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Medical Director (Fort Worth, Texas)
Company: Cook Children's Health Plan
Summary: The Medical Director of Cook Children's Health Plan (CCHP) is responsible for assisting in the development and implementation of the strategic direction of CCHP s Clinical, Credentialing and Quality Management Programs. The scope of responsibilities includes multiple aspects of clinical management as assigned by CCHP s Vice President for Clinical Affairs (VPCA), including compliance with contracting, accreditation and regulatory agencies (e.g.; Texas Health and Human Services, Texas Department of Insurance, etc.), CCHP systems operations support and clinical quality planning, quality monitoring and quality improvement, utilization management, risk management, provider credentialing and member safety. A key element of the Medical Director s role includes provision of medical leadership and clinical support to The Center for Children s Health in the absence of the VPCA.
Qualifications: Medical Doctor or Doctor of Osteopathy licensed in the State of Texas, board certification in pediatrics preferred. Experience in a medical leadership role in a pediatric delivery system, pediatric group practice or clinic, a pediatric provider network, or a managed care organization is highly desirable. Can demonstrate successful experience in peer review and physician performance evaluation processes. Minimum of three years experience in a managed care organization, with clearly demonstrated understanding of integrated systems of care, utilization and quality management administration, managed care contracts, and information systems appropriate to managed care. Demonstrates above average knowledge of and experience in the theory and practice of continuous quality improvement. Demonstrated experience at successfully engaging physicians and other community providers and agencies to improve the health status of children in a community.
If you are interested, please apply online at www.cookchildrens.org.
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