LTSS Medical Director – Kansas Medicaid
Core
Utilization management and clinical oversight for the Kansas Medicaid long-term services and supports (LTSS) population.
Role type
Director-level Licensed Physician (MD/DO)
Builds
Clinical review determinations, care coordination, and medical policy implementation for Medicaid members.
Domain
US Healthcare / Medicaid / Long-Term Services and Supports (LTSS)
Deliverable
client delivery
Required skills
Utilization management, peer-to-peer clinical reviews, clinical policy interpretation, program leadership, stakeholder engagement, care coordination
Preferred skills
Geriatrics, directing health care for frail elderly or individuals with disabilities, primary care specialty
Technologies
None stated
Responsibilities
Conduct peer-to-peer clinical reviews and appeals with providers, interpret and develop medical policies, lead clinical and non-clinical activities impacting quality and cost, serve as a resource for internal teams and external entities
Seniority
Director, hands-on leadership