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Medical Director, Columbus, OH

Molina Healthcare

Medical Director

Columbus, OH

March 24, 2017

Apply Here

Medical Director - (17040)

Remote: No
Primary Location: US-OH-Columbus-OHCORPX
Job: Medical
Organization: Health Plans
Job Type: Full-time
Job Posting: Jan 11, 2017, 10:55:44 AM
Additional Information: Newly added role due to growth of the healthplan. Ideal candidate is physician leader with specialty in internal medicine, family, peds or a hospitalists with experience in UM in a Medical Director role.

Job Summary Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provision of medical staff services. Maintains a working knowledge of applicable national, state and local laws and regulatory requirements affecting the medical and allied health staff.


  • Facilitates conformance to regulatory requirements.
  • Reviews quality referred issues, focused reviews and recommends corrective actions.
  • Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost-efficiency and continuity of care.
  • Develops and implements medical policies.
  • Conducts retrospective reviews of claims and appeals, and resolves grievances related to medical quality of care.

Job roles and responsibilities emphasize a team-based approach to care and support each member of the team being trained to meet the highest level of function allowed by state law.

Job Qualifications

Required Education

Graduate Degree or equivalent combination of education and experience

Required Experience

7-9 years

Required License, Certification, Association

State Medical license

Preferred Education

Graduate Degree or equivalent combination of education and experience

Preferred Experience

10+ years

Preferred License, Certification, Association

State Medical license

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

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