Medical Director (part-time, remote)

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Medical Director (part-time, remote)
Job Number: 6
Category: Healthcare
Location: Shrewsbury, MA
Shift: Day
Exempt/Non-Exempt: Exempt
Business Unit: ForHealth Consulting
Department: ForHealth Consulting - Disability Services - W401800
Job Type: Part-Time
Num. Openings: 1
Post Date: June 27, 2024

GENERAL SUMMARY OF POSITION:

The Medical Director provides clinical leadership for the Disability Evaluation Services (DES) Program. As part of the DES senior leadership team, the Medical Director reviews disability regulations, directs internal clinical procedures, and provides consultation to state policymakers.

MAJOR RESPONSIBILITIES:

1. Provides clinical leadership for the disability evaluation process.
2. Provides leadership for the disability process for Medicaid agencies and Public Employees Retirement Systems.
3. Monitors productivity and provides oversight and clinical direction to DES clinicians, including Physician Advisors.
4. Participates in the creation of physician compensation models in conjunction with the leadership team.
5. Leads internal Clinical Consultation Committee for the handling and decision making of contested cases.
6. Assists in formulating and implementing new business development strategies and marketing and sales efforts to achieve growth aligned with the strategic priorities of UMass Chan and ForHealth Consulting.
7. Collaborates with DES clinical leadership in the interpretation of disability regulations.
8. Participates in the review of regulation and policy changes impacting the disability evaluation process, including providing consultation services to state agency out of state client leadership.
9. Leads the development of clinical procedural standards and quality evaluations.
10. Supervises, monitors, and provides feedback to DES physicians and psychologists.
11. Oversees DES quality management programs, including ongoing quality assurance, program evaluation initiatives, and performance goal management.
12. Provides feedback to DES physicians and psychologists as well as other DES clinical staff regarding clinical policies and the outcomes of quality evaluations.
13. Participates in the development and training for network providers and DES clinical staff, including physicians.
14. Advises DES staff on client issues involving sensitive medical information, adverse clinical findings, and safety issues.
15. Directs contract compliance initiatives for DES contracted network physicians and psychologists.
16. In conjunction with the Physician Network Manager, contributes to the recruitment and credentialing of contracted network physicians and psychologists.
17. Responsible for feedback, quality assurance, and disciplinary processes of DES contracted network physicians and psychologists.

REQUIRED QUALIFICATIONS:

• MD, DO, or PhD prepared Psychologist licensed to practice.
• Board certified in area of specialty.
• 5-7 years experience in direct patient care.