TriWest Healthcare Alliance

Medical Director

Recruiting Location Phoenix, AZ
ID 2020-3159

Overview

Taking Care of Our Nation’s Veterans.

 

It’s Who We Are. It’s What We Do.

 

Do you have a passion for serving those who served?

 

Join the TriWest Healthcare Alliance Team! We’re On a Mission to Serve®!

 

Our job is to make sure that America’s heroes get connected to health care in the community.

At TriWest Healthcare Alliance, we’ve proudly been on that important mission since 1996.

 

Are you our next Medical Director? 

 

Oversees and participates in clinical quality reviews, peer review, and provider interactions. Works closely with and oversees clinical staff reviewing potential quality issues and appropriateness of care. Develops provider and system-based corrective action plans as needed. Chairs and coordinates quality and other committee meetings as assigned. Documents reviews of clinical quality and appropriateness of care in the medical management system. Collaborates with VA, network providers, and TriWest staff to assure timely, appropriate and high quality care. Uses data to facilitate and optimize the delivery of health care services. Interacts directly with beneficiaries, as indicated, to assure a high level of satisfaction.

Responsibilities

TriWest Medical Director:

  • Provides program guidance and clinical oversight for Medical Management programs.
  • Engages in peer to peer discussions with network providers and others.
  • Reviews potential quality issues for corrective action.
  • Reviews member cases for appropriateness of care.
  • Participates in internal, external, and joint quality and safety meetings.
  • Provides clinical consultation to staff, as needed, especially RN and other nursing staff.
  • Provides oversight for clinical decisions impacting beneficiaries.
  • Possesses knowledge of medical practice standards and conducts research, as needed, on new technologies and treatments.

Qualifications

Are you qualified?

 

Education & Experience

Required

  • MD or DO degree obtained from an institution accredited by the Liaison Committee on Medical Education and listed in Association of American Medical Colleges
  • Board Certified by a recognized MD or DO specialty board or proven training to meet board eligibility requirements
  • Current unrestricted license to practice medicine in a state or territory of the United States
  • 5+ years medical practice experience

Preferred

  • TRICARE, Veterans Affairs, or other government health plan experience
  • Advanced management degree (MPA, MBA, MHA, MPH)
  • 2+ years Managed Care experience

More about working at TriWest Healthcare Alliance

 

We’re more than just a health care company. We’re passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:

  • Medical, dental and vision coverage
  • Generous paid time off
  • 401(k) Retirement Savings Plan (with matching)
  • Short-term and long-term disability, basic life, and accidental death and dismemberment insurance 

Equal Opportunity Employer

 

TriWest Healthcare Alliance is an equal employment opportunity employer. All qualified applicants are considered for employment, without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic made unlawful by applicable federal, state, or local laws.

 

Are you ready to make a difference in the lives of our nation’s heroes?

 

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