Medical Director, New Century Health Plan

Healthcare, Management
October 30, 2024

Job Description

UCLA

Internal Number: 144007141

Description

Take on a key clinical leadership role within a dynamic health organization. Help drive the delivery of high-quality, cost-effective care for Medicare Advantage members. Take your expertise to new levels. You can do all this and more at New Century Health Plan.


Reporting to the Chief Medical Officer, you will play a pivotal role in leading clinical efforts to optimize care delivery and outcomes for Medicare Advantage members. You will:


  • Provide clinical leadership and oversight to ensure the highest standards of care and cost-effectiveness
  • Manage utilization and case management activities to drive efficiency and quality
  • Oversee appeals, grievances, and potential quality issues (PQI)
  • Develop and implement clinical strategies to improve health outcomes and ensure compliance with regulatory requirements
  • Collaborate with senior leaders to enhance the overall performance of the Medicare Advantage Plan

Salary Range: $142,100- $348,100/annually
Qualifications

We’re seeking a dedicated and experienced clinical leader
with:


  • MD or DO degree from an accredited medical
    school
  • Board certification in a primary care specialty
    (Internal Medicine, Family Medicine, Geriatrics)
  • Valid and unrestricted medical license in
    California
  • Advanced degree in healthcare management or
    related field, highly desired
  • 3 or more years of clinical practice experience
  • 2 years or more years of Medicare Advantage
    management experience
  • Experience in a health plan or large healthcare
    organization, preferred
  • Strong knowledge of Medicare regulations and CMS
    guidelines
  • Excellent analytical, problem-solving, and
    decision-making skills
  • Strong communication and interpersonal abilities
  • Proven leadership abilities that demonstrate
    openness to change and a capacity for implementing creative programs that
    support strategic initiatives
  • Strong analytical, organizational, and project
    management skills
  • Proficiency in Microsoft Office applications
    (Word, Excel, PowerPoint)

About UCLA
At UCLA Health, you can help heal humankind, one patient at a time by improving health, alleviating suffering and delivering acts of kindness. As you do, you’ll achieve great things in your life and your career. We’re a world-class health organization with four hospitals consistently recognized among the nation’s very best as well as an internationally-renowned medical school, primary and specialty care clinics and much more. Within our dynamic, innovative and growing organization, you’ll find exceptional opportunities to make the most of your abilities in a supportive, empowering and inclusive environment. If you embrace our values of Integrity, Compassion, Respect, Teamwork, Excellence and Discovery we invite you to see all you can accomplish at UCLA Health.


Connections working at UCLA


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