Talent.com
VirtualVocations
State Licensed Medical DirectorVirtualVocations • Wichita, Kansas, United States
State Licensed Medical Director

State Licensed Medical Director

VirtualVocations • Wichita, Kansas, United States
24 days ago
Job type
  • Full-time
Job description
Providing medical oversight and expertise, the full-time State Licensed Medical Director will evaluate the appropriateness and medical necessity of services for members, support utilization management programs, and participate in the appeals process while ensuring compliance with regulatory standards. Key responsibilities Determines the appropriateness and medical necessity of health care services provided to plan members Supports the plan's utilization management program and monitors for over and under-utilization of services Participates in the appeals process and investigates adverse incidents and quality of care concerns Required qualifications At least 3 years of health care experience, including 2 years of medical practice experience Active and unrestricted Doctor of Medicine (MD) or Doctor of Osteopathy (DO) license in the state of practice Board certification Working knowledge of applicable national, state, and local laws and regulatory requirements Ability to work cross-collaboratively within a highly matrixed organization
Create a job alert for this search

State Licensed Medical Director • Wichita, Kansas, United States

Similar jobs

Chief Medical Officer

AscensionWichita, KS, United States
Full-time

Location: Wichita, Kansas Eligible for annual bonus planning.Life At Ascension: Where Purpose Meets Opportunity.Ascension is a leading nonprofit Catholic health system with a culture and associate ... Show more

 • Promoted

Medical Director

Acadia HealthcareWichita, KS, United States
Part-time

OverviewOutpatient MAT Opioid Treatment Program (OTP)Join our team at Wichita Comprehensive Treatment Center (CTC) as a Medical Director, where you'll play a pivotal role in transforming lives thro... Show more

 • Promoted

Delivery Driver

DoorDashMulvane, KS, United States

DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a var... Show more

 • Promoted

Medical Manager (RN Required)

GraceMed Health Clinic, Inc.Wichita, KS, United States
Full-time

Essential Role: Ensures clinical quality, service quality, and assists Chief Operations Officer with budget constraints to make sure they are maintained in accordance with organizational goals and ... Show more

 • Promoted

Emergency Medicine Opportunity in the Midwest

AMN HealthcareNewton, Kansas, United States
Full-time

Job Description & Requirements.Emergency Medicine Opportunity in the Midwest.StartDate: ASAP Pay Rate: $360000.A highly regarded non-profit hospital system in the Midwest is offering an exciting Em... Show more

 • Promoted

Medical Assistant

DOCS HealthWichita, KS, United States
Full-time

Attention all Medical Assistants we are calling on you to partner with us to provide services to our Military Service members.We will primarily work weekends, with some occasional weekdays in the S... Show more

 • Promoted

Sales Director

Legend Senior LivingWichita, KS, United States
Full-time

A certified Great Place To Work (voted by associates) 7 years in a row!.Benefits include: bonus eligibility (based on performance), cell phone allotment, mileage reimbursement, medical, dental, vis... Show more

 • Promoted

CDL-A Truck Driver

Crete Carrier CorporationNewton, KS, US
Full-time

Crete Carrier is Now Hiring Dedicated CDL-A Drivers - Walmart.Year - Leading Pay Plus Carrier.At Crete Carrier and Shaffer Trucking, we continue to lead the way in driver pay.The top 50% of Crete d... Show more

 • Promoted

Medical Corps Officer (Physician)

US NavySedgwick, KS, US
Full-time

Medical Corps Officer (Physician).Medical Corps Officers are Navy physicians who provide high quality medical care to Sailors, Marines, their families, and humanitarian missions around the world, p... Show more

 • Promoted

Medical Director Pulmonologist Opportunity

AMN HealthcareNewton, Kansas, United States
Full-time

Job Description & Requirements.Medical Director Pulmonologist Opportunity.StartDate: ASAP Pay Rate: $410000.A highly regarded non-profit hospital system is seeking a Pulmonologist to join their tea... Show more

 • Promoted

Travel Nurse RN - Medical-Surgical - $1,877 per week in Wichita, KS

Travel Nurse SourceWichita, KS, United States
Full-time

Registered Nurse (RN) Medical-Surgical Location: Wichita, KS Agency: Triage Staffing Pay: $1,877 per week Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks Start Date: ASAPA... Show more

 • Promoted

National Healthcare Practice Director

IMA Financial GroupWichita, KS, United States
Full-time

National Healthcare Practice Director.The National Healthcare Practice Leader is responsible for advancing IMA's national presence, growth, and expertise across the healthcare industry.This leader ... Show more

 • Promoted

Children and Family Health Director - HEALTH DEPT.

Sedgwick CountyWichita, KS, United States
Full-time

Children And Family Health Director - Health Dept.Work Schedule: Monday-Friday, 40 hours per week Sedgwick County offers a comprehensive benefits package for full-time employees that includes healt... Show more

 • Promoted

Locum Physician (MD/DO) - Emergency Medicine in Wichita, KS

Locum Jobs OnlineWichita, KS, United States
Full-time

Doctor of Medicine Emergency Medicine Location:Wichita, KS Employer:Weatherby Healthcare Pay:Competitive weekly pay (inquire for details) Shift Information:3 days x 12 hours Start Date:ASAPAbout th... Show more

 • Promoted

Border Patrol Agent (BPA) Experienced - New Hire Sign-On and Retention Incentives

U.S. Customs and Border ProtectionMulvane, KS, US
Full-time

Border Patrol Agent (BPA) – in the Federal Security and Public Safety Sector Experienced (GL-9 GS-11).You love protecting your community and doing your part to keep our nation safe.But maybe you’re... Show more

 • Promoted

Food Delivery Driver

DoorDashMulvane, KS, United States

DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.As a Dasher, you’ll stay busy with a var... Show more

 • Promoted

Medical Director

Health HuntersWichita, KS, United States
Full-time

This is more than a physician roleit is an opportunity to help shape the future of primary care in our community.As Medical Director, you will combine direct patient care with clinical leadership, ... Show more

 • Promoted

Medical Assistant

HCA HealthcareWichita, KS, United States
Full-time

Do you want to join an organization that invests in you as a(an) Medical Assistant? At Kansas Physician Group, you come first.HCA Healthcare has committed up to $300 million in programs to support ... Show more

 • Promoted

Midsouth Regional CDL A Drivers Top 50% Avg. $86,567 /$.59 to $.62 cpm - Belle Plaine, KS

Crete CarrierBelle Plaine, KS, US
Full-time

Crete Carrier offers a Midsouth Regional.Top 50% average $86,567 per year.One-year verifiable tractor trailer experience with a class A CDL. Show more

 • Promoted

Territory Manager - Wichita, KS

BioTAB HealthcareWichita, KS, United States
Full-time

For more than 20 years, BioTAB Healthcare, LLC has supported patients with lymphatic, wound, and circulatory disorders through proven treatment solutions.Headquartered in Missouri, we provide pneum... Show more