Mgr Medical Director NJ

Company Name:
UniCare Life & Health Insurance Company
Job Description
Responsible for the administration of medical services for company health plans including the overall medical policies of the business unit to ensure the appropriate and most cost effective medical care is received and for the day-to-day management of medical management staff. Primary duties may include, but are not limited to: 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 management staff ensuring timely and consistent responses to members and providers. Hires, trains, coaches, counsels, and evaluates performance of direct reports. Requires MD; 10 years of experience with extensive managed care or Medicare knowledge; or any combination of education and experience, which would provide an equivalent background. Board certification required where applicable to the duties being performed.
Job Qualifications
Requires MD; 10 years of experience with extensive managed care or Medicare knowledge; or any combination of education and experience, which would provide an equivalent background. Board certification required where applicable to the duties being performed.
Once an offer is accepted, all external applicants are subject to a background investigation and if appropriate, drug testing. Offers of employment shall be contingent upon passing both the background investigation and drug testing (if required).
Current WellPoint associates: All referrals must be submitted through the formal associate referral process on WorkNet. Official guidelines for the associate referral program can be found in My HR.

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