Job ID: 2668

Type: Physicians

State: NC

Area: Central North Carolina

Specialty: MEDICAL DIRECTOR

Description: Seeking a Medical Director of Utilization Management --Full Time: 40 hrs/wk --Mon-Fri 8A-5P --Serve as the clinical expert on physician practice patterns, over- and under-utilization of resources, medical necessity, levels of care, care progression, denial management, compliance with governmental and private payer regulations, appropriate physician coding, and documentation requirements. --Work closely with medical staff leadership, all medical staff, and ancillary departments to optimize services and ensure appropriateness of patient care. --Collaborate with hospital leadership to develop care management protocols that drive improvements and effectively manage resources. --Guaranteed base salary --Health, life, and disability coverage --3 retirement savings plans – 401a, 403b with match, 457b --Paid time off benefits --CME allowance, license, and DEA reimbursement --Customized wellbeing resources --Free fitness center membership --Paid Parental Leave --Paid malpractice with tail coverage --Required: Current CHCQM-PHYADV certification, or ability to obtain within 90 days of employment, Board Certification, Active, unrestricted NC medical license. --5+ years of post-residency clinical practice experience PLUS at least one year of prior UM experience. --Thorough understanding of current CMS and DNV compliance requirements --Robust knowledge of hospital coding and billing, payer contracting, and revenue cycle management. --Effective collaboration with physician peers, administration, and support staff. --Advanced proficiency with EMRs and utilization review tools.

Community/Facility info: Our private, not-for-profit health care network serves 15 counties in the mid-Carolinas. Desirable resort destination - known worldwide for golf and equestrian industries. Temperate climate with four seasons allows for outdoor activities such as boating, cycling, hiking and fishing to be enjoyed year-round. Affordable housing choices, #1 safest city in NC, excellent public and private schools. Just an hour from Raleigh, and an easy drive to the states beautiful beaches and mountains.

Contact: For more information please contact Ryan Hawkins at [email protected] or call 716-689-6000.