Empower Healthcare Solutions

Medical Director UM

Empower Healthcare Solutions  •  Little Rock, AR (Onsite)  •  3 months ago
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Job Description

Level: Management
Job Location: Empower Healthcare Solutions LLC - Little Rock, AR 72223
Position Type: Full TimeEducation
Level: Licensure
Salary Range: $1.00 - $1.00 Salary/year
Travel Percentage: Negligible
Job Shift: Day
Job Category: Health CareEmpower, a Provider-Led Arkansas Shared Savings Entity (PASSE) serving Medicaid clients with complex behavioral health, developmental, or intellectual disabilities, is seeking a Medical Director- Utilization Management. The medical director will play a pivotal role in the clinical leadership and development of population health programs and functional areas within Medical Management. You will be responsible for reviewing cases that do not meet established evidence-based clinical criteria or when criteria or client policies do not exist for the requested service(s).
Reporting directly to the Associate Vice President of Clinical Strategy and Care Integration, the Medical Director is tasked with making critical clinical review determinations and providing guidance across various medical management initiatives, such as high-risk care management, population management, and health and wellness programs.

Qualifications
- Graduate of an accredited medical school with an M.D. degree.
- Active, unrestricted physician license.
- 3-5 years of clinical practice experience, with progressively responsible administrative experience in a medical management setting.
- Strong clinical knowledge and decision-making skills in various specialties.
- Experience in medical administration and clinical leadership is preferred.
- Master’s in Business Administration (MBA) or a related master’s degree in healthcare or a similar field is preferred.
- Exceptional communication skills and the ability to collaborate effectively with diverse healthcare teams.
- Strong organizational, analytical, and problem-solving abilities.
Ability to navigate complex clinical and operational challenges in a fast-paced healthcare environment
Empower Healthcare Solutions

About Empower Healthcare Solutions

Empower’s model of care ensures individuals with behavioral health needs or intellectual or developmental disabilities (IDD) receive the right care, in the right setting, at the right time to improve health outcomes and manage total health care costs.

Our mission is to empower individuals to lead fuller, healthier lives at home in their communities. Our members are at the center of all we do. We partner with providers, advocates, and the community to deliver the right solutions for an improved quality of life for our members

We identify all of the individual’s treating providers and include their input when developing the individual’s plan of care. Ensuring the plan is person-centered, we identify individual’s strengths and needs by collaborating with them and their family members during the development process. We also address their functional needs based upon their Independent Assessments. We then develop clinical interventions to help our members navigate the medical, behavioral health, and developmental disability systems as well as access community resources to address their needs.

Industry
Healthcare & Social Services
Company Size
51-200 employees
Headquarters
Little Rock, Arkansas
Year Founded
2017
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