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Medical Director - AHA

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Health & Clinical Services
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190510 Requisition #
Thanks for your interest in the Medical Director - AHA position. Unfortunately this position has been closed but you can search our 102 open jobs by clicking here.

Qualifications and Capabilities:

·       Completion of a residency in an American Board of Medical Specialists (ABMS) approved specialty is preferred.

·       Current board certification in an ABMS specialty is required if active certification is permitted under the regulations of the individual certifying board.

·       Current, unrestricted license to practice medicine in Pennsylvania is required

·       Ability to obtain medical licenses in other states as needed is required.

·       Good standing with Medicare, Medicaid and Federal DEA programs is required. (NB: Current DEA registration/ certification is not required.)

·       Must successfully meet IBC initial credentialing standards and maintain IBC FOC credentialed status

 

Experience and Required Skills:

·       Three or more years’ experience in utilization management is preferred.

·       Direct patient care experience following postgraduate education (internship/residency) in the field of specialty training and certification is required.

·       Five or more years in active clinical practice are preferred.

·       Strong interpersonal, verbal, and written communication skills, especially in terms of conflict resolution.

·       Strong written and verbal presentation skills.

·       Proficient in the operation of a personal computer

·       Strong knowledge of clinical medicine.

·       Good clinical judgment

·       Familiarity with current PC software suite used by the organization.

·       Broad experience in all areas of medical management.

Vaccination Update

This job requires that you demonstrate you have been fully vaccinated for COVID-19 prior to the start of employment, to the extent permitted by law.

About Our Company

If you thrive in a dynamic environment and are seeking a career opportunity with substantial growth potential, consider AmeriHealth Administrators. As one of the fastest growing third-party administrators in the country, AmeriHealth Administrators is looking for qualified individuals to join our team.

 

We use our experience managing more than $1 billion in health benefits to help insurers, employers, producers, health care providers, and members thrive.  We have nearly 80 years in the health care industry and over 500 employees with expertise ranging from cost containment and regulatory compliance to specialized processing services and self-funded health plan management. 


AmeriHealth Administrators is headquartered in Philadelphia, Pennsylvania.

Equal Employment Opportunity

AmeriHealth Administrators is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability. 

Agency Disclaimer

All resumes submitted directly to an AmeriHealth Administrators employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of AmeriHealth Administrators and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by AmeriHealth Administrators or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process. 

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