Medical Director, Ventura County Health Care Plan

Medical Director, Ventura County Health Care Plan

Read the overview of this opportunity to understand what skills, including and relevant soft skills and software package proficiencies, are required.

Under general supervision of the Deputy Director Health Care Agency for the Ventura County Health Care Plan (VCHCP), will perform duties set forth in the California Knox-Keene Health Care Service Plan Act as well as regulations and Health and Safety code for VCHCP, a Department of Managed Health Care (DMHC) licensed Commercial HMO.

This position is part of a team of 65 (including contractors), with no direct reports, and a $90 million dollar budget. In accordance with the National Committee on Quality Assurance (NCQA), the Medical Director, Ventura County Health Care Plan is responsible for the leadership and direction in planning, and coordinating medical reviewer staff to ensure appropriate, professional, and cost-conscious inpatient and outpatient health care to VCHCP assuring the quality of care provided to the members of the health plan by institutions, physicians, and allied professionals.

As a licensed health Plan, VCHCP is required to be compliant with all regulatory requirements of any other large insurance plan.

The ideal candidate will be collegial, engaged, and mission driven. Additionally, the successful individual will have an extensive background in licensed HMO operations, regulatory requirements, chairing various required committee meetings and leading the medical services departments through changes in the healthcare delivery landscape.

QUALIFICATIONS :

Doctor of Medicine or Osteopathy Degree and current license to practice medicine in California without restrictions. Completed residency in primary care field of specialization (i.

e. Family Practice, Internal Medicine, Pediatrics or Obstetrics / Gynecology).

• Must be Board certified in California.
• Thorough knowledge of the current principles and techniques of diagnosis and treatment.
• Experience with managed care.
• Experience and current knowledge of Quality Assurance, Utilization Review and Peer Review systems and programs.
• At least three (3) years of direct patient care medical practice experience.
• At least three (3) years of administrative experience.

DESIRED QUALIFICATIONS :

• National Committee for Quality Assurance accreditation experience.
• Experience / knowledge of pharmacy and plan formulary.

To apply for this exceptional career opportunity, please send a resume and a cover letter that illustrates your experience as a Board Certified Doctor of Medicine and includes the following :

• Experience with managed care
• Experience and current knowledge of Quality Assurance, Utilization Review and Peer Review systems and programs
• Direct patient care medical practice experience
• Administrative experience
• National Committee for Quality Assurance accreditation experience
• Experience / knowledge of pharmacy and plan formulary.

If interested, you may do one of the following :

• E-mail your current resume and cover letter to : [email protected]
• Submit an online application at www.ventura.org / jobs and attach your current resume and cover letter.

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