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Advantasure Medical Director in Lansing, Michigan

EMPLOYMENT QUALIFICATIONS:EDUCATION:Medical Doctor Degree (MD) or Doctor of Osteopathic Medicine (DO) required. Advanced degree, such as MBA, MHA, MPH, MMM, or a related field preferred. Board Certified in in a specialty approved by the American Board of Medical Specialists or the American Board of Osteopathy preferred. Current unrestricted State Doctor of Medicine (M.D.) or doctor of osteopathy (D.O.) license required. Continuous learning, as defined by the licensing body to maintain an active license, is required. Certification in risk adjustment professional coding (CRC) from the American Association of Professional Coders (AAPC) is required.EXPERIENCE:Ten years of progressively more responsible experience strongly preferred in a healthcare environment with demonstrated technical experience that provides the necessary knowledge, skills and abilities. Five years of management or supervisory experience in healthcare strongly preferred. Medicare Advantage revenue experience strongly preferred. Health care practice experience providing services to Medicare Advantage and Medicaid patients required. Broad experience of the Medicare segment and an understanding of the overall Medicare risk adjustment and stars programs.SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED: * A capacity to implement tactically to consistently deliver results; well-developed skills in diplomacy and collaboration * Achievement of results through collaboration with divisions across large, complex organizations, and an ability to organize and manage multiple priorities * Excellent analytical, organizational and problem-solving skills, and senior level skills in managing ambiguous situations and issues. * Knowledge of activities, practices and terminology of the insurance industry * Ability to negotiate and establish a personal rapport with providers, and to resolve conflicts in a professional manner. * Ability to develop and implement effective and efficient recommendations. * Presentation skills and confidence to present company and product in one-on-one settings or to large gatherings. * A commitment to total customer satisfaction. * Demonstrates knowledge of documentation opportunities and clinical documentation requirements. * Excellent interpersonal and verbal and written communication skills. * Solid time management skills, including the ability to manage multiple activities and competing priorities. * Demonstrates leadership ability and team building skills to effectively supervise professional and non-professional staff and interact with all levels of management. * Ability to work with and empower others on a collaborative basis to ensure success of unit team. WORKING CONDITIONS:Work is performed in an office setting with no unusual hazards. Requires transporting, pushing, pulling, and maneuvering items weighing up to 25 pounds. Travel required.The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description. We are an Equal Opportunity Employer. Diversity is valued, and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an -at will- basis. Nothing herein is intended to create a contract.THIS POSITION CAN BE LOCATED REMOTELY ACROSS THE U.S.SUMMARY:The medical director role is responsible for providing clinical oversight and support of the Risk Adjustment and Quality as well as the Health Management areas of the organization.lt

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