Banner Health, one of the nation’s largest healthcare providers, has an opportunity for an experienced Medical Director – Case Rate.
Banner Health, one of the nations largest healthcare providers, has an opportunity for an experienced Medical Director Case Rate. This position will support Banner Plan Administration and will be located in Mesa, Arizona. This position provides leadership in guiding the appropriate and efficient medical management of cases while assuring the quality of care is upheld. The Medical Director provides guidance on an individual case and aggregate level to cultivate efficiency related to patient care delivery. This position provides medical case review, utilization and quality review and provides recommendations, advice and liaison services concerning quality and cost-effective patient care.Requirements:Must possess a strong knowledge of the delivery of healthcare services as obtained with a degree as a Medical Doctor or Doctor of OsteopathyCurrent medical licenseMust possess a knowledge and understanding of medical health maintenance organization (HMO) operations, MCQA standards, hospital operations, reimbursement models, medical protocols and criteria and peer review statutes as normally obtained through 5 years of medical practice experienceDemonstrated knowledge of clinical protocols, reimbursement challenges, and managed care principlesBanner Health offers tuition reimbursement, growth opportunities and many other benefits. Our hospitals are outstanding, updated, high-quality facilities with the latest technological advances. If youre looking for a career with great benefits that makes your future a priority, look to Banner Health.Banner Health is a 2009 recipient of the prestigious Gallup Great Workplace Award, making it one of only 23 major organizations in the world to be recognized for their extraordinary ability to create an engaged workplace culture.EOE/AA