Search jobs > Bismarck, ND > Part-time > Senior medical director

Senior Director, Medical Services, Health Plan

Sanford Health
N th St, Bismarck, ND , USA
Full-time

Job Summary

Manage and apply resources to general Sanford Health Plan medical services operations, guided by experience, organizational goals and operational strategies.

Also responsible for the management of cyclical projects. Oversee processes of medical services for the health plan. Work on complex health plan medical services matters where analysis of issues, data and process require advanced specialist knowledge and in-depth industry and technical knowledge.

Provide clinical-based direction and administrative guidance for health plan. Solicit physician input and efforts to develop and coordinate health insurance plans.

Participate in and provide clinical expertise in data collection and analysis to achieve high-quality health care and cost efficiency.

Acts as a liaison between corporate leadership and Health Plan staff.

Promote the delivery of safe, high-quality health care in accordance with enterprise mission, vision and strategic goals.

Maintain awareness of trends, laws and regulations and communicate relevant changes to staff and enterprise leaders.

Qualifications

Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) with a completed Accreditation Council for Graduate Medical Education (ACGME) residency and certification, and sufficient experience to maintain a clinical practice.

Current licensure in the state of practice required. Must be certified by the appropriate American Board of Medical Specialties (ABMS) within the first three years of employment and must be maintained.

Benefits

Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a (k) retirement plan, work / life balance benefits, and a generous time off package to maintain a healthy home-work balance.

For more information about Total Rewards, visit .

Sanford is an EEO / AA Employer M / F / Disability / Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1 or send an email to .

Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

4 days ago
Related jobs
Sanford Health
Bismarck, North Dakota

Manage and apply resources to general Sanford Health Plan medical services operations, guided by experience, organizational goals and operational strategies. Oversee processes of medical services for the health plan. Work on complex health plan medical services matters where analysis of issues, data...

Promoted
CVS Health
Bismarck, North Dakota

CVS Health Medical Director - (Cardiology) Bismarck, North Dakota. Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment o...

Promoted
Humana
Bismarck, North Dakota

The Behavioral Health Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. The Behavioral Health Medical Director will develop and present ...

Promoted
CVS Health
Bismarck, North Dakota

CVS Health Medical Director - (Ortho/Total Joint) Bismarck, North Dakota. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and ...

CVS Health
North Dakota, Work At Home, US
Remote

The Medical Director (MD) for Aetna One Advocacy is responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, constituent responsive medical care. Work collaboratively with other functional areas that interf...

Highmark Health
ND, Working at Home, North Dakota

We are seeking an experienced Software Engineer to join our AI Services and Platform team and drive the development of innovative AI (generative and predictive) based solutions for our enterprise stakeholders. Responsible for idea generation, exploring and implementing appropriate technical solution...

CVS Health
North Dakota, Work At Home, US
Remote

Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home. In this role you will provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities Y...

Highmark Health
ND, Working at Home, North Dakota

Actively pursuing a professional designation related to the healthcare industry and be willing to complete one course within twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP). Analyzes risk factor...

CVS Health
North Dakota, Work At Home, US
Remote

Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Pain Management) that can be remote based, work from home. In this role you will provide clinical expertise and business direction in support of medical management programs through participation in clinical team activit...

CVS Health
North Dakota, Work At Home, US
Remote

Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. Leads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management p...