Medical Director Care Coordination

Banner Health

Phoenix, Arizona, US
Not specified; management incentive program eligib...
Medical doctor or do degree required
Current medical license mandatory
5 years medical practice experience
This role serves as a Physician Advisor bridging clinical care with administrative requirements to optimize patient outcomes and resource utilization

Job Summary

  • This role serves as a Physician Advisor bridging clinical care with administrative requirements to optimize patient outcomes and resource utilization.
  • The position involves conducting secondary medical necessity reviews and denial reviews while engaging in peer-to-peer conversations with insurance company medical directors.
  • Candidates will receive comprehensive training up to one month and have the opportunity to participate in a Management Incentive Program.

Matching Summary

This role serves as a Physician Advisor bridging clinical care with administrative requirements to optimize patient outcomes and resource utilization.

Salary

Not specified; Management Incentive Program eligible; Comprehensive health, financial, and security benefits included

Skills & Requirements

Must-have

  • Medical Doctor or DO degree required
  • Current medical license mandatory
  • 5 years medical practice experience
  • Knowledge of HMO operations and CMS regulations
  • Peer-to-peer communication with insurance directors

Nice-to-have

  • Board certification preferred
  • Strong presentation and mentorship skills
  • Experience with Dragonfly system documentation
  • Collaborative team environment preference
  • Interest in population-based guideline development

Key Requirements

  • MD or DO degree
  • Current medical license
  • Board certification (ideally)
  • 5 years medical practice experience
  • Health Care Quality and Management Certification within 3 years

Work Rights

Not specified

Tailored Resume

Cover Letter