18 days old
Accenture is a leading global professional services company, providing a broad range of services and solutions in strategy, consulting, digital, technology and operations. Combining unmatched experience and specialized skills across more than 40 industries and all business functions underpinned by the worlds largest delivery network Accenture works at the intersection of business and technology to help clients improve their performance and create sustainable value for their stakeholders. With approximately 469,000 people serving clients in more than 120 countries, Accenture drives innovation to improve the way the world works and lives.

Visit us at www.accenture.com.

People in our Client Delivery & Operations career track drive delivery and capability excellence through the design, development and/or delivery of a solution, service, capability or offering. They grow into delivery-focused roles, and can progress within their current role, laterally or upward.

The Medical Director provides leadership, oversight and direction for utilization management and care management services. The individual is responsible for all aspects of medical management and quality improvement activities and supports activities by utilizing their medical expertise and knowledge of health care delivery systems, utilization management and reimbursement methods, and managed care experience for Commercial, Medicare and or Medicaid products. The Medical Director is a key clinical contact for Health Management clients as well as internal delivery, compliance, quality, and legal teams, and a key advisor for Accenture internal sales teams.

Key Responsibilities:
Provides leadership, guidance, and direction for clinical and non-clinical utilization management and care management activities and decisions across all teams and sites, including but not limited to delivery, compliance, quality, and training
Oversees performance for all program metrics, including but not limited to performance, quality improvement, cost of care, provider, member and client satisfaction, and staffing
Oversees analysis of medical management and quality data to identify opportunities for improvement and provides input including but not limited to the design, implementation and evaluation of corrective action plans to improve performance
Assists staff in the interpretation of medical policy
Approves clients clinical criteria
Performs role in accordance with Utilization Management Program, Compliance Program, and Quality Committee Charter requirements
Provides input and or recommends resources references i.e., reputable clinical websites and published articles for clinical training
Chairs Quality Committees
Provides guidance on quality management priorities and projects
Oversees and supports URAC accreditation activities


Basic Qualifications
Doctor of Medicine M.D. or Doctor of Osteopathy D.O.
Minimum of two years of Clinical Leadership experience (i.e. group practice management, hospital teams, health plan management)
Minimum of two years in medical management or health administration in a managed care or hospital environment for Commercial, Medicare and/or Medicaid lines of business
Preferred Qualifications
Experience in leading managed care quality improvement programs
An Active Board Certification in a recognized specialty
Ability to interpret and apply medical policy broad clinical knowledge and understanding of current health care and health system issues
Strong strategic thinking ability and business acumen
Demonstrated client relationship building skills
Demonstrated ability to serve as a physician SME during meetings with clients, prospective clients or industry leaders
Flexibility to travel domestically and internationally, as required
Must be comfortable working in a global matrixed organization
Demonstrated leadership and teamwork in a professional setting
Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States and with Accenture.


Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration.


Accenture is a federal contractor and an EEO and Affirmative Action Employer of Females/Minorities/Veterans/Individuals with Disabilities.


Equal Employment Opportunity
All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law.


Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process.


Accenture is committed to providing veteran employment opportunities to our service men and women.
Posted: 2019-10-25 Expires: 2019-11-24

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Medical Director

Accenture

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