport team utilizing rotary and fixed wing aircraft, as well as ground transport. Last year we broke ground on a new 5-story Children's Hospital on our main campus in New Orleans, with expected opening in quarter 1 of 2028. In addition to direct patient care, Ochsner Children's Hospital has an ACGME-accredited pediatric residency program and is also responsible for teaching pediatric residents from the Tulane-Ochsner Pediatric Residency program as well as medical students from both Tulane and the University of Queensland, Australia. Ochsner Health and Xavier University of Louisiana recently announced an agreement to establish a joint allopathic College of Medicine, the Xavier Ochsner College of Medicine which is in the LCME accreditation process currently. Our faculty publishes hundreds of research papers annually and Ochsner participate in numerous multi-center studies and trials. Are you ready to make a difference? Apply Today! Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C. Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at ************ (select option 1) or ******************* (mailto:*******************) . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.
Medical Director - Clinical Research
Medical director job in New Orleans, LA
📍 New Orleans (relocation support available)
We are searching for a Medical Director to oversee a fast-growing clinical research site in Louisiana. This is a critical leadership role with direct impact on sponsor confidence, patient recruitment, and continuity of studies across a diverse therapeutic portfolio.
In this role, you will:
Provide medical leadership across a broad range of Phase II-IV studies.
Serve as Principal Investigator on multiple trials.
Oversee and mentor a team of Principal and Sub-Investigators.
Build trust with patients, sponsors, and regulatory bodies through credibility and leadership.
Help drive the growth and expansion of a high-demand clinical research site.
The Ideal Profile
MD/DO (additional therapeutic range strongly preferred).
5+ years of direct patient care experience.
2+ years of hands-on clinical research experience as a PI or Sub-I.
Demonstrated ability to attract patients or sponsors through strong reputation and track record.
Collaborative leadership style with the ability to guide investigators and clinical staff.
Compensation & Benefits
Competitive salary based on experience.
20% annual bonus linked to site revenue and performance goals.
Relocation sign-on bonus available for non-local candidates.
Clear pathway to senior influence within a high-growth, well-respected research environment.
Why This Role?
This opportunity is ideal for a senior physician who wants to:
Step into a true leadership position.
Oversee a diverse therapeutic portfolio.
Join a fast-growing site with strong sponsor demand and significant year-over-year revenue growth.
Shape the future of a clinical research team positioned for long-term success.
Next Steps
We are interviewing on a rolling basis with a target start date by early 2026. If you meet the requirements and are open to exploring this opportunity, please apply confidentially for a discreet discussion.
Nursing Director - Operating Room
Medical director job in New Orleans, LA
Discover a Career - and a Community - You'll Love in Lafayette, Louisiana!
Step into a leadership role where your expertise truly makes an impact. This relocation opportunity offers more than just a new job - it's a chance to lead a dynamic OR team while building a life in one of Louisiana's most charming cities. Lafayette offers the best of both worlds - a thriving healthcare community and a welcoming city full of southern charm, vibrant culture, and an affordable, family-friendly lifestyle.
At Our Lady of Lourdes we offer you much more than just a job in the healthcare industry. We offer career opportunities for people who have a calling to share their gifts and talents as part of our healing ministry. As a Catholic hospital, we are here to create a spirit of healing - and we invite you to join our team today if you would like to be part of that spirit. In addition to competitive salaries and generous benefits, we offer you something special - the chance to do God's work by helping to serve people in need throughout our community, every day.
Job Summary: The Director Nursing 4 will provide leadership and 24/7 accountability in the daily operations of the OR. The Director is responsible for planning, organizing, directing and evaluating the provision of services in the OR.
Responsibilities
Develops framework that integrates physicians and staff into the decision making process
Develops working relationships with other agencies that meet our mission, values and goals.
Develops, implements, and revises policies and procedures, standards of care, standards of practice particular to the emergency department
Responsible for meeting the requirements of all regulatory agencies, licensing boards, and state and federal laws
Works as a team with other PCS staff to achieve PCSs goals and objectives
Creates a working environment that promotes staff satisfaction as evidenced by high employee satisfaction survey scores, low turnover and absenteeism rates. Hires and retains only the best.
The Emergency Department should be externally recognized as a benchmark for delivering clinical quality.
Develops a practice environment that is contemporary, patient focused, and evidence-based.
Promote a professional practice model that encourages staff participation in the development of clinical standards
Quality is measured and trended so that decisions about professional practice are based on data
Achieves the position of local market share leader, with continuous growth.
Monitor the level of resources utilized in service delivery and determines the appropriateness of resource consumption according to benchmark data
Identifies and maintains the number and level of personnel needed to provide quality patient care by determining activity/guidelines for unit and/or department
Plan, schedule and organize work, ensuring proper distribution and delegation of assignments and efficient utilization of personnel, space and facilities; overall accountability for the requisition, care and maintenance of unit inventory, equipment and supplies.
Consistently scores in the top quartile on the Press Ganey patient satisfaction survey.
Reviews customer satisfaction data and addresses areas that need improvement
Develops concrete actions to address customer needs and expectations.
Consistently scores in the top quartile on the Press Ganey patient satisfaction survey.
Reviews customer satisfaction data and addresses areas that need improvement
Develops concrete actions to address customer needs and expectations.
Job Requirements
Experience - 5 years of increasingly responsible management experience. OR Nursing background required.
Education - Bachelors degree in nursing from accredited school required.
Must have a current RN license to practice in the State of Louisiana. BLS upon hire, and ACLS & PALS Certification within 6 months.
National Accounts Medical Director
Medical director job in Metairie, LA
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.
Auto-ApplyMedical Director needed for Primary Care in New Orleans, LA - 280K + Full Benefits
Medical director job in New Orleans, LA
Quick job details:
Medical Director (Primary Care)
Schedule: Mon - Fri
Patient population: Geriatric
Split: 80 % clinical | 20% Admin
EMR:
DASH
Designed & built for clinic allowing for 50% less dictation
Compensation: 280K base
Benefits: Full Benefits
Requirements: Must be board certified in FM or IM
On-site resources:
Cardiologist, Podiatrist, Acupuncturist, Social worker
Lab, X-Ray, Ultra Sound
Dispensary of over 200 meds - No narcotics
About Us:
HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top facilities nationwide with the focus of finding them highly qualified candidates.
Our Promise:
We will put you in front of the decision makers.
We will provide feedback on your application.
We will work on your behalf to obtain as much info as you need to make a well-informed decision.
If interested in this position, please submit an application or call us at 561-291-7787 to speak with one of our highly experienced consultants. We look forward to finding your next position!
The HealthPlus Team.
Center Medical Director (MD)
Medical director job in New Orleans, LA
Center Medical Director - Primary Care Outpatient COMPENSATION: $280,000-$300,000, OTE $350,000+
We are a physician-led and mission-driven, primary care organization, is currently one of the most successful full- provider, transforming care of the neediest population. Our mission is to honor seniors with affordable VIP care that delivers better health. In order to achieve our vision and deliver our mission, we need the best primary care providers and clinical leaders that are seeking to fulfill purpose and personal opportunity and join the team. Transportation is provided to patients that need it at no charge.
Role:
• Salary: Base $280,000-$300,000
• Hours: Monday - Friday work schedule; Clinic Hours 7:30a - 5:00p (last patient is scheduled at 4:15)
• Work/Life Balance
• Small Patient Panel - 60-90 patients' max
• Manage PCP's and NP's
• Patient Population: Seniors with 3-5 chronic diseases
• Value Based Care
Center Medical Director Training:
• PCP Black Belt Training and PCP Essentials
• Medical Director and Center Operations
• Leadership Pathways Program
• Medical Economics and Center Financial Performance
• Sales and Growth
Benefits:
• Paid Time Off -33 days
• Comprehensive Benefit Package
• Partnership (No buy-in)
• Health, Dental, Vision and supplemental benefits plans for the provider in their family
• 401K - 5.5% match
• $3,500 + 1 week
• Relocation
Clinic offers:
• Inhouse Consulting Specialist: Cardiology, Podiatry and more
• Holistic Health Services: Acupuncture, Tai Chi, Yoga and Nutrition
• Door to Door Transportation for our patients (Uber/Lyft)
Requirements
Board Certified in: Family Medicine, Internal Medicine or Geriatric Medicine
Clear/ Active Medical License
Active DEA license
Education: MD or DO in Internal Medicine, Family Medicine or Geriatrics.
2+ years of clinical experience in a Geriatric Outpatient or Family Practice Outpatient setting.
2+ years leadership experience managing Primary Care Physicians and Nurse Practitioners. Must have been also seeing patients during the most the recent leadership role. Patient panel 60-90 patient with this role.
Experience in Value Based Care preferred
Salary Description 350000
Psychiatrist Medical Director
Medical director job in New Orleans, LA
Responsible for behavioral health leadership in the administration of behavioral health services for the health plan including the overall medical policies of the business unit to ensure the appropriate and most cost effective medical care is received and for the benefit of the member.
Works closely with the Health Plan Chief Medical Officer in program development, staff leadership, health care integration and any other activities as needed to improve outcomes, quality measures and appropriate utilization of resources.
**Position located in Louisiana**
Primary duties may include, but are not limited to:
1.Interprets existing policies and assists in developing new policies based on changes in the healthcare or medical arena.
2.Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes.
3.Identifies and develops opportunities for innovation to increase effectiveness and quality.
4.Serves as a resource and consultant to other areas of the company, may chair or serve on company committees, may be required to represent us to external entities and/or serve on external committees, conduct peer clinical and/or appeal case reviews and peer to peer clinical reviews with attending physicians or other ordering providers to discuss review determinations, provides guidance to staff for clinical operational aspects of the program.
5.Interacts with the physical health medical directors to improve health care quality and provide behavioral health consultation and direction.
6.Supports the medical management staff ensuring timely and consistent responses to members and providers.
7.Interacts with providers, members receiving services, advocate and consumer groups and other MCO behavioral health medical directors in representing the company's philosophy and values.
8.Becomes actively engaged in meetings with the state customer providing oversight for the Managed Medicaid program.
9.Is comfortable with and knowledgeable about NCQA accreditation, specifically HEDIS measures and understands the need to constantly improve these values within health plan to achieve established targets.
10.Understands and uses data analysis for quality improvement, care management and utilization management and in shaping provider behavior.
Qualifications
Requires M.D. or D.O.
Board certification approved by the American Board of Psychiatry and Neurology in Psychiatry.
Must possess an active unrestricted medical license to practice medicine in a state in which the company has an active program.
10 years of clinical experience or any combination of education and experience, which would provide an equivalent background.
SKILLS AND CERTIFICATIONS
Require M.D. or D.O.
Board certification approved by the American Board of Psychiatry and Neurology in Psychiatry.
Must possess an active unrestricted medical license to practice medicine in a state in which the co
10 years of clinical experience
IDEAL CANDIDATE
*Managed care or behavioral health contractor (Magellan) preferred
*General psychiatrist experience, clinical, leadership or practice/clinical setting experience
IDEAL CANDIDATE SHOULD HAVE WORKED FOR THE FOLLOWING COMPANY(IES):
Centene
United
Aetna
Magellan
Private practices
We would like to find local candidates from Louisiana (New Orleans/Metarie).
We are open to candidates from other states who are willing to relocate and apply for a medical license in Louisiana.
Additional Information
All your information will be kept confidential according to EEO guidelines.
Direct Staffing Inc
Director of Nursing - Med/Surg (Telemetry)
Medical director job in Covington, LA
At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system.
We believe the pristine beauty of St. Tammany Parish adds to our attractive compensation package. The health system is nestled in the heart of Covington on the north shore of Lake Pontchartrain. It is a peaceful, scenic, community-oriented area with an abundance of amenities to suit every taste.
JOB DESCRIPTION AND POSITION REQUIREMENTS
Scheduled Weekly Hours: 40
Summary of the Job:
Provides administrative leadership for the Telemetry Medicine Unit for care of hospitalized patients. The Director supports the daily clinical operations and a team of outstanding frontline clinicians. The Director serves as a role model for customer service, quality, best practice, and innovation. He/she is accountable for the delivery of competent, compassionate, and efficient care of patients on a 24-hour basis.
Minimum Qualifications:
Current LA RN licensure. Five (5) years clinical experience in the care of hospitalized patients, plus two (2) years of progressive management experience which may include Charge Nurse and/or Supervisory roles. Current BLS and ALS certifications through any International Liaison Committee on Resuscitation (ILCOR) provided courses such as but not limited to: Ochsner Health System, American Heart Association, and American Red Cross. The ILCOR course must include a manikin check off.
Preferred Qualifications:
BSN and MSN degrees or related field is preferred. RN-BC preferred. Preferred experience for this position includes: Care of telemetry and medicine hospitalized patients.
Physical Demands:
Must possess good physical health. Some requirements include but are not limited to standing, sitting or walking for long periods of time. Lifting at least 20 pounds is required. Must be able to work with a moderate level of noise.
Physical Effort required:
Constant (67%-100%) - seeing
Frequently (34%-66%) - lifting, carrying, pushing/pulling, reaching, handling/feeling, talking, hearing
Occasionally (1%-33%) - climbing (stairs, ladders, etc.), stooping, crouching
EMPLOYMENT
Each St. Tammany Health System staff member is expected to conduct himself or herself according to our mission, vision and values. Please take time to review those expectations, which can be found by clicking here, before applying for employment. If you feel you are unable to demonstrate those characteristics, we respectfully request that you do not proceed with the application process.
EQUAL OPPORTUNITY EMPLOYER
St. Tammany Health System is an Equal Opportunity Employer. St. Tammany Health System is committed to equal employment opportunity for all employees and applicants without regard to race, color, religion, sex, age, national origin or ancestry, citizenship, sexual orientation, gender identity, veteran status, disability status, genetic information or any other protected characteristic under applicable law.
Auto-ApplyAssociate Market Medical Director - New Orleans
Medical director job in Metairie, LA
**We're unique. You should be, too.** We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?
We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.
The Associate Market Clinical Director will directly supervise, performance manage and train Clinical Directors within in his/her assigned market. The incumbent in this role is accountable for center performance objectives, P&L, growth, and culture. In addition to being accountable for the overall clinical outcomes of his/her assigned market, they will have a portion of their time allocated to direct patient care as a PCP and/or other clinical duties. The remainder of their time allocated to leadership responsibilities including Clinical Director performance, engagement, building a strong clinical-operations synergy and culture. The allocation of time is dependent on several factors including PCP capacity, market needs, size of centers, patient membership and Regional President direction.
**ESSENTIAL JOB DUTIES/RESPONSIBILITIES:**
+ Directs accountability for clinical outcomes and day-to-day management of Medical Directors in multiple centers within assigned market, with regular presence in the centers under direct management, and under the supervision of the Regional President.
+ Ensures successful clinical operations and meeting/exceeding plan market earnings.
+ Manages, mentors and coaches Medical Directors in his/her assigned market to deliver outstanding clinical outcomes.
+ Oversees and facilitates talent development of the PCPs, NPs, and Medical Directors in his/her centers including, but not limited to leading facilitated practice (physician shadowing/coaching), conducting 1:1s with direct reports, executing leadership development plans and performance management.
+ Cultivates a center-level physician culture that is fully aligned with and delivering on the ChenMed core model, core values & behaviors and service standards.
+ Assists Clinical COE in training of new practitioners within the assigned centers.
+ Participates in recruiting and interviewing PCP and specialist candidates.
+ Partners with Clinical COE and Talent Acquisition to support clinical talent lifecycle to accelerate Clinical talent growth, including hiring of PCPs, NPs, and Medical Directors, managing, and mentoring physicians, role modeling exemplary clinical leadership.
+ Establishes and supports the development and cultivation of successful relationships with payers, specialists, the community, and hospitals, among others, and driving a social media presence locally, as part of the core responsibilities for the role
+ Monitors and supports overall market culture, responding with urgency to workplace concerns.
+ Reviews/approves center-level referrals and provides back-up for market referral and delegated utilization authorizations.
Other duties as assigned and modified at Regional President's discretion, which may include:
+ Assists Regional President with market quality and performance improvement initiatives.
+ Oversees monthly scorecard reviews and in conjunction with Clinical Leadership, for delivery of quarterly clinical metric analysis.
+ Provides training to other ChenMed entities, as needed.
+ Develops deep relationships with providers and key stakeholders in the market.
+ Uses the understanding of the local market dynamics to drive clinical initiatives.
+ Builds clinical credibility and trust to deepen relationships.
+ Assists with implementation of cost reduction and market clinical strategies.
+ Delivers outstanding clinical outcomes and service to patient panel as a PCP (20%).
+ Performs other duties as assigned and modified at manager's discretion.
**KNOWLEDGE, SKILLS AND ABILITIES:**
+ Consistently demonstrates the following behavioral competencies:
+ Customer focus - Builds strong customer relationships and delivers customer-centric solutions.
+ Demonstrates self-awareness - Uses a combination of feedback and reflection to gain productive insight into personal strengths and weaknesses.
+ Ensures accountability - Holds self and others accountable to meet commitments.
+ Drives results - Consistently achieves results, even under tough circumstances.
+ Develops talent - Develops people to meet both their career goals and the organization's goals.
+ Drives engagement - Creates a climate where people are motivated to do their best to help the organization achieve its objectives.
+ Interpersonal savvy - Relating openly and comfortably with diverse groups of people.
+ Technical knowledge and skills:
+ Excellent clinical skills.
+ Knowledge and experience in a managed care delivery system.
+ Knowledge of clinical outcomes and quality improvement processes.
+ Experience of population risk management or complex chronic disease care management.
+ History of being a natural teacher to fellow Physicians.
+ Other skills and abilities:
+ Good analytical skills.
+ Ability to build relationships with external organizations.
+ Conflict management and resolution skills.
+ Familiar with, if not proficient in Microsoft Office Suite products, including Excel, Word, PowerPoint and Outlook.
+ Computer skills: Comfortable with the electronic medical record (EMR) and facile with keyboarding.
+ Ability to travel locally, regionally and nationally up to 30% of the time.
+ Spoken and written fluency in English
+ This job requires use and exercise of independent judgment
**EDUCATION AND EXPERIENCE CRITERIA:**
+ MD or DO in Internal Medicine, Family Medicine, Geriatrics or similar specialty required
+ A minimum of 2 years' clinical experience required; 3 years preferred.
+ Strongly prefer one (1) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population
+ Board eligibility is required.
+ Board Certified in Internal Medicine, Family Medicine, Geriatrics or similar is preferred, but hires may have other sub-specialty training and board certification.
+ Current, active license to practice medicine in State of employment.
+ High performing physician with a proven track record of clinical leadership experience.
+ Must have completed all internal physician training and have attained partnership.
+ Experience with population risk management or complex chronic disease care management.
+ Experience working with interdisciplinary teams in quality improvement and/or medical/healthcare leadership activities preferred.
+ Preferred to be an existing high performing PCP partner and/or Medical Director within the ChenMed core model, with a proven ability to manage a panel of >400 patients with outstanding clinical, customer service and cost outcomes. Preferred to have been with the organization >2 years, be a recognized leader amongst peers, and can lead teams in quality and performance improvement initiatives.
+ If specialty, has demonstrated leadership within his/her specialty and delivered superior outcomes, with a proven ability to deliver primary care in our model.
**PAY RANGE:**
$257,939 - $368,485 Salary
**EMPLOYEE BENEFITS**
******************************************************
We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care.
ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day.
Current Employee apply HERE (**************************************************
Current Contingent Worker please see job aid HERE to apply
\#LI-Onsite
Medical Director Associate - CarelonRx
Medical director job in Metairie, LA
**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.
CarelonRx delivers market-leading pharmacy benefit management and medication dispensing services to drive affordability and improve member outcomes.
The **Medical Director Associate- CarelonRx** supports pharmacy prior authorization reviews to ensure turnaround time is met and we are in compliance with all Pharmacy Benefit Management regulatory requirements.
**How you will make an impact:**
+ May provide clinical guidance for pharmacy prior authorizations using CarelonRx clinical guidelines.
+ Supports clinicians to ensure timely and consistent responses to members and providers.
+ Conducts peer-to-peer prior authorization reviews for medications with attending physicians or other ordering providers to discuss review determinations.
+ Will participate in a physician on-call weekend rotation for a 24x7 unit.
**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 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
**Preferred Qualifications:**
+ Utilization management experience preferred.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $224,784 to $369,288.
**Locations: District of Columbia (DC), Illinois, Massachusetts, 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, paid time off, stock, 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.
Associate Market Clinical Director
Medical director job in New Orleans, LA
Associate Market Clinical Director role, New Orleans, LA making over $420,000 Plus full benefits
The Associate Market Clinical Director will directly supervise; performance manage and train Clinical Directors within in his/her assigned market. The incumbent in this role is accountable for center performance objectives, P&L, growth, and culture. In addition to being accountable for the overall clinical outcomes of his/her assigned market, they will have a portion of their time allocated to direct patient care as a PCP and/or other clinical duties. The remainder of their time allocated to leadership responsibilities including Clinical Director performance, engagement, building a strong clinical-operations synergy and culture. The allocation of time is dependent on several factors including PCP capacity, market needs, size of centers, patient membership and Regional President direction.
Role:
Salary: Base $325,000-$350,000 plus 30% Bonus
Hours: Monday Friday work schedule; Clinic Hours 7:30a 5:00p (last patient is scheduled at 4:15)
Small Patient Panel 90-100 patients max avg. seeing patients 1 to 1.5 days a week
Patient Population: Seniors with 3-5 chronic diseases
Value Based Care
Center Medical Director Training:
PCP Black Belt Training and PCP Essentials
Assoc. Market Medical Director and Center Operations training
Leadership Pathways Program
Medical Economics and Center Financial Performance
Sales and Growth
Benefits:
Paid Time Off -33 days
Comprehensive Benefit Package
Partnership (No buy-in)
Health, Dental, Vision and supplemental benefits plans for the provider in their family
401K 5.5% match
$3,500 + 1 week
Relocation
Job Description
ESSENTIAL JOB DUTIES/RESPONSIBILITIES:
Directs accountability for clinical outcomes and day-to-day management of Medical Directors in multiple centers within assigned market, with regular presence in the centers under direct management, and under the supervision of the Regional President.
Ensures successful clinical operations and meeting/exceeding plan market earnings.
Manages, mentors and coaches Medical Directors in his/her assigned market to deliver outstanding clinical outcomes.
Oversees and facilitates talent development of the PCPs, NPs, and Medical Directors in his/her centers including, but not limited to leading facilitated practice (physician shadowing/coaching), conducting 1:1s with direct reports, executing leadership development plans and performance management.
Cultivates a center-level physician culture that is fully aligned with and delivering on the core model, core values & behaviors and service standards.
Assists Clinical COE in training of new practitioners within the assigned centers.
Participates in recruiting and interviewing PCP and specialist candidates.
Partners with Clinical COE and Talent Acquisition to support clinical talent lifecycle to accelerate Clinical talent growth, including hiring of PCPs, NPs, and Medical Directors, managing, and mentoring physicians, role modeling exemplary clinical leadership.
Establishes and supports the development and cultivation of successful relationships with payers, specialists, the community, and hospitals, among others, and driving a social media presence locally, as part of the core responsibilities for the role
Monitors and supports overall market culture, responding with urgency to workplace concerns.
Reviews/approves center-level referrals and provides back-up for market referral and delegated utilization authorizations.
Other duties as assigned and modified at Regional Presidents discretion, which may include:
Assists Regional President with market quality and performance improvement initiatives.
Oversees monthly scorecard reviews and in conjunction with Clinical Leadership, for delivery of quarterly clinical metric analysis.
Provides training to other entities, as needed.
Develops deep relationships with providers and key stakeholders in the market.
Uses the understanding of the local market dynamics to drive clinical initiatives.
Builds clinical credibility and trust to deepen relationships.
Assists with implementation of cost reduction and market clinical strategies.
Delivers outstanding clinical outcomes and service to patient panel as a PCP (20%).
Performs other duties as assigned and modified at managers discretion.
KNOWLEDGE, SKILLS AND ABILITIES:
Consistently demonstrates the following behavioral competencies:
Customer focus Builds strong customer relationships and delivers customer-centric solutions.
Demonstrates self-awareness Uses a combination of feedback and reflection to gain productive insight into personal strengths and weaknesses.
Ensures accountability Holds self and others accountable to meet commitments.
Drives results Consistently achieves results, even under tough circumstances.
Develops talent Develops people to meet both their career goals and the organizations goals.
Drives engagement Creates a climate where people are motivated to do their best to help the organization achieve its objectives.
Interpersonal savvy Relating openly and comfortably with diverse groups of people.
Technical knowledge and skills:
Excellent clinical skills.
Knowledge and experience in a managed care delivery system.
Knowledge of clinical outcomes and quality improvement processes.
Experience of population risk management or complex chronic disease care management.
History of being a natural teacher to fellow Physicians.
Other skills and abilities:
Good analytical skills.
Ability to build relationships with external organizations.
Conflict management and resolution skills.
Familiar with, if not proficient in Microsoft Office Suite products, including Excel, Word, PowerPoint and Outlook.
Computer skills: Comfortable with the electronic medical record (EMR) and facile with keyboarding.
Ability to travel locally, regionally and nationally up to 30% of the time.
Spoken and written fluency in English
This job requires use and exercise of independent judgment
EDUCATION AND EXPERIENCE CRITERIA:
MD or DO in Internal Medicine, Family Medicine, Geriatrics or similar specialty required
A minimum of 2 years clinical experience required; 3 years preferred.
Strongly prefer one (1) years previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population
Board eligibility is required.
Board Certified in Internal Medicine, Family Medicine, Geriatrics or similar is preferred, but hires may have other sub-specialty training and board certification.
Current, active license to practice medicine in State of employment.
High performing physician with a proven track record of clinical leadership experience.
Must have completed all internal physician training and have attained partnership.
Experience with population risk management or complex chronic disease care management.
Experience working with interdisciplinary teams in quality improvement and/or medical/healthcare leadership activities preferred.
Preferred to be an existing high performing PCP Medical Director within the Value-Based Care model, with a proven ability to manage a panel of patients with outstanding clinical, customer service and cost outcomes. Preferred to have been with the organization >2 years, be a recognized leader amongst peers, and can lead teams in quality and performance improvement initiatives.
If specialty, has demonstrated leadership within his/her specialty and delivered superior outcomes, with a proven ability to deliver primary care in our model.
Experience Leading Multiple Centers
For more information Contact:
Stephen Kanfer ************
******************************
Easy ApplyClinical Training Director
Medical director job in New Orleans, LA
As the Clinical Director you will lead all clinical initiatives to ensure the safe and effective use of the client's device within the cath lab environment. Your primary responsibilities will include overseeing the development and execution of clinical training programs, supporting the onboarding and education of healthcare professionals, and collaborating with cross-functional teams to drive clinical excellence. This role requires strategic leadership in managing clinical operations, expanding clinical adoption, and ensuring high standards of patient care through comprehensive education and training. Additionally, you will play a key role in supporting new site activations, training distribution partners, and contributing to the overall clinical strategy for the device. Your expertise and leadership will be pivotal in positioning the device as a trusted solution for vascular closure.
Job Overview:
As the Clinical Director you will lead all clinical initiatives to ensure the safe and effective use of the client's device within the cath lab environment. Your primary responsibilities will include overseeing the development and execution of clinical training programs, supporting the onboarding and education of healthcare professionals, and collaborating with cross-functional teams to drive clinical excellence. This role requires strategic leadership in managing clinical operations, expanding clinical adoption, and ensuring high standards of patient care through comprehensive education and training. Additionally, you will play a key role in supporting new site activations, training distribution partners, and contributing to the overall clinical strategy for the device. Your expertise and leadership will be pivotal in positioning the device as a trusted solution for vascular closure.
Key Responsibilities:
● Developing and Maintaining External Relationships
● Opening New Clinical Sites
● Training and Development of Clinical Staff and Distribution Partners
● Assisting in Clinical Program Development
● Monitoring and Evaluating Clinical Programs
● Addressing Barriers to Quality Clinical Services
Qualifications:
● Strong knowledge of cath lab procedures and vascular closure techniques.
● Bachelor's degree in a healthcare-related field.
● Relevant experience in clinical training or education within the medical device and
healthcare industry.
● Excellent communication and presentation skills.
● Ability to work independently and as part of a cross-functional team.
● Flexibility to travel to various healthcare facilities for on-site training sessions.
● Must be able to meet industry credentialing requirements/standards. Clear and complete background investigation and drug screen, complete immunizations and pass regulatory exams.
Benefits:
● Competitive salary and benefits package.
● Opportunity to make a significant impact on patient care through effective training.
● Career growth potential
Skills & Requirements
Key Responsibilities:
● Developing and Maintaining External Relationships
● Opening New Clinical Sites
● Training and Development of Clinical Staff and Distribution Partners
● Assisting in Clinical Program Development
● Monitoring and Evaluating Clinical Programs
● Addressing Barriers to Quality Clinical Services
Qualifications:
● Strong knowledge of cath lab procedures and vascular closure techniques.
● Bachelor's degree in a healthcare-related field.
● Relevant experience in clinical training or education within the medical device and
healthcare industry.
● Excellent communication and presentation skills.
● Ability to work independently and as part of a cross-functional team.
● Flexibility to travel to various healthcare facilities for on-site training sessions.
● Must be able to meet industry credentialing requirements/standards. Clear and complete background investigation and drug screen, complete immunizations and pass regulatory exams.
Benefits:
● Competitive salary and benefits package.
● Opportunity to make a significant impact on patient care through effective training.
● Career growth potential
Physician - Medical Director, Pediatric CVICU
Medical director job in Chalmette, LA
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.
Do you have the skills to fill this role Read the complete details below, and make your application today.
At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!
Ochsner Children's Hospital is seeking an experienced Pediatric Cardiac Intensivist to serve as Medical Director of of Pediatric CVICU in New Orleans, Louisiana.
Responsibilities will focus on all aspects of non-invasive imaging including fetal echocardiography, transesophageal echocardiography and general echocardiography with teaching responsibilities for pediatric residents, medical students, and sonographers. There is also an opportunity for cross-sectional imaging as part of our growing cardiac MRI and CT program. The job with also include outpatient clinic, inpatient service and telemedicine.
Ochsner Children's provides services for all pediatric cardiac sub-specialties including heart failure/transplant, EP, ACHD, interventional cardiology, imaging including echocardiography and cardiac MRI and CT, and fetal cardiology, comprehensive single ventricle program, and neurodevelopmental clinic. The heart center includes 21 cardiologists, 3 congenital heart surgeons, 6 cardiac intensivists practicing in a dedicated pediatric 12 bed cardiac intensive care unit and 3 pediatric cardiac anesthesiologists. The program performs approximately 250 cardiac surgeries, 400 cardiac catheterizations (75% interventional) and 19,000 ambulatory visits at 15 locations across Louisiana and Mississippi per year. Our heart center has been ranked by US New and World Report for the last 6 years and is the only ranked program in Louisiana; survival after cardiac surgery for our most complex patients (STS STAT 4 and 5 categories) is in the top 10% of programs reporting to STS.
Our comprehensive Ochsner Children's program is the region's leading integrated provider of multispecialty care for newborns, infants, children, adolescents, and young adults. We offer a full range of pediatric complex specialty services including, liver and bone marrow transplantation, a comprehensive surgical sub-specialty group, advanced GI and Hepatology, advanced spine surgery, Hematology-Oncology and AYA Oncology, Cleft Palate/Cranio-Facial Surgery and the region's only comprehensive multidisciplinary developmental pediatrics center.
Ochsner Children's Hospital includes a 67-bed Level IV Neonatal Intensive Care Unit, a 14-bed PICU, a 12-bed pediatric CV-ICU, a NAEC-accredited level IV, 4 bed Pediatric EMU and a 44-bed Pediatric Acute Care unit, with a dedicated pediatric emergency room, supported by a 24-7 pediatric and neonatal transport team utilizing rotary and fixed wing aircraft, as well as ground transport. Last year we broke ground on a new 5-story Children's Hospital on our main campus in New Orleans, with expected opening in quarter 1 of 2028.
In addition to direct patient care, Ochsner Children's Hospital has an ACGME-accredited pediatric residency program and is also responsible for teaching pediatric residents from the Tulane-Ochsner Pediatric Residency program as well as medical students from both Tulane and the University of Queensland, Australia. Ochsner Health and Xavier University of Louisiana recently announced an agreement to establish a joint allopathic College of Medicine, the Xavier Ochsner College of Medicine which is in the LCME accreditation process currently. Our faculty publishes hundreds of research papers annually and Ochsner participate in numerous multi-center studies and trials.
Are you ready to make a difference? Apply Today!
Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.
Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.
Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 5 select option 1) or (mailto: ) . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.
Ochsner is an equal opportunity employer. xevrcyc All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.
Medical Director - Medical Policy
Medical director job in Metairie, LA
Medical Director- Medical Policy 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 Medical Director- Medical Policy is responsible for the administration of medical services for company health plans and helps ensure clinical integrity of broad and significant clinical programs, including the overall medical policies of the enterprise.
How you will make an impact:
* Responsible for active engagement in and development of medical policy across Elevance Health.
* Additional responsibilities may include oversight of preventive health service recommendations as well as credentialing policies.
* This position will also be active in engagement with external specialty societies and other external facing medical professional activities for the company.
* Interprets existing policies and develops new policies based on changes in the healthcare or medical arena.
* Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes.
* Supports the Medical Policy staff ensuring timely and consistent responses to members and providers.
* Supports coordination with external entities that develop clinical utilization management guidelines used by Company Plans (e.g., MCG Care guidelines, Carelon Medical Benefits Management guidelines and CarelonRx)
* Identifies and develops opportunities for innovation to increase effectiveness and quality.
* Serves as a resource and consultant to other areas of the company.
* May chair or serve on company committees including chair of the National Credentialing Committee.
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:
* Extensive managed care or Medicare knowledge.
* MPH or MS in Epidemiology preferred, or equivalent experience and knowledge in evidence-based medicine and clinical epidemiology.
* Proficiency in writing preferred.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $262,152 to $393,228.
Locations: Illinois
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.
Auto-ApplyPsychiatrist Medical Director
Medical director job in New Orleans, LA
New Orleans, LA
Exp 10 -15 yrs
Degree: Doctorate
Relo
Bonus
Job Description
Responsible for behavioral health leadership in the administration of behavioral health services for the health plan including the overall medical policies of the business unit to ensure the appropriate and most cost effective medical care is received and for the benefit of the member.
Works closely with the Health Plan Chief Medical Officer in program development, staff leadership, health care integration and any other activities as needed to improve outcomes, quality measures and appropriate utilization of resources.
**Position located in Louisiana**
Primary duties may include, but are not limited to:
1.Interprets existing policies and assists in developing new policies based on changes in the healthcare or medical arena.
2.Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes.
3.Identifies and develops opportunities for innovation to increase effectiveness and quality.
4.Serves as a resource and consultant to other areas of the company, may chair or serve on company committees, may be required to represent us to external entities and/or serve on external committees, conduct peer clinical and/or appeal case reviews and peer to peer clinical reviews with attending physicians or other ordering providers to discuss review determinations, provides guidance to staff for clinical operational aspects of the program.
5.Interacts with the physical health medical directors to improve health care quality and provide behavioral health consultation and direction.
6.Supports the medical management staff ensuring timely and consistent responses to members and providers.
7.Interacts with providers, members receiving services, advocate and consumer groups and other MCO behavioral health medical directors in representing the company's philosophy and values.
8.Becomes actively engaged in meetings with the state customer providing oversight for the Managed Medicaid program.
9.Is comfortable with and knowledgeable about NCQA accreditation, specifically HEDIS measures and understands the need to constantly improve these values within health plan to achieve established targets.
10.Understands and uses data analysis for quality improvement, care management and utilization management and in shaping provider behavior.
Qualifications
Requires M.D. or D.O.
Board certification approved by the American Board of Psychiatry and Neurology in Psychiatry.
Must possess an active unrestricted medical license to practice medicine in a state in which the company has an active program.
10 years of clinical experience or any combination of education and experience, which would provide an equivalent background.
SKILLS AND CERTIFICATIONS
Require M.D. or D.O.
Board certification approved by the American Board of Psychiatry and Neurology in Psychiatry.
Must possess an active unrestricted medical license to practice medicine in a state in which the co
10 years of clinical experience
IDEAL CANDIDATE
*Managed care or behavioral health contractor (Magellan) preferred
*General psychiatrist experience, clinical, leadership or practice/clinical setting experience
IDEAL CANDIDATE SHOULD HAVE WORKED FOR THE FOLLOWING COMPANY(IES):
Centene
United
Aetna
Magellan
Private practices
We would like to find local candidates from Louisiana (New Orleans/Metarie).
We are open to candidates from other states who are willing to relocate and apply for a medical license in Louisiana.
Additional Information
All your information will be kept confidential according to EEO guidelines.
Direct Staffing Inc
Associate Market Medical Director - New Orleans
Medical director job in Metairie, LA
We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?
We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.
The Associate Market Clinical Director will directly supervise, performance manage and train Clinical Directors within in his/her assigned market. The incumbent in this role is accountable for center performance objectives, P&L, growth, and culture. In addition to being accountable for the overall clinical outcomes of his/her assigned market, they will have a portion of their time allocated to direct patient care as a PCP and/or other clinical duties. The remainder of their time allocated to leadership responsibilities including Clinical Director performance, engagement, building a strong clinical-operations synergy and culture. The allocation of time is dependent on several factors including PCP capacity, market needs, size of centers, patient membership and Regional President direction.
ESSENTIAL JOB DUTIES/RESPONSIBILITIES:
* Directs accountability for clinical outcomes and day-to-day management of Medical Directors in multiple centers within assigned market, with regular presence in the centers under direct management, and under the supervision of the Regional President.
* Ensures successful clinical operations and meeting/exceeding plan market earnings.
* Manages, mentors and coaches Medical Directors in his/her assigned market to deliver outstanding clinical outcomes.
* Oversees and facilitates talent development of the PCPs, NPs, and Medical Directors in his/her centers including, but not limited to leading facilitated practice (physician shadowing/coaching), conducting 1:1s with direct reports, executing leadership development plans and performance management.
* Cultivates a center-level physician culture that is fully aligned with and delivering on the ChenMed core model, core values & behaviors and service standards.
* Assists Clinical COE in training of new practitioners within the assigned centers.
* Participates in recruiting and interviewing PCP and specialist candidates.
* Partners with Clinical COE and Talent Acquisition to support clinical talent lifecycle to accelerate Clinical talent growth, including hiring of PCPs, NPs, and Medical Directors, managing, and mentoring physicians, role modeling exemplary clinical leadership.
* Establishes and supports the development and cultivation of successful relationships with payers, specialists, the community, and hospitals, among others, and driving a social media presence locally, as part of the core responsibilities for the role
* Monitors and supports overall market culture, responding with urgency to workplace concerns.
* Reviews/approves center-level referrals and provides back-up for market referral and delegated utilization authorizations.
Other duties as assigned and modified at Regional President's discretion, which may include:
* Assists Regional President with market quality and performance improvement initiatives.
* Oversees monthly scorecard reviews and in conjunction with Clinical Leadership, for delivery of quarterly clinical metric analysis.
* Provides training to other ChenMed entities, as needed.
* Develops deep relationships with providers and key stakeholders in the market.
* Uses the understanding of the local market dynamics to drive clinical initiatives.
* Builds clinical credibility and trust to deepen relationships.
* Assists with implementation of cost reduction and market clinical strategies.
* Delivers outstanding clinical outcomes and service to patient panel as a PCP (20%).
* Performs other duties as assigned and modified at manager's discretion.
KNOWLEDGE, SKILLS AND ABILITIES:
* Consistently demonstrates the following behavioral competencies:
* Customer focus - Builds strong customer relationships and delivers customer-centric solutions.
* Demonstrates self-awareness - Uses a combination of feedback and reflection to gain productive insight into personal strengths and weaknesses.
* Ensures accountability - Holds self and others accountable to meet commitments.
* Drives results - Consistently achieves results, even under tough circumstances.
* Develops talent - Develops people to meet both their career goals and the organization's goals.
* Drives engagement - Creates a climate where people are motivated to do their best to help the organization achieve its objectives.
* Interpersonal savvy - Relating openly and comfortably with diverse groups of people.
* Technical knowledge and skills:
* Excellent clinical skills.
* Knowledge and experience in a managed care delivery system.
* Knowledge of clinical outcomes and quality improvement processes.
* Experience of population risk management or complex chronic disease care management.
* History of being a natural teacher to fellow Physicians.
* Other skills and abilities:
* Good analytical skills.
* Ability to build relationships with external organizations.
* Conflict management and resolution skills.
* Familiar with, if not proficient in Microsoft Office Suite products, including Excel, Word, PowerPoint and Outlook.
* Computer skills: Comfortable with the electronic medical record (EMR) and facile with keyboarding.
* Ability to travel locally, regionally and nationally up to 30% of the time.
* Spoken and written fluency in English
* This job requires use and exercise of independent judgment
EDUCATION AND EXPERIENCE CRITERIA:
* MD or DO in Internal Medicine, Family Medicine, Geriatrics or similar specialty required
* A minimum of 2 years' clinical experience required; 3 years preferred.
* Strongly prefer one (1) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population
* Board eligibility is required.
* Board Certified in Internal Medicine, Family Medicine, Geriatrics or similar is preferred, but hires may have other sub-specialty training and board certification.
* Current, active license to practice medicine in State of employment.
* High performing physician with a proven track record of clinical leadership experience.
* Must have completed all internal physician training and have attained partnership.
* Experience with population risk management or complex chronic disease care management.
* Experience working with interdisciplinary teams in quality improvement and/or medical/healthcare leadership activities preferred.
* Preferred to be an existing high performing PCP partner and/or Medical Director within the ChenMed core model, with a proven ability to manage a panel of >400 patients with outstanding clinical, customer service and cost outcomes. Preferred to have been with the organization >2 years, be a recognized leader amongst peers, and can lead teams in quality and performance improvement initiatives.
* If specialty, has demonstrated leadership within his/her specialty and delivered superior outcomes, with a proven ability to deliver primary care in our model.
PAY RANGE:
$257,939 - $368,485 Salary
EMPLOYEE BENEFITS
******************************************************
We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care.
ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day.
Current Employee apply HERE
Current Contingent Worker please see job aid HERE to apply
#LI-Onsite
Medical Director Associate - CarelonRx
Medical director job in Metairie, LA
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.
CarelonRx delivers market-leading pharmacy benefit management and medication dispensing services to drive affordability and improve member outcomes.
The Medical Director Associate- CarelonRx supports pharmacy prior authorization reviews to ensure turnaround time is met and we are in compliance with all Pharmacy Benefit Management regulatory requirements.
How you will make an impact:
* May provide clinical guidance for pharmacy prior authorizations using CarelonRx clinical guidelines.
* Supports clinicians to ensure timely and consistent responses to members and providers.
* Conducts peer-to-peer prior authorization reviews for medications with attending physicians or other ordering providers to discuss review determinations.
* Will participate in a physician on-call weekend rotation for a 24x7 unit.
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 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Qualifications:
* Utilization management experience preferred.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $224,784 to $369,288.
Locations: District of Columbia (DC), Illinois, Massachusetts, 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, paid time off, stock, 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.
Job Level:
Director Equivalent
Workshift:
1st Shift (United States of America)
Job Family:
MED > Licensed Physician/Doctor/Dentist
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.
Physician - Medical Director, Pediatric CVICU
Medical director job in New Orleans, LA
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.
At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!
Ochsner Children's Hospital is seeking an experienced Pediatric Cardiac Intensivist to serve as Medical Director of of Pediatric CVICU in New Orleans, Louisiana.
Responsibilities will focus on all aspects of non-invasive imaging including fetal echocardiography, transesophageal echocardiography and general echocardiography with teaching responsibilities for pediatric residents, medical students, and sonographers. There is also an opportunity for cross-sectional imaging as part of our growing cardiac MRI and CT program. The job with also include outpatient clinic, inpatient service and telemedicine.
Ochsner Children's provides services for all pediatric cardiac sub-specialties including heart failure/transplant, EP, ACHD, interventional cardiology, imaging including echocardiography and cardiac MRI and CT, and fetal cardiology, comprehensive single ventricle program, and neurodevelopmental clinic. The heart center includes 21 cardiologists, 3 congenital heart surgeons, 6 cardiac intensivists practicing in a dedicated pediatric 12 bed cardiac intensive care unit and 3 pediatric cardiac anesthesiologists. The program performs approximately 250 cardiac surgeries, 400 cardiac catheterizations (75% interventional) and 19,000 ambulatory visits at 15 locations across Louisiana and Mississippi per year. Our heart center has been ranked by US New and World Report for the last 6 years and is the only ranked program in Louisiana; survival after cardiac surgery for our most complex patients (STS STAT 4 and 5 categories) is in the top 10% of programs reporting to STS.
Our comprehensive Ochsner Children's program is the region's leading integrated provider of multispecialty care for newborns, infants, children, adolescents, and young adults. We offer a full range of pediatric complex specialty services including, liver and bone marrow transplantation, a comprehensive surgical sub-specialty group, advanced GI and Hepatology, advanced spine surgery, Hematology-Oncology and AYA Oncology, Cleft Palate/Cranio-Facial Surgery and the region's only comprehensive multidisciplinary developmental pediatrics center.
Ochsner Children's Hospital includes a 67-bed Level IV Neonatal Intensive Care Unit, a 14-bed PICU, a 12-bed pediatric CV-ICU, a NAEC-accredited level IV, 4 bed Pediatric EMU and a 44-bed Pediatric Acute Care unit, with a dedicated pediatric emergency room, supported by a 24-7 pediatric and neonatal transport team utilizing rotary and fixed wing aircraft, as well as ground transport.
Last year we broke ground on a new 5-story Children's Hospital on our main campus in New Orleans, with expected opening in quarter 1 of 2028.
In addition to direct patient care, Ochsner Children's Hospital has an ACGME-accredited pediatric residency program and is also responsible for teaching pediatric residents from the Tulane-Ochsner Pediatric Residency program as well as medical students from both Tulane and the University of Queensland, Australia. Ochsner Health and Xavier University of Louisiana recently announced an agreement to establish a joint allopathic College of Medicine, the Xavier Ochsner College of Medicine which is in the LCME accreditation process currently. Our faculty publishes hundreds of research papers annually and Ochsner participate in numerous multi-center studies and trials.
Are you ready to make a difference? Apply Today!
Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.
Please refer to the job description to determine whether the position you are interested in is remote or on-site.
Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C.
Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at ************ (select option 1) or
*******************
. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.
Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.
Auto-ApplyMedical Director-Dermatology Appeals
Medical director job in Metairie, LA
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. Alternate locations may be considered. 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.
The Medical Director-Dermatology Appeals is responsible for the review of appeals for physical health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program.
How you will make an impact:
* Complete appeal reviews in your specialty daily to ensure timely and consistent responses to members and providers.
* Provide guidance for clinical operational aspects of a program.
* May conduct peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations
* Serve as a resource and consultant to other areas of the company.
* May be required to represent the company to external entities and/or serve on internal and/or external committees.
* May chair company committees.
* Interpret medical policies and clinical guidelines.
* May lead, develop, direct, and implement clinical and non-clinical activities that impact health care quality cost and outcomes.
* Identify and develop opportunities for innovation to increase effectiveness and quality.
* Work independently with oversight from immediate manager.
* May be responsible for an entire clinical program and/or independently perform clinical reviews.
Minimum Qualifications
* 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).
* Board certification in Dermatology.
* 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 filling a role required by a State agency.
* For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a sensitive position work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties, principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.
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.
Auto-ApplyCenter Clinical Director, Associate
Medical director job in Gretna, LA
**We're unique. You should be, too.** We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?
We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.
The Associate Market Clinical Director will directly supervise, performance manage and train Clinical Directors within in his/her assigned market. The incumbent in this role is accountable for center performance objectives, P&L, growth, and culture. In addition to being accountable for the overall clinical outcomes of his/her assigned market, they will have a portion of their time allocated to direct patient care as a PCP and/or other clinical duties. The remainder of their time allocated to leadership responsibilities including Clinical Director performance, engagement, building a strong clinical-operations synergy and culture. The allocation of time is dependent on several factors including PCP capacity, market needs, size of centers, patient membership and Regional President direction.
**ESSENTIAL JOB DUTIES/RESPONSIBILITIES:**
+ Directs accountability for clinical outcomes and day-to-day management of Medical Directors in multiple centers within assigned market, with regular presence in the centers under direct management, and under the supervision of the Regional President.
+ Ensures successful clinical operations and meeting/exceeding plan market earnings.
+ Manages, mentors and coaches Medical Directors in his/her assigned market to deliver outstanding clinical outcomes.
+ Oversees and facilitates talent development of the PCPs, NPs, and Medical Directors in his/her centers including, but not limited to leading facilitated practice (physician shadowing/coaching), conducting 1:1s with direct reports, executing leadership development plans and performance management.
+ Cultivates a center-level physician culture that is fully aligned with and delivering on the ChenMed core model, core values & behaviors and service standards.
+ Assists Clinical COE in training of new practitioners within the assigned centers.
+ Participates in recruiting and interviewing PCP and specialist candidates.
+ Partners with Clinical COE and Talent Acquisition to support clinical talent lifecycle to accelerate Clinical talent growth, including hiring of PCPs, NPs, and Medical Directors, managing, and mentoring physicians, role modeling exemplary clinical leadership.
+ Establishes and supports the development and cultivation of successful relationships with payers, specialists, the community, and hospitals, among others, and driving a social media presence locally, as part of the core responsibilities for the role
+ Monitors and supports overall market culture, responding with urgency to workplace concerns.
+ Reviews/approves center-level referrals and provides back-up for market referral and delegated utilization authorizations.
Other duties as assigned and modified at Regional President's discretion, which may include:
+ Assists Regional President with market quality and performance improvement initiatives.
+ Oversees monthly scorecard reviews and in conjunction with Clinical Leadership, for delivery of quarterly clinical metric analysis.
+ Provides training to other ChenMed entities, as needed.
+ Develops deep relationships with providers and key stakeholders in the market.
+ Uses the understanding of the local market dynamics to drive clinical initiatives.
+ Builds clinical credibility and trust to deepen relationships.
+ Assists with implementation of cost reduction and market clinical strategies.
+ Delivers outstanding clinical outcomes and service to patient panel as a PCP (20%).
+ Performs other duties as assigned and modified at manager's discretion.
**KNOWLEDGE, SKILLS AND ABILITIES:**
+ Consistently demonstrates the following behavioral competencies:
+ Customer focus - Builds strong customer relationships and delivers customer-centric solutions.
+ Demonstrates self-awareness - Uses a combination of feedback and reflection to gain productive insight into personal strengths and weaknesses.
+ Ensures accountability - Holds self and others accountable to meet commitments.
+ Drives results - Consistently achieves results, even under tough circumstances.
+ Develops talent - Develops people to meet both their career goals and the organization's goals.
+ Drives engagement - Creates a climate where people are motivated to do their best to help the organization achieve its objectives.
+ Interpersonal savvy - Relating openly and comfortably with diverse groups of people.
+ Technical knowledge and skills:
+ Excellent clinical skills.
+ Knowledge and experience in a managed care delivery system.
+ Knowledge of clinical outcomes and quality improvement processes.
+ Experience of population risk management or complex chronic disease care management.
+ History of being a natural teacher to fellow Physicians.
+ Other skills and abilities:
+ Good analytical skills.
+ Ability to build relationships with external organizations.
+ Conflict management and resolution skills.
+ Familiar with, if not proficient in Microsoft Office Suite products, including Excel, Word, PowerPoint and Outlook.
+ Computer skills: Comfortable with the electronic medical record (EMR) and facile with keyboarding.
+ Ability to travel locally, regionally and nationally up to 30% of the time.
+ Spoken and written fluency in English
+ This job requires use and exercise of independent judgment
**EDUCATION AND EXPERIENCE CRITERIA:**
+ MD or DO in Internal Medicine, Family Medicine, Geriatrics or similar specialty required
+ A minimum of 2 years' clinical experience required; 3 years preferred.
+ Strongly prefer one (1) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population
+ Board eligibility is required.
+ Board Certified in Internal Medicine, Family Medicine, Geriatrics or similar is preferred, but hires may have other sub-specialty training and board certification.
+ Current, active license to practice medicine in State of employment.
+ High performing physician with a proven track record of clinical leadership experience.
+ Must have completed all internal physician training and have attained partnership.
+ Experience with population risk management or complex chronic disease care management.
+ Experience working with interdisciplinary teams in quality improvement and/or medical/healthcare leadership activities preferred.
+ Preferred to be an existing high performing PCP partner and/or Medical Director within the ChenMed core model, with a proven ability to manage a panel of >400 patients with outstanding clinical, customer service and cost outcomes. Preferred to have been with the organization >2 years, be a recognized leader amongst peers, and can lead teams in quality and performance improvement initiatives.
+ If specialty, has demonstrated leadership within his/her specialty and delivered superior outcomes, with a proven ability to deliver primary care in our model.
**PAY RANGE:**
$238,832 - $341,189 Salary
**EMPLOYEE BENEFITS**
******************************************************
We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care.
ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day.
Current Employee apply HERE (**************************************************
Current Contingent Worker please see job aid HERE to apply
\#LI-Onsite