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Medical Director Population Health** **AdventHealth PHSO Resources

All the benefits and perks you need for you and your family:

+ Benefits from Day One

+ Paid Days Off from Day One

+ Career Development

+ Whole Person Wellbeing Resources

+ Mental Health Resources and Support

Our promise to you:

Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better.

**Schedule:** Full Time

**Shift** : Monday - Friday 8:00am to 5:00pm

**Location:** Hybrid, Maitland, FL

The role you'll contribute:

Responsible for providing a wide range of general medical management services to improve clinical cost, utilization, coding, documentation, quality, and member service performance. This position interacts with practices, individual physicians within the networks, payer leadership, customers, and internal and external partners to facilitate this work. Additionally, this role has primary responsibility for credentialing, quality, and utilization management programs. In addition, this position participates in various committees and the strategic planning and budgeting process. Ensures continuous improvement and optimization of medical management services.

The value you'll bring to the team:

+ Communicates clinical cost, utilization, appropriate coding and documentation, quality, and member service opportunity studies and their recommendations to appropriate stakeholders.

+ Leads efforts to develop and implement systems and processes to improve the clinical cost, utilization, appropriate coding and documentation, quality, and member service outcomes.

+ Leads the peer review program and facilitates interaction with network providers regarding corrective action plans.

+ Oversees credentialing operations, including reviewing applications and participating in committee meetings.

+ Acts as a liaison for clinical issues between network providers and leadership.

+ Educates network practices and physicians on performance improvement and best practices.

The expertise and experience you'll need to succeed:

Minimum qualifications:

+ Doctorate degree

+ 5 years of clinical experience

+ American Board of Medical Specialties (ABMS)

+ Medical Doctor (MD)

Preferred qualifications:

+ Doctor of Osteopathic Medicine (DO)

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

**Category:** Population Health

**Organization:** AdventHealth PHSO Resources

**Schedule:** Full-time

**Shift:** 1 - Day

**Req ID:** 25045910

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.