JerseyCityRecruiter Since 2001
the smart solution for Jersey City jobs

RWJBarnabas Health is Seeking a Senior Medical Director of Population Health

Company: Institute for Credentialing Excellence
Location: Jersey City
Posted on: January 13, 2021

Job Description:

Institute for Credentialing Excellence (ICE)

  • RWJBarnabas Health is Seeking a Senior Medical Director of Population Health RWJBarnabas Health is Seeking a Senior Medical Director of Population Health RWJBarnabas Health is Seeking a Senior Medical Director of Population Health Job Summary: The Senior Medical Director (MD) is responsible for providing clinical expertise in support of population health and medical management programs to promote the delivery of high quality, cost-effective, constituent responsive medical care for the populations and the networks that we manage. The Senior Medical Director is a critical medical and business leader participating in the overall medical and quality management for RWJBH Population Health, as well as the contact for external providers and related constituencies. As part of the medical director leadership team, the Senior MD will partner with the Population Health Care Management Team and other RWJBH assets to increase the effectiveness of care management and medical management programs to promote integration among the RWJBH health and medical programs. Additionally, the Senior MD focuses on innovative approaches for improving the quality, efficiency, and appropriateness of care delivered with an eye toward system-wide value enhancements through the institution of best practices, technological solutions, or other enhancements. Essential Functions: Provider Engagement
    • Collaborates with community and employed physicians, staff, and constituencies to support their efforts to improve utilization, quality of care, patients/member experience, medical documentation, etc. for RWJBH Population Health programs.
    • Communicates, educates, and develops partnerships with payors and providers (including medical groups and hospital systems) and serves, when needed, as the interface between the RWJBH teams and its constituencies. Medical Management
      • Execute predetermination reviews, reviews of claim determinations, providing clinical, coding, and reimbursement expertise.
      • Manage UM transactional work (front line reviews and appeals).
      • Oversee utilization review/quality assurance in collaboration with case management.
      • Provide UM services based on business demands and shifting business needs.
      • Partner with care management and medical management leadership to increase effectiveness of medical management programs and to promote the integration of other medical programs.
      • Provide clinical guidance in operating effective medical programs to promote member and patient quality of care and in reviewing potential lapses in the quality of care. Other
        • Proactively use data analysis to identify opportunities for quality and clinical improvement, to positively influence the effective delivery of quality care.
        • Work collaboratively with other functional areas and RWJBH assets that interface with medical management
        • Act as part of the medical ship team for external payors, providers, and community in general.
        • Act to engage providers and facilities in improving the quality, clinical, and cost efficient care delivered to members and patients, while assuring that our shared business relationships are maintained and improved. Job Requirements: Education:
          • Graduate of an accredited medical school; Doctorate degree in Medicine
          • Candidates with post-graduate degrees (e.g., MBA, MPH, MMM) preferred. Certification/Licensure: Required
            • Board certification in an American Board of Medical Specialties (ABMS) recognized specialty
            • Active, unrestricted active medical license in New Jersey as a Doctor of Medicine or a Doctor of Osteopathy Experience:
              • Clinical Practice: 5-10 Years of direct patient care
              • Administration/Management
                • 2-3 years of experience in Health Care Delivery System
                • 1-2 years of experience in Clinical leadership (ex. quality review, peer review, group/practice management, hospital teams)
                • Medical Management or Care Management
                  • 5+ years of knowledge/experience in managed care (consultant, medical director, discharge planning) Skills:
                    • Interacting with Medical Professionals
                    • Advanced Leadership
                    • Driving a Culture of Transformation and Compliance
                    • Collaborating for Results Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Additional Information: We offer a great work environment, competitive rates and excellent benefits, including:
                      • 401 (k)
                      • Vacation/Personal/Holiday/Sick Time Off
                      • Short & Long Term Disability
                      • Basic Life & Accidental Death Insurance
                      • Tuition Reimbursement
                      • Health Care/Dependent Care Flexible Spending Accounts RWJBarnabas Health is the most comprehensive health care delivery system in New Jersey and the state's second largest private employer - with more than 32,000 employees, 9,000 physicians and 1,000 residents and interns. The system includes eleven acute care hospitals, three acute care children's hospitals and a leading pediatric rehabilitation hospital (Children's Specialized Hospital).
                        • Position Title: RWJBarnabas Health is Seeking a Senior Medical Director of Population Health Please refer to the company's website or job descriptions to learn more about them. Assistant Director Testing and Accreditation Behavior Analysis... Littleton, CO, United States DF Account Director, Wine & Spirits San Francisco, Bay Area/Sonoma or Napa, United States 2025 M Street, NW, Suite 800 Washington, Dist. Columbia 20036 (202) 367-1165

Keywords: Institute for Credentialing Excellence, Jersey City , RWJBarnabas Health is Seeking a Senior Medical Director of Population Health, Executive , Jersey City, New Jersey

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Global Marketing Manager, Assays - Abbott Point of Care (APOC)
Description: Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and (more...)
Company: Abbott
Location: Cherry Hill
Posted on: 01/18/2021

Software Configuration Management Engineer
Description: Summary: Responsible for developing, implementing, maintaining and enhancing configuration management for software projects. This includes managing source control developing and maintaining build scripts (more...)
Company: Universal Instruments Corporation
Location: Conklin
Posted on: 01/18/2021

Account Manager
Description: No recruiters or agencies please. Offered Salary: 40- 60K bonus Fully remote. Yes, even after all this COVID craziness, you can still work from home. Note: This it position is NOT a social media coordinator (more...)
Company: Snappic.io
Location: Meriden
Posted on: 01/18/2021


Bilingual RN, Registered Nurse Manager, Home Care
Description: Offering a 2,500 Sign-On Bonus br br While the world is cautioned to stay home in response to the Coronavirus COVID-19 pandemic, BAYADA's mission to safely keep people there has never been more (more...)
Company: BAYADA Home Health Care
Location: Bloomfield
Posted on: 01/18/2021

Senior Account Manager
Description: Our client is a leading forward thinking media and technology business which is part of a wider global information services group.--The business provides actionable intelligence and data to professionals (more...)
Company: Rockwell Search
Location: Walton
Posted on: 01/18/2021

General Manager - Main St - Westport
Description: Posted on: January 13, 2021 - Job : 349725 Full-time - 125 Main Street, Westport, CT, US 06880 We'll send you to our application portal to get started. About Gap Gap has always been about optimistic American (more...)
Company: Gap Inc.
Location: Westport
Posted on: 01/18/2021

Assistant Store Manager, Store #904 - West Elm
Description: We hope you're interested in building a home with us. Even if you don't feel that you meet every requirement listed in this job description, we still encourage you to apply.About the Team Our mission (more...)
Company: Williams-Sonoma
Location: Westport
Posted on: 01/18/2021

Senior Product Manager
Description: Senior Product Manager Kiosk The Senior Product Manager, Digital Product will support the development and execution next-generation digital products.
Company: JDC Group
Location: Hoboken
Posted on: 01/18/2021

Content Manager
Description: Want to help lead the way in redefining how we shop online The Editorial Manager for eCommerce Site Operations is a critical leader in shaping the creative vision and strategy for our customers' site (more...)
Company: Contract.
Location: Hoboken
Posted on: 01/18/2021

Safety Manager
Description: CornellCookson, a division of Clopay Corporation is a leading manufacturer of commercial and grill doors. We pride ourselves on delivering exceptional customer service as well as unsurpassed quality and (more...)
Company: Clopay Corporation
Location: Mountain Top
Posted on: 01/18/2021

Log In or Create An Account

Get the latest New Jersey jobs by following @recnetNJ on Twitter!

Jersey City RSS job feeds