Medical Director – Medicaid (Remote)
As the Medicaid Medical Director, Medicaid you will to be a part of our innovative product solution development team. You will assist in crafting products tailored for individuals covered by Medicaid to afford them the opportunity to successfully live, heal and age at home. You will be an integral part of internal and external client meetings, sales opportunities, product implementation and quality processes.
- Serve as the Medicaid clinical lead for all quality, clinical, utilization management, and policies for Medicaid and LTSS programs.
- Provide leadership and coordination for the development and implementation of a cohesive approach to measuring and promoting quality, and lead priority-setting process for clinical quality improvement for Medicaid and LTSS programs.
- Provide clinical support and expertise focusing on Medicaid and LTSS for program development.
- Participate in leadership, stakeholder and Advisory Board meetings
- Build and maintain effective working relationships with cross-functional leaders and teams in order to identify, explore, present and implement Medicaid program opportunities.
- MD or DO with an active and unencumbered medical license.
- 5 years’ plus experience in an area of relevant clinical practice
- 5 years’ plus experience with a Medicaid health plan, or a State Medicaid Agency. LTSS population experience preferred.
- Excellent verbal and written communication skills and be able to communicate effectively in large and small group settings.
- Medicaid thought leader with market intelligence.
- Experience with Medicaid and LTSS program utilization management, clinical management, program development, or program evaluation—either with a health plan, Medicaid Managed Care organization or state Medicaid Agency
- Ability to develop, collaborate with, and support relationships with key stakeholders internally and externally (client CMOs and Medicaid Associations)
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