{"id":2181,"date":"2018-04-12T21:02:15","date_gmt":"2018-04-12T21:02:15","guid":{"rendered":"http:\/\/nexushc.com\/?p=2181"},"modified":"2018-04-13T20:08:08","modified_gmt":"2018-04-13T20:08:08","slug":"regional-medical-director-pa","status":"publish","type":"post","link":"http:\/\/nexushc.com\/?p=2181","title":{"rendered":"Regional Medical Director (PA)"},"content":{"rendered":"<p><span class=\"highlight1\">Philadelphia, PA<\/span><\/p>\n<p>The Regional Medical Director provides medical leadership to a multidisciplinary regional team for utilization, prior authorization, provider relations and case management functions.<!--more--> Primary responsibility lies in leading the development and implementation of medical policy as it relates to health services utilization. This position will oversee 10\u201312 Medical Directors.<\/p>\n<p><strong>Requirements<\/strong><\/p>\n<ul>\n<li>8+ years\u2019 in senior management and\/or Medical Director experience.<\/li>\n<li>7 years\u2019 utilization review and case management experience.<\/li>\n<li>Fifteen plus years\u2019 progressively responsible managerial experience.<\/li>\n<li>Full-time experience as an administrator in a Medicare or state-level Medicaid program, Health Maintenance Organization (HMO), PreferredProvider Organization (PPO), large Health Care Organization, health plan or any combination thereof.<\/li>\n<li>MD\/DO required.<\/li>\n<li>Must possess an unrestricted license in his\/her state.<\/li>\n<li>Must be board certified in a primary care specialty.<\/li>\n<li>Must be clear of any sanctions by the applicable state or Office of the Inspector General.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><a class=\"button large button default fusion-button button-3d button-round button-large button-default button-28 buttonshadow-no\" title=\"Apply Now\" href=\"mailto:nexusexecutivesearch@gmail.com?subject=I am interested in the MD PA Position\" target=\"_blank\" rel=\"noopener\" type=\"button\"><span class=\"fusion-button-text\">Apply Now<\/span><\/a><\/p>\n<p><span style=\"color: #336699; font-size: 13px;\">Not sure if you want to apply?<br \/>\nContact us for more info:<br \/>\nRebecka Boyd<br \/>\n804-502-0870<br \/>\n<a href=\"mailto:nexusexecutivesearch@gmail.com\"> nexusexecutivesearch@gmail.com<\/a><\/span><\/p>\n<p><script src=\"\/\/platform.linkedin.com\/in.js\">\/\/ <![CDATA[ lang: en_US \/\/ ]]><\/script><br \/>\n<script type=\"IN\/FollowCompany\" data-id=\"360463\" data-counter=\"none\"><\/script><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Philadelphia, PA The Regional Medical Director provides medical leadership to a multidisciplinary regional team for utilization, prior authorization, provider relations and case management functions.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[5],"tags":[],"class_list":["post-2181","post","type-post","status-publish","format-standard","hentry","category-physician-executives"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p81ptW-zb","_links":{"self":[{"href":"http:\/\/nexushc.com\/index.php?rest_route=\/wp\/v2\/posts\/2181","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/nexushc.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/nexushc.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/nexushc.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/nexushc.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2181"}],"version-history":[{"count":5,"href":"http:\/\/nexushc.com\/index.php?rest_route=\/wp\/v2\/posts\/2181\/revisions"}],"predecessor-version":[{"id":2216,"href":"http:\/\/nexushc.com\/index.php?rest_route=\/wp\/v2\/posts\/2181\/revisions\/2216"}],"wp:attachment":[{"href":"http:\/\/nexushc.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2181"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/nexushc.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2181"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/nexushc.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2181"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}