Job summary
Job post source
This job is directly from CareSource
Job overview
The Medical Director at CareSource oversees clinical training, consultation, and case reviews to support staff and improve member care.
Responsibilities and impact
The role involves prior authorization reviews, peer discussions, provider education, clinical appeals, fraud investigations, policy development, quality improvement, and regulatory compliance.
Compensation and benefits
The salary ranges from $191,400 to $334,900 with potential bonuses based on performance and a comprehensive benefits package focused on employee well-being.
Experience and skills
Requires an MD or DO with residency completion, at least five years clinical experience, medical license, board certification, and preferred managed care experience; strong communication and ethical skills are essential.
Work environment and culture
CareSource values inclusivity, ethical standards, cultural sensitivity, and a commitment to community betterment in a general office environment with some travel and flexible hours.
Company information
CareSource is a healthcare company focused on member care, quality improvement, and regulatory compliance, emphasizing community service and inclusivity.
Job location and travel
General office environment with potential travel and occasional evening or weekend work.
Unique job features
The role includes involvement in quality initiatives, cross-market coverage, and participation in community collaborations and regulatory support.
Company overview
CareSource is a nonprofit managed care organization that provides public health care programs including Medicaid, Medicare, and Marketplace plans. Founded in 1989 and headquartered in Dayton, Ohio, CareSource focuses on offering accessible and affordable health care services to low-income individuals and families. The company generates revenue through government contracts and premiums from its various insurance plans. CareSource has grown significantly over the years, expanding its services to multiple states and continuously enhancing its programs to meet the evolving needs of its members.
How to land this job
Tailor your resume to highlight your medical degree, board certification, and residency training in primary care, emphasizing your clinical practice experience and any managed care or medical director roles you've held.
Focus on showcasing skills in clinical consultation, prior authorization reviews, provider education, quality improvement initiatives, and your ability to collaborate across teams, as these align closely with CareSource's Medical Director responsibilities.
Apply through multiple platforms including CareSource's official corporate career site, LinkedIn, and reputable healthcare job boards to maximize your application visibility.
Connect on LinkedIn with current Medical Directors or leadership in CareSource's clinical or medical management divisions, using ice breakers like commenting on recent CareSource quality initiatives or asking about the impact of their community collaborative efforts.
Optimize your resume for ATS by incorporating keywords such as 'clinical consultation,' 'prior authorization,' 'quality improvement,' 'provider education,' 'medical review,' and 'compliance with CMS/NCQA standards' to ensure it passes automated screenings.
Utilize Jennie Johnson's Power Apply feature to automate tailored applications, identify multiple application portals, and find relevant LinkedIn contacts, allowing you to focus your time on preparing for interviews and networking.
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