Delaware Licensed Medical Director

A company is looking for a Medical Director, LTSS in Delaware. Key Responsibilities Oversee medical management and quality improvement initiatives for LTSS and Medicare-Medicaid Duals populations Provide medical leadership for utilization management, case management, and quality improvement activities Ensure compliance with regulatory and accreditation standards while collaborating with various stakeholders Required Qualifications Medical Doctor or Doctor of Osteopathy with board certification in a recognized specialty Current Delaware state license as an MD or DO without restrictions Utilization management experience and knowledge of quality accreditation standards preferred Experience with Dual Special Needs Plans (DSNP) or Medicare/Medicaid populations is highly desirable Coursework in Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous

Apr 29, 2025 - 17:15

A company is looking for a Medical Director, LTSS in Delaware. Key Responsibilities Oversee medical management and quality improvement initiatives for LTSS and Medicare-Medicaid Duals populations Provide medical leadership for utilization management, case management, and quality improvement activities Ensure compliance with regulatory and accreditation standards while collaborating with various stakeholders Required Qualifications Medical Doctor or Doctor of Osteopathy with board certification in a recognized specialty Current Delaware state license as an MD or DO without restrictions Utilization management experience and knowledge of quality accreditation standards preferred Experience with Dual Special Needs Plans (DSNP) or Medicare/Medicaid populations is highly desirable Coursework in Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous