Group Health Medical Director

Palm Beach Gardens, Florida, United States

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Not SpecifiedCompensation

Expert & Leadership (9+ years)Experience Level

Part TimeJob Type

UnknownVisa

Health Insurance, Managed CareIndustries

Requirements

Candidates must be Board Certified M.D. or D.O. with current, unrestricted clinical license in any State in the U.S., possessing a minimum of five years postgraduate experience and extensive clinical business background. Working knowledge of URAC and relevant State and Federal compliance guidelines is required, along with excellent communication skills and a high-level understanding of medical insurance and utilization management.

Responsibilities

The Group Health Medical Director will perform quality assurance training and audits on physician reviewers, serve as the clinical lead for the Group Health Department, assist with quality assurance of reports prior to submission to clients, manage and train new physician advisors and existing panel physicians, and perform random case audits in accordance with company policy or client specifications. They will also respond to Credentialing Committee requests, facilitate QMC meetings, work closely with the Chair of the Quality Management and Credentialing Committee, and oversee the credentialing of physician advisors, ensuring timely and accurate medical record files and summaries.

Skills

Clinical Oversight

Utilization Management

Quality Assurance

Training

Auditing

Medical Record Review

URAC Accreditation

Credentialing

Medical Guidelines

Blank Street

Specialty coffee shop with efficient service

About Blank Street

Blank Street provides a unique coffee shop experience by offering high-quality coffee and food at affordable prices. The company started with a small coffee cart in Brooklyn and has since expanded to major cities like New York, London, Boston, and Washington, D.C. Their product offerings include specialty coffees sourced from around the world and fresh, locally-sourced food. Customers can enjoy a quick yet premium experience, thanks to the efficiency of their small locations that help keep costs down. Blank Street differentiates itself from competitors by focusing on customer convenience through technology, such as their app that allows for ordering ahead, customizing drinks, and participating in loyalty programs. They also prioritize employee satisfaction by paying baristas above-market wages. The goal of Blank Street is to redefine the coffee shop experience by combining quality, affordability, and exceptional service, making it a significant player in the specialty coffee market.

New York City, New YorkHeadquarters

2020Year Founded

$50.6MTotal Funding

EARLY_VCCompany Stage

Food & Agriculture, Consumer SoftwareIndustries

201-500Employees