Associate Medical Director

Full Job Description

Hennepin Health is seeking an Associate Medical Director to provide clinical leadership and essential operational support within the Medical Administration Department. The Associate Medical Director works closely with the Chief Medical Officer and Director of Clinical Services to oversee clinical services and ensure high-quality, cost-effective care for health plan members. This role supports medical management functions, conducts utilization reviews, participates in policy development, and quality improvement initiatives. This position will assume chief medical officer responsibilities for interim periods as needed.

Current Hennepin County employees who refer a candidate hired into an open competitive position may be eligible for a $500 referral bonus. For more information visit the employee referral program page.

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Location and hours:
This position is hybrid and will be performed both on-site at the Health Services Building, 525 Portland Avenue South, 8th floor, Minneapolis, MN 55415, and remote as job duties require. Work hours will be Monday through Friday, with typical hours of 8 a.m. to 4:30 p.m. up to 30 hours per week. There may be opportunities for clinic practice at the NorthPoint Clinic, Hennepin County Public Health Clinical Services, or Hennepin Healthcare. While this position is designated as hybrid, based on current requirements hires must reside in or relocate to Minnesota or Wisconsin. New Employee Orientation (NEO) for all new benefit-earning employees is in-person in downtown Minneapolis. Details about NEO will be provided upon hire.

About the position type:
This is a part-time, benefit earning position.

This position is internally classified as a Physician, Associate. Click here to view the job classification specification.

In this position, you will:

• Conduct medical necessity reviews for pharmacy and medical prior authorization requests, appeals, and restricted recipient cases.
• Participate in utilization review, complex case review, and appeal review processes.
• Serve on and contribute to committees including credentialing, pharmacy & therapeutics, drug utilization review, technology assessment, and quality management.
• Lead a team of three pharmacists and one pharmacy technician conducting medical reviews.
• Draft and review assessments of new medical technologies and approval criteria for medications requiring prior authorization.
• Participate in internal meetings to align services and decisions within an interdisciplinary team.
• Create and update annual quality work plans and evaluations.

Need to have:

• Graduation from an accredited school of medicine with a Doctor of Medicine or Doctor of Osteopathic Medicine Degree.
• Completion of an approved internship and an approved formal adult or child residency in a medical specialty is required.
• Possession of a valid license to practice medicine issued by the State of Minnesota.

Nice to have:

• Board certification as a physician.
• Five or more years of clinical experience, including supervisory experience in healthcare or insurance settings.
• Experience:
  • In managed care, health maintenance organizations, and/or health insurance-related environments.
  • With pharmaceutical procurement, pharmacy benefit managers, and/or pharmaceutical management.
• Ability to:
  • Manage a professional team to achieve goal-oriented results.
  • Work collaboratively across interdisciplinary teams.
• Excellent communication and leadership skills.
• Strong understanding of utilization management, quality improvement, and medical policy development.

About the department:

Hennepin Health provides health care coverage to Hennepin County residents who are enrolled in a Minnesota Health Care Program.

Hennepin Health is a nonprofit, state-certified health maintenance organization that contracts with the Minnesota Department of Human Services.

We envision being a leader in partnering with our members and communities to improve health, by integrating health care and service to enhance the health and well-being of our members and the community.

About Hennepin County:
Hennepin is the largest county government organization in Minnesota. Our employees work every day to improve the health, safety and quality of life for our residents and communities. All of our jobs align with our mission to serve residents through transformative services that eliminate disparities, eliminate inequities, and create opportunity for all and our vision of a community where all people are healthy, all people are valued, and all people thrive.

Our employees receive a combination of competitive benefits and positive workplace culture not found at other organizations. This includes meaningful work that impacts our community, competitive pay, work-life balance, a variety of benefits and opportunities to grow. Learn more at The Bridge (login as Guest).

Hennepin County envisions an organization where our commitment to diversity and the elimination of disparities is fundamental in providing excellent service to our community.

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This posting may be used to fill current and future vacancies.

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This position will have access to systems or other documentation that contains HIPAA data.

Invitations to interview will be based upon an assessment of education and experience. Final candidates may be required to complete a criminal background check.

If you have any questions, please contact:
Pajoua Chang
Pajoua.Chang@hennepin.us