Medical Director

Job Description:

Spectrum Healthcare Resources is excited to offer a potential career opportunity for a Behavioral HealthMedical Director supporting the TriCare/Department of Defense and Community Care Network/Department of Veterans Affairs. This remote-based civilian position is an outstanding chance to make a meaningful contribution to the healthcare of veterans and military beneficiaries while benefiting from work-life flexibility, professional collaboration, and impactful leadership.

 

Join us in leading high-quality care initiatives for those who have served our country, with a focus on system-wide clinical improvement, peer collaboration, and mission-driven support!

Requirements:

• Doctor of Medicine (MD) or Doctor of Osteopathy (DO) from an accredited medical school.

• Active, unrestricted license to practice medicine in the United States.

• Board certification or board eligibility through a recognized specialty board.

• U.S. Citizenship.

• Favorable background investigation through the Department of Defense (DoD).

• Minimum of 5 years of medical practice experience.

• 3+ years of experience in managed care environments.
•  

Preferred:

• Experience working with TRICARE, Veterans Affairs, or other federal health plans.

• Advanced degree in management (MPA, MBA, MHA, MPH).

• Corporate-level leadership experience.

• Experience using InterQual and/or similar evidence-based criterial to assess medical interventions, procedures and treatments.

Job Responsibilities:

• Provide program-wide clinical guidance across multiple medical management domains including Utilization Management, Case Management, Quality, and Public Health.

• Lead and participate in quality committees and collaborative safety initiatives.

• Review member cases for appropriateness and quality of care; document findings in CareRadius and other health systems.

• Conduct peer-to-peer discussions with network providers and internal stakeholders.

• Develop and implement corrective action plans related to clinical quality or provider performance.

• Collaborate closely with TriWest teams such as Clinical Operations, Data Analytics, and General Counsel.

• Provide clinical expertise on new technologies, treatment protocols, and population health initiatives.

• Interact with veterans and beneficiaries to support satisfaction and outcomes.

• Stay current with required licensure, board certification, and federal medical standards.

Working Conditions:

• Remote position with standard weekday hours and occasional after-hours availability.

• Extensive computer-based work; prolonged periods of sitting may be necessary.

 

Company Overview:

Spectrum Healthcare Resources (SHR) was established in 1988 to deliver systems and processes designed to meet the unique needs of Military and VA Health Systems.  SHR is a leading organization that provides physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics and other Federal Agencies through various contracting vehicles.  A Joint Commission Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a Nationwide organization that serves 850 civilian and military hospitals with a team of 9,600 affiliated health care professionals. EOE/Disabled/Veterans

 

Location : Location: US-NV-Las Vegas Recruiter : Full Name: First Last: Joseph Day Direct phone number: 314-744-4138 Recruiter : Email: joseph_day@spectrumhealth.com