Description and Requirements
- Manages and oversees team to sets the strategy, direction, policies, and goals for Healthfirst’s Clinical departments/li>
- Interfaces with the Board of Directors, CEO, regulators, and other medical employees on clinical and quality initiatives/li>
- Makes recommendations to the CEO on medical issues related to rate setting, benefit design, and corporate strategy/li>
- Chairs clinical committees and proactively monitors clinical departments, performance, quality programs, and budgets/li>
- Makes utilization management and medical appeals determinations/li>
- Collaborates with network and providers on credentialing, ancillary contracting, MSO, and other pertinent matters./li>
- Develops and monitors team goals; provides ongoing feedback and coaching; conducts annual performance reviews; leads by example; and ensures an atmosphere of open communication, teamwork, and empowerment to make informed decisions /li>
- Additional duties as assigned/li>/ul>
/p>
/p>
Minimum Qualifications:/b>/p>
- Board certified MD/li>/ul>
/p>
Preferred Qualifications:/b> /p>
- Senior management experience in a managed care organization/li>
- Graduate degree in a related field such as an MBA or a Master’s in Hospital Administration/li>
- Demonstrated knowledge about current healthcare regulations, trends and best practices/li>
- Excellent communication, project and time management, critical thinking, and problem solving skills/li>
- Extensive change management experience in the areas of: communications, stakeholder//leadership engagement, development, training, and implementation/li>
- Exceptional team leadership skills, including the ability to effectively mentor, develop, motivate and empower team members/li>/ul>
- Board certified MD/li>/ul>
Hiring Range*:/p>
Greater New York City Area (NY, NJ, CT residents): $ - $/p>/li>/ul>
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision./p>
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live./p>
*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role./i>/p>