New: Part-Time Medical Director Opportunity in Michigan!!
Company: DOCTORS CHOICE PLACEMENT SERVICES, INC.
Posted on: February 10, 2024
New: Part-Time Medical Director Opportunity in Michigan
Position Available: Medical Director, MD or DO, preferably in a
general field of medical practice.
Position Available due to Retirement.
Start Date: As soon as possible.
Practice Setting: This position works at a health plan.
Hours: The position is a part-time role and the hours worked are
Practice Description: It is a Michigan based nonprofit voluntary
employees beneficiary association. We provide our members and their
families with comprehensive medical and prescription coverage and
outstanding personal service. We also offer vision, dental and
short-term and long-term disability benefits.
Specific Skills or Certifications Needed: 10+ years of experience
as a physician; Board certification; unrestricted license in the
state of Michigan; the job description notes other minimum
Organization provides insurance and customer service to public
employees and their families; a majority of our members work in
Michigan public schools. We serve about 66,000 members plus their
families (about 180,000 total covered lives).
This position does not have a patient load, per se. The medical
director reviews a variety of cases weekly to determine medical
necessity. Cases involved relate to preauthorization of medical
services, disability case determinations and appeals. The incumbent
medical director completes this work in less than 20 hours per week
and with support from registered nurses.
Compensation: The position is an independent contractor for which
we negotiate an hourly base rate. We reimburse for all reasonable
and approved expenses incurred in connection with the performance
of approved services based on Organization travel and expense
Organization shall maintain professional liability insurance with
minimum limits of $100,000/$300,000. Organization will pay the
premium for this liability insurance.
SERVICE POPULATION: 180,000 members, primarily public employees and
The independent consulting agreement will be reviewed regularly.
The medical director shall maintain all licenses necessary to
practice medicine in the state of Michigan and such other licenses
as may be required to satisfy obligations under a consulting
agreement negotiated between the parties. Organization will
reimburse for fees associated with maintaining Board Certifications
as follows: exam fee (not to exceed $2,000), exam preparation
materials (not to exceed $1,000) and exam preparation course fee
(not to exceed $2,500).
The medical director will consult with and advise Organization on
healthcare and disability coverage to it's members. The medical
director will work
with Organization and its underwriters on matters of medical
necessity, quality and
reasonableness of medical treatment in concurrent reviews and in
This position is that of an independent contractor; it involves
approximately 20 hours per
week. It is based in Mich., and may be partly remote.
It is a Michigan-based nonprofit voluntary employees
beneficiary association (VEBA). We provide our members and their
families with the
largest provider network in Michigan, comprehensive medical and
and outstanding personal service. We also offer vision, dental and
short-term and longterm
We believe the hardworking people who care for our kids, our
schools and our
communities deserve exceptional health benefits and unmatched
Organization is deeply committed to diversity and inclusion. We are
an affirmative action,
equal opportunity employer. People of color, women, and members of
marginalized social identity groups are encouraged to submit a
letter of interest.
The medical director:
--- Performs physician-level review of medical and disability
preauthorization requests for coverage determinations.
--- Determines medical necessity of requests, including appeals,
policy, established guidelines or current research
--- Serves as a clinical resource and subject matter expert to both
clinical and nonclinical staff
--- Recommends clarifications and updates to medical benefits,
including assisting in
identifying experimental/investigational treatment(s) and newer
surgeries and medications
--- Participates in quality initiatives, case management
accreditation and utilization
management to identify opportunities for improvement
--- Participates in pharmacy initiatives and reviews of requested
--- Reviews requests for over-age dependents, including appeals
--- May be asked to participate in committees and workgroups to
and organizational objectives
--- Various other duties as the need arises
Current unrestricted state of Michigan Doctor of Medicine (M.D.) or
doctor of osteopathy (D.O.) license
Doctorate from an accredited school of medicine (M.D.) or
10+ years of experience as a physician, preferably in a general
field of medical practice
Results-oriented and has the ability to take ownership of work
Strong communication and interpersonal skills
Strong analytical skills
Ability to work both independently and within a team
Understanding of health plan functions related to utilization, care
and quality management.
Keywords: DOCTORS CHOICE PLACEMENT SERVICES, INC., Lansing , New: Part-Time Medical Director Opportunity in Michigan!!, Healthcare , Lansing, Michigan
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