Medical Director

Title: Medical Director

State Role Title: Physician Manager I

Hiring Range: $203,466 - $218,916

Pay Band: 8

Agency: Dept of Med Assistance Svcs

Location: Richmond City

Agency Website: www.dmas.virginia.gov

Recruitment Type: General Public - G

Job Duties

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Medical Director with the Office of the Chief Medical Officer.

The Medical Director provides senior level leadership in support of the Agency's mission and advances key initiatives to achieve the quadruple aim of improved population health, reduced per capita cost, and enhanced patient and provider experience for the Virginia's Medicaid Program.

Job responsibilities will include, but are not limited to:

This position will work directly to support the leadership of the Chief Medical Officer to provide clinical direction and execute high-priority initiatives for the agency with the goal of providing high-quality and cost-effective health services to improve the health and well-being for Virginians in the Medicaid program.

High-priority initiatives may include the opioid epidemic, maternal and child health, social drivers of health, pharmacy innovation, and value-based payment.

The Medical Director will lead the development and implementation of clinical guidelines and medical policy coverage decisions director of the Medical Support Unit and work with medical directors of the Agency's managed care organizations to resolve recipient issues and drive forward care transformation.

The individual in this position will represent Virginia Medicaid at internal and external meetings including working closely with the Medicaid provider community on high-priority initiatives.

Completion of Medical School and an approved residency is required, ideally in Internal Medicine, Family Medicine, OB/GYN, Pediatrics, Emergency Medicine or Psychiatry.

Located in beautiful Central Virginia, the Richmond area puts you just 2 hours from the Blue Ridge Mountains, Virginia Beach and Washington DC. To learn more about the Richmond, VA area visit: https://www.virginia.org/

The Department of Medical Assistance Services (DMAS) is working to improve the health and well-being of Virginians through access to high quality health care coverage.

DMAS wants talented individuals who can align their experience with the mission of the agency and its core values – service, collaboration, trust, problem solving and adaptability.

At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are | Become who you want to be | That is our promise.

Minimum Qualifications

Competitive candidates will meet these minimum qualifications:

Experience with, the development, implementation, operation and evaluation of complex health care programs.

Knowledge of State and Federal Medicaid Policies and Regulatory Reporting.

Knowledge in Utilization Management and Medical Necessity Review and willingness to be trained on Utilization Management platforms (i.e. MCG/InterQual or similar software).

Knowledge of managing large-scale projects and an understanding of complex governmental organizations; project management; agency services and delivery techniques in a data driven organization.

Experience in the ability to plan, organize, implement, and monitor large scale/time sensitive projects; to serve as representative of the Agency in workgroups; participate in taskforces led by Governor's office and/or Health and Human Resources Secretary's office.

Experience with Excel, Microsoft, Visio or similar software.

Knowledge/experience in interpretation and application of federal, state laws/regulations.

Considerable experience in meeting stringent deadlines.

Experience with internal/external stakeholders.

Completion of Medical School and an approved residency is required, ideally in Internal Medicine, Family Medicine, OB/GYN, Pediatrics, Emergency Medicine or Psychiatry.

Must have working knowledge of the health needs of the Medicaid population.

Additional Considerations

Competitive candidates should meet these additional considerations:

Knowledge and experience in Public Health, Health Policy Research, Health Services Research, Economics, Biostatistics, or related field.

Experience in rese