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KEPRO Medical Director (part-time, hybrid Illinois) in Illinois

CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the company’s mission, actively engage in problem-solving, and take ownership of your work daily. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra seeks a Medical Director to join our growing team.

Job Summary:

The Medical Director will provide the principal leadership and clinical expertise to operations on all medical aspects relating to the peer review process, utilization review activities, case management, and/or other activities requiring clinical leadership and consultation. Additional key responsibilities may include assisting and promoting business development and strategic planning activities.

*Position is hybrid within the State of Illinois. The Medical Director will primarily work remotely but will have field based meetings with key stakeholders.

*This role is contingent upon being awarded a contract. Start dates, hours, and final offers are contingent upon the contract award and final contract start dates.

Job Responsibilities:

  • Evaluate, redirect and/or respond to inquiries from physicians, providers, and customers.

  • Consult with general and/or specialty practitioners regularly and as necessary as business needs require.

  • Represent and promote company at seminars, professional societies, hospital medical staff meetings, and other professional settings as appropriate.

  • Foster appropriate external relationships with attending physicians/surgeons by response to telephone calls and letters, speaking engagements before physician and provider organizations.

  • Analyze and remain current on national, state, and local regulations and legislation, which impacts the health care profession.

  • Review medical information trends, experiences, and approaches, and assists in the development of strategic plans for clinical improvements.

  • Ensures compliance with regulatory and accreditation requirements.

  • Responsible for oversight of medical content of company publications.

  • Participate in activities specific to contractual arrangements, i.e., Fair Hearings.

  • Provide medical expertise with respect to planning and establishing goals and policies to improve medical management.

  • Provides oversight of physician consultants and advisors. Conducts peer-to-peer physician consultations as requested/required, documents consultations.

  • Work with medical, nursing, and administrative staff to identify matters needing shared attention.

  • Discuss, inform, and facilitate communication and interaction between staff with customers.

  • Other duties as assigned.

Requirements

Required Qualifications/Experience:

  • 10+ years of clinical practice.

  • 5+ years of experience as a physician executive with significant accomplishments in developing managed care strategies, integrating delivery systems, improving quality and utilization management programs, and coaching medical staff on healthcare business and practice issues. M.D. or D.O. with current non-restricted license to practice medicine by the Board of Medical Examiners.

  • Active and unrestricted MD/DO Physician License for the State of Illinois.

  • Board certification in a clinical specialty is required.

  • Demonstrated expertise in quality assurance and utilization review is a prerequisite.

Preferred Qualifications/Experience:

  • A modern clinician well-versed in significant trends within healthcare and managed care.

  • Possesses the ability to collaborate effectively with a diverse range of personalities, exhibiting approachability, respect, and consensus-building skills.

  • A systems thinker with robust organizational abilities, capable of seamlessly integrating various components to ensure on-time and budget-compliant delivery.

  • Adaptable, with a strong collaborative management style, characterized by creative thinking, high energy, enthusiasm, and a commitment to promoting teamwork.

  • Demonstrates the ability to adapt to frequently changing work parameters.

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career.

Thank You!

We know your time is valuable, and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may interest you. Best of luck in your search!

The Acentra Health Talent Acquisition Team

Visit us at Acentra.com/careers/

EOE AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law.

Benefits

The pay range for this position is $125-135 per hour.

Based on our compensation philosophy, an applicant’s placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.

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