Key Facts

Remote From:

Part time

Expert & Leadership (>10 years)

English

Hard Skills

Clinical Governance Healthcare Quality Clinical Quality Management Good Clinical Practices (GCP) Clinical Supervision Medical Licensing (Health Law) Performance Management Medicare Clinical Study Design Clinical Data Analysis Physician Credentialing Program Evaluation Associate Insurance Regulatory Compliance Health Policies Medicare Managed Care Meeting Facilitation Stakeholder Engagement

Other Skills

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Decision Making
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Collaboration
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Communication
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Analytical Thinking
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Presentations
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Problem Solving

Roles & Responsibilities

Doctor of Medicine (MD) or Doctor of Osteopathy (DO) with board certification and an unrestricted medical license to practice medicine
Experience working with Medicare or Medicaid programs or within the healthcare industry
Strong leadership, analytical, and problem-solving abilities
Excellent communication, facilitation, and presentation skills

Requirements:

Provide clinical leadership and oversight for External Quality Review (EQR) activities and quality review initiatives
Serve as a clinical advisor to the Department of Medical Services (DMS) and support decision-making related to healthcare quality, compliance, and program outcomes
Review clinical data, performance metrics, and program outcomes to support healthcare quality improvement efforts
Collaborate with operational and quality teams to evaluate healthcare programs and ensure alignment with regulatory standards

4 Corner Resources

Human Resources, Staffing & Recruiting

About 4 Corner Resources

We are a company born to do business in a personal way. We believe a candidate’s individual career goals and dreams should matter more than keywords on a resume. We believe a company’s unique culture, ideals, and expectations are as important as skills and years of experience listed on a job description. We believe the business of recruiting and hiring is meant to be personal – always. We will continue to lead by example, and look forward to sharing our time and knowledge with those who refuse to settle for anything less. ✅ Direct hire staffing ✅ Contract to hire staffing ✅ Remote staffing ✅ Seasonal hiring ✅ Headhunting ✅ Executive search ✅ Temporary staffing We use LinkedIn to stay in touch with our established community, grow our audience, share news, and offer value through quality content written for job seekers, hiring managers, HR professionals, and recruiters.

Company type: SME

Industry: Human Resources, Staffing & Recruiting

Founded: 2018

Company size: 51 - 200

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Job description

Medical / Clinical Director
Location: Remote
Employment Type: Contract (Part-Time)
Salary: $200-225/HR

The Medical / Clinical Director will provide clinical leadership and oversight for External Quality Review (EQR) activities supporting the Department of Medical Services (DMS). This role ensures clinical integrity across quality review initiatives and provides expert guidance on healthcare delivery, regulatory compliance, and quality improvement efforts related to Medicaid and Medicare programs.
This position is ideal for a physician seeking part-time leadership work, including recent retirees or professionals interested in contributing to healthcare quality improvement initiatives.
Key Responsibilities

Provide clinical leadership and oversight for EQR activities and quality review initiatives.
Serve as a clinical advisor to DMS and support decision-making related to healthcare quality, compliance, and program outcomes.
Review clinical data, performance metrics, and program outcomes to support healthcare quality improvement efforts.
Collaborate with operational and quality teams to evaluate healthcare programs and ensure alignment with regulatory standards.
Provide guidance on clinical best practices related to Medicaid and Medicare programs.
Participate in meetings, presentations, and discussions with leadership and regulatory stakeholders as needed.
Support the development of clinical review methodologies and healthcare quality improvement strategies.

Required Qualifications

Doctor of Medicine (MD or DO) with board certification.
Unrestricted medical license to practice medicine.
Experience working with Medicare or Medicaid programs or within the healthcare industry.
Strong leadership, analytical, and problem-solving abilities.
Excellent communication, facilitation, and presentation skills.

Preferred Qualifications

Previous experience supporting External Quality Review Organizations (EQRO) or healthcare quality improvement programs.
Experience working with state Medicaid programs or healthcare regulatory agencies.
Background in clinical quality review, healthcare policy, or healthcare program oversight.

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