Reporting to the VP for Medicare STARs and Clinical Performance, the Medical Director, Clinical Quality and Network Management is a senior level role responsible for providing medical leadership over the Senior Health Services team’s Medicare Stars program, including continuous improvement of clinical HEDIS, Pharmacy, HOS, and CAHPS scores.

The Senior Medical Director, Clinical Quality and Network Management also works directly with medical leadership at contracted provider organizations to assist them in reaching their clinical goals. EMPLOYMENT QUALIFICATIONS: EDUCATION: Medical Doctor Degree (MD) or Doctor of Osteopathic Medicine (DO) required. Advanced degree, such as MBA, MHA, MPH, MMM, or a related field preferred. Board Certified in in a specialty approved by the American Board of Medical Specialists or the American Board of Osteopathy. Current unrestricted state of Michigan Doctor of Medicine (M.D.) or doctor of osteopathy (D.O.) license. Continuous learning, as defined by the Company’s learning philosophy, . Certification or progress toward certification and encouraged.

EXPERIENCE: Ten (10) years of progressively more responsible experience in a healthcare environment with technical experience that provides the knowledge, skills and abilities. Five (5) years management or supervisory experience in healthcare strongly preferred. Medicare Advantage revenue experience strongly preferred. Health care practice experience providing services to Medicare Advantage and Medicaid patients required. Broad experience of the Medicare segment and an understanding of the overall Medicare stars program.