Scion Staffing has been engaged to conduct a search for a new Medical Director for our wonderful nonprofit healthcare client in the San Francisco Bay Area. This newly created position is an exciting opportunity that offers the incredible chance to work with a dedicated team to help the community daily. Additionally, this is a new position within our client’s organization, and thus offers amazing potential for growth, creativity, and exciting new, innovative projects!

The Medical Director helps lead Medical Management functions that include Utilization Management, Case Management, and Disease Management Programs on behalf of the organization.

The Medical Director shares in the administrative functions that impact the organizations medical services and collaborates with the management team in strategic planning activities.

This includes:

• Referral Management: Monitoring care utilization trends and making recommendations to position the organization proactively.
• Developing and implementing action plans, policies, and procedures to ensure appropriate and efficient utilization of services.
• Supervising the education, guidance, assistance, and feedback to primary care physicians, specialty physicians, network providers and vendors to promote appropriate effective and cost-effective patient care.
• Leads efforts with providers to maximize patient experience.
• Oversees the compliance with contractual Health Plan requirements, Federal and state statutes and regulations.
• Attends, supports, and provide presentations at Board Meetings, Committee meetings, and events.
• Helps develop educational programs for the physician network to enhance the delivery of patient care.
• Participates in Staff Meetings, Directors Meetings, Committee meetings and other ad-hoc meetings/seminars as needed.
• Assist claims staff in review of medical claims of services or other inappropriate billing practices if/as needed.

Perks:

• Incredible organization and staff.
• Salary growth and exceptional earning potential.
• Amazing insurance including full medical, vision, and dental for employees.
• 401(k) retirement plan with an automatic 5% employer contribution!
• Keep track of how care and services are used by patients and administered by providers to enable a seamless healthcare process.
• Supervise programs and cases to ensure they are working and performing to their maximum potential with regards to providing exceptional care.
• Serve as an organizational leader, including engaging in public speaking, overseeing, and evaluating staff, and creating incredible programs.
• Assist in evaluating claims and billing, outlining payment structures, and facilitating contact with physicians.

What You Have to Offer:

• M.D. or D.O. Degree from an Accredited Medical School.
• Must hold a valid, current unrestricted license to practice medicine in the State of California.
• Have at least 3 years of clinical practice in direct patient care; and at least three years of medical management experience in a managed care setting.

Preferred Qualifications:

• At least three years of experience working with indigent populations and community-based programs.
• Clinical experience and private practice experience desirable.
• Managed Care experience desirable.
• Past UM experience at the IPA or Health Plan level is preferred.

Compensation:

Salary is based on experience and is highly competitive, plus a phenomenal opportunity to make a tangible difference in real world communities every day.

How to Apply:

For immediate consideration please reply to this posting with your CV/resume. We look forward to contacting potential-match applicants.

About Our Firm:

Scion Staffing is an award-winning staffing firm headquartered in San Francisco, CA. Over the past few years, our firm has had the pleasure of successfully assisting hundreds of local employers. No matter the requisition or size, our track record and recruitment process has made us one of the top recruitment firms in California and nationwide.

Additional information about our firm and success can also be found online at www.scionstaffing.com or in the 2010-2020 Business Times list of top staffing firms.

Scion Staffing is an equal opportunity employer and service provider and does not discriminate based on race, religion, gender, gender identity, national origin, citizenship status, sexual orientation, disability, political affiliation, or belief. We are committed to the principals of Equal Opportunity Employment and are dedicated to making employment decisions based on merit and value, for ourselves, our client companies, and for the candidates we represent.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applications with arrest and conviction records.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applications with arrest and conviction records.