Medical Director (Part-Time)

at MAXIMUS in Augusta, Maine, United States Job Description Maximus is currently hiring for a Part-Time Medical Director to join our State East team. This is a part-time, fully remote opportunity. The Medical Director will be responsible for conducting quarterly audits of clinical reviews and overseeing physician panels to include review, audit, and training of staff as needed. The Medical Director may also sit in on client calls and complete additional ad hoc client audits as applicable. This part-time opportunity requires availability between the hours of 8:00am

• 5:00pm EST Monday
• Friday for up to 29 hours per week.

Essential Duties and Responsibilities:

• Maintain clinical alignment.
• Develop clinical workplans.
• Identify the risks and gaps in the clinical processes and develop solutions.
• Identify new lines of business and growth opportunities.
• Work with the peer review process to evaluate MD quality as well as handle client requests, and appeals.
• Complete clinical reviews with regards to denials and level of care on various contracts.
• Fulfill client's requests for educational trainings, services, and workshops for their staff.
• Work with IT teams to answer clinical questions for systems (questionnaires, algorithm, etc.)
• Oversee quality assurance of nurse and physician work product.
• Conduct quarterly audits of clinical reviews.
• Additional ad hoc client audits as required.
• Other duties as requested. Minimum Requirements
• Medical degree from an accredited medical school required.
• Active board certification required.
• Minimum 10 years of experience in a similar role.
• Peer review experienced preferred.
• Experience creating and presenting clinical trainings preferred.
• Current on clinical trends.
• Trauma Informed Care knowledge.
• Adherence to accreditation standards.

Additional Requirements:

• Licensed in the state of New Jersey (NJ) or willing to get licensed in NJ within the first 3 months of employment.
• At least five (5) years' full-time experience providing direct clinical care to patients.
• Ability to work up to 29 hours a week between the hours of 8:00am
• 5:00pm EST Monday
• Friday.

Preferred Skills and Qualifications:

• Auditing experience.
• Licensed in the state of Pennsylvania.
• Previous Medical Director experience.

Please note:

For this position Maximus will provide equipment to use.

Home Office Requirements:

• Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)
• Minimum 5mpbs upload speed
• Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
• Private and secure work area and adequate power source
• Must currently and permanently reside in the Continental US
• Must have a smartphone which will be required to log into Maximus systems Maximus is an equal opportunity employer.

We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Minimum Salary $115 Maximum Salary $130 To view full details and how to apply, please login or create a Job Seeker account