iHealth Technologies (iHT) Medical Director

iHealth Technologies (iHT)
Medical Director

We have been retained by iHealth Technologies (iHT), a healthcare analytics company that derives meaningful insight and delivers effective solutions to help clients optimize performance. iHT is a leader in payment integrity solutions and leverages business intelligence, technology and operational excellence to improve the effectiveness of healthcare. iHT is currently growing with tremendous opportunities for individuals who want to be part of an extremely fast growing, dynamic and successful company who values and rewards its employees. Currently, iHT is seeking clinically experienced candidates for the position of Medical Director with a high level of private sector health plan operations and medical coding (CDT, ICD-9). Individual must be confident in new technologies and willing to learn on a daily basis.
iHT delivers high performance for its clients and creates new levels of operational precision in the healthcare industry. Over 75 leading healthcare organizations partner with iHT; combining Insights, Technology and Business process to address client needs.
The Medical Director position supports a growing client base while combining their clinical expertise with payment policy. The Medical Director is a key member of the client team and represents the team on all Medical Policy decisions as well as directing the Medical Policy Committee (which is composed of client Medical Directors, Coding Analysts, Claims Operations staff and Provider Relations staff.) iHT is looking for someone with strong Payment Policy Management. The Medical Director is responsible for interpreting and assessing payment policy for clients and provides consultation and policy advice. The Medical Director will guide both internal and external processes as related to policy assessment and interpretation.
This position requires clinical experience as well as experience within a payer organization. A balance of analytical and communication skills are necessary with the ability to effectively present to clients. Candidate must be able to handle multiple tasks, prioritize, meet deadlines and be able to work independently as well as a team environment. Additionally, this position requires confidence with new technologies, database systems and Microsoft Office.
iHT is looking for a Medical Director that is ready for a long term company commitment. This position requires 5-6 weeks of training and moderate monthly travel.

Screening questions
1. Please describe your experience working with medical payment policies within a payer organization.
2. Please describe a previous role where you were able to use your analytical skills to make an impact on your internal or external clients.
3. Give an example of how you effectively present to clients.
4. Please describe a situation where you have influenced a client or team without having any authority.Experience Requirements MD with Clinical experience as well as understanding of the payer environment Experience in private sector health plan operations or a payer-facing vendor as a Medical Director, with focus on reimbursement, medical coding (CPT, ICD-9).

Consulting experience within a healthcare coding and reimbursement company is a definite plus.

Intermediate level or high degree of proficiency in the Microsoft suite of products (Word, PowerPoint, Excel)

Strong analytical and problem solving skills.
Ability to research using on-line subscriptions or other web-based industry recognized sources (CMS, etc.)
Must be able to effectively work with all levels of management and staff.
Must be able to work independently with little to no supervision.
Professional with ability to properly handle confidential information.
Ability to work well independently and in a team environment.
Ability to handle multiple tasks, prioritize and meet deadlines.
Excellent listening, written and verbal communication, and facilitation skills.
Exhibits behaviors consistent with (iHT) Values.
o Integrity
o Our Clients
o Our Team
o Accountability
o Performance Excellence
o Continuous Improvement

Job Demands
Remote working environment / Virtual Office with heavy travel initially in to our Atlanta office associated with training
Ongoing moderate travel required (up to 20%).

To apply please e-mail your CV to HCFinance@kbic.com