Medical Director - Part-Time

<h1><b>To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click <a href="https://www.arkansasbluecross.com/company/career-opportunities/hiring-policies" target="_blank" rel="noopener noreferrer">here</a>.</b></h1><p style="text-align:inherit"></p><p style="text-align:inherit"></p><h2>Job Summary</h2>The Medical Director is responsible for contributing professional and technical expertise to the operation of the custom care management program. This includes the clinical aspects involved in the execution of the program and the planning, development and implementation of for program enhancements, membership expansion as well as the development and execution of any future services.<p style="text-align:inherit"></p><p style="text-align:inherit"></p><h2>Requirements</h2><p><b>EDUCATION</b></p><p>Doctorate Degree in allopathic or osteopathic medicine required.</p><p></p><p><b><span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">LICENSING/CERTIFICATION</span></b> <span> </span></p><p><span>Holds an active and current unrestricted license pertinent to the role and responsibilities in required jurisdictions. </span><span>This position operates within the scope that permits them to apply their clinical judgement to render a utilization review determination.</span></p><p><span>Active and current board certification in area(s) of specialty required.</span></p><p></p><p><b>EXPERIENCE</b></p><p>Minimum ten (10) years' active medical practice preferred.</p><p>Minimum five (5) years' clinical leadership experience (role, team and/or project management) preferred.</p><p></p><p><b>ESSENTIAL SKILLS & ABILITIES</b></p><p>Proven ability to develop and implement strategic care initiatives.</p><p>Ability to work and build relationships across multiple functions.</p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><h2>Skills</h2>• Coaching Others • Consultative Approach • Continued Learning • Cross-Functional <span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">Communications •</span> Decision Making • Deductive Reasoning • Employee Engagement Strategies • Evaluating <span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">Information •</span> External <span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">Collaboration •</span> Inductive Reasoning • Interpersonal <span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">Communication •</span> Interpersonal <span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">Relationships •</span> Management Techniques • Problem Solving • Process <span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">Information •</span> Reading <span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">Comprehension •</span> <span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">Researching •</span> Service Oriented • Work Schedules • Writing<p style="text-align:inherit"></p><p style="text-align:inherit"></p><h2>Responsibilities</h2>• Collaborates closely with the Director of Care Management and Nurse Managers to ensure the effective delivery of custom care <span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">management. •</span> Conducts presentations to Enterprise accounts as needed, pertaining to medical management, and provide clinical reporting or analysis as required to support Enterprise account business. • Directs the hiring, coaching/training, employee development and performance management of assigned <span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">team.  •</span> Facilitates problem resolution for Enterprise accounts. • Maintains availability for and pro-active in arranging peer-to-peer discussions with providers and facilities nationally and internationally in order to effectively manage appropriate care for Enterprise account members. • Participates in the appeals process at the first or second level in accordance with regulatory requirements and Enterprise account contracts along with organization determination as requested by outside providers. • Participates in the development of primary coverage criterial through selected reviews, presentations, and discussions of the evidence basis for medical science. • Performs other professional duties and responsibilities as assigned. • Possesses or develops and maintains a current in-depth understanding of the evidence-based clinical guidelines and treatments for the medical or behavioral health conditions within their scope and certification to render a clinical opinion or utilization review <span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">determination. •</span> Provides consultation to care managers promptly and work with all team members in the custom care management model. • Reviews medical records as required to assist in utilization review activities pertaining the <span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">Enterprise. •</span> Works closely with the Corporate Medical Directors, account managers and executives to ensure the smooth running of the accounts. • Works with vendors as needed such as Behavioral Health, Pharmacy, High Tech Radiology, etc.<p style="text-align:inherit"></p><p style="text-align:inherit"></p><h2>Certifications</h2><p style="text-align:inherit"></p><p style="text-align:inherit"></p><h2>Security Requirements</h2><p style="text-align:left">This position is identified as level three (3). This position must ensure the security and confidentiality of records and information to prevent substantial harm, embarrassment, inconvenience, or unfairness to any individual on whom information is maintained. The integrity of information must be maintained as outlined in the company Administrative Manual.</p><p style="text-align:inherit"></p><h2>Segregation of Duties</h2><p style="text-align:left">Segregation of duties will be used to ensure that errors or irregularities are prevented or detected on a timely basis by employees in the normal course of business. This position must adhere to the segregation of duties guidelines in the Administrative Manual.</p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><h2>Employment Type</h2>Regular<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><b>ADA Requirements</b></p><p>1.1 General Office Worker, Sedentary, Campus Travel - Someone who normally works in an office setting or remotely and routinely travels for work within walking distance of location of primary work assignment.</p>

Back to blog

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...