Senior Director, Medical Services, Health Plan - Sanford Health
Sioux Falls, SD
About the Job
**Careers With Purpose**
**Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.**
**Facility:** GSS National Campus
**Location:** Sioux Falls, SD
**Address:** 4800 W 57th St, Sioux Falls, SD 57108, USA
**Shift:** Varies
**Job Schedule:** PRN
**Weekly Hours:** Varies
**Job Summary**
Manage and apply resources to general Sanford Health Plan medical services operations, guided by experience, organizational goals and operational strategies. Also responsible for the management of cyclical projects. Oversee processes of medical services for the health plan. Work on complex health plan medical services matters where analysis of issues, data and process require advanced specialist knowledge and in-depth industry and technical knowledge.
Provide clinical-based direction and administrative guidance for health plan. Solicit physician input and efforts to develop and coordinate health insurance plans.
Participate in and provide clinical expertise in data collection and analysis to achieve high-quality health care and cost efficiency.
Acts as a liaison between corporate leadership and Health Plan staff.
Promote the delivery of safe, high-quality health care in accordance with enterprise mission, vision and strategic goals.
Maintain awareness of trends, laws and regulations and communicate relevant changes to staff and enterprise leaders.
**Qualifications**
Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) with a completed Accreditation Council for Graduate Medical Education (ACGME) residency and certification, and sufficient experience to maintain a clinical practice.
Current licensure in the state of practice required. Must be certified by the appropriate American Board of Medical Specialties (ABMS) within the first three years of employment and must be maintained.
**Benefits**
Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .
Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
**Req Number:** R-0196548
**Job Function:** Health Plan
**Featured:** No
**Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.**
**Facility:** GSS National Campus
**Location:** Sioux Falls, SD
**Address:** 4800 W 57th St, Sioux Falls, SD 57108, USA
**Shift:** Varies
**Job Schedule:** PRN
**Weekly Hours:** Varies
**Job Summary**
Manage and apply resources to general Sanford Health Plan medical services operations, guided by experience, organizational goals and operational strategies. Also responsible for the management of cyclical projects. Oversee processes of medical services for the health plan. Work on complex health plan medical services matters where analysis of issues, data and process require advanced specialist knowledge and in-depth industry and technical knowledge.
Provide clinical-based direction and administrative guidance for health plan. Solicit physician input and efforts to develop and coordinate health insurance plans.
Participate in and provide clinical expertise in data collection and analysis to achieve high-quality health care and cost efficiency.
Acts as a liaison between corporate leadership and Health Plan staff.
Promote the delivery of safe, high-quality health care in accordance with enterprise mission, vision and strategic goals.
Maintain awareness of trends, laws and regulations and communicate relevant changes to staff and enterprise leaders.
**Qualifications**
Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) with a completed Accreditation Council for Graduate Medical Education (ACGME) residency and certification, and sufficient experience to maintain a clinical practice.
Current licensure in the state of practice required. Must be certified by the appropriate American Board of Medical Specialties (ABMS) within the first three years of employment and must be maintained.
**Benefits**
Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .
Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
**Req Number:** R-0196548
**Job Function:** Health Plan
**Featured:** No
Source : Sanford Health