Functions as Physician Executive responsible for clinical activities of eQHealth Solutions Commercial Division. Provides clinical leadership to the strategic, operational, and quality issues of commercial operations. Responsible for contract's clinical policies an decisions. Seeks strategic opportunities and relationships in fulfillment of eQHealth Solutions' mission. Ensures that all functions of the medical department are carried out in a manner that meets the needs of eQHealth Solutions and the contract agent. Provides supervision and training for physician review panel. Maintains second level review panel at level and specificity to support contract needs. Serves a key leadership role in directing and communication eQHealth Solutions' mission and vision to both internal and external audiences.
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Must be a graduate of an approved School of Medicine or School of Osteopathy with an unrestricted license to practice medicine in LA. Board certified in a specialty recognized by American Board of Medical Specialties, preferably in internal medicine or one of its subspecialties or family medicine. Minimum 5 years clinical experience post residency. 3 years utilization experience. Experience in a Quality Improvement environment preferred. Training in public health and/or epidemiology preferred. Medicaid experience. |
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