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Medical Director Resume Samples
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6-10 years of experience
Founded Rehabilitation Unit in 1979 while on active medical staff. As Medical Director, focused on re-invigorating the Unit that been allowed to deteriorate under different leadership. Responsible for all dailiy in-patient care.
- Re-invigorated the team by meeting with the staff to discuss problem areas to create workplace solutions resulting in a higher quality of work-life and subsequent increased levels of patient care and satisfaction.
- Improved census for both inpatient and outpatient by 25%.
- Expanded program from 18 to 26 beds, recruiting and hiring a second physiatrist to assist with treating the patients.
- Cut lenghts of stay from by 50% without adversely impacting quality of care by forming large and small blocks of care with therapists and nurses.
10+ years of experience
A 160-bed skilled and long-term care facility, providing physical therapy, occupational therapy and speech therapy.
- Duties include taking care of various medical conditions and over all improvement of medical care.
- Ordered and executed diagnostic tests and analyzed diagnostic images to further investigate patients’ conditions.
- Educate nursing staffs about better care of the resident.
- Advised and educated patients regarding diet, hygiene and effective disease preventive method.
- Involved in wound managemet
0-5 years of experience
Provided administrative support to Medical Director and a group of 38 physicians.
- Managed work schedules and calendars; scheduled meetings, conferences, made travel arrangements.
- Prepared census, reconciled billing, processed payroll, travel and education reimbursements.
- Provided decision making support to Medical Director, generated reports, performed data analysis.
- Worked both independently and as part of a team with professionals at all levels to ensure coordinated efforts to achieve goals and highest quality service.
0-5 years of experience
Represented DSA medical team at internal/external meetings with peers and clients.
- Provided medical review of individual case safety reports (including literature) for domestic and foreign, marketed and investigational products (includes narrative review and MedDRA coding).
- Evaluated and assessed Adverse Drug Reactions (ADR) reports in terms of ‘seriousness’ and ‘expectedness’ to determine expedited or periodic reporting.
- Reviewed ADR data to identify and evaluate trends and signals.
- Ensured proper coding of ADR terms into adverse event global database (mapping to standards).
- Provided medical review and approval of Periodic Safety Reports (PR).
- Reviewed regulatory documents and approve utilization of internal expectedness lists.
0-5 years of experience
Supervised 2-3 CRNAs; made sure thank safety guidelines were followed
- Oversaw patient care before and after surgical procedures
- Significantly reduced cancellations of procedures
- Implemented new pre-op assessment guidelines
- Collaborated with administrators to better train nursing staff in more effective and efficient patient care
0-5 years of experience
In charge of network development, which included all physician, hospital and ancillary contracting, as well as assessment of hospital and physician performance. Also responsible for QI (Quality Improvement) staff including NCQA and Hedis (Health plan Employer Data and Information Set.)
- Targeted network development based on market analysis of opportunities to enhance sales. Maintained a growing physician network with only 1% of physicians on a statewide basis leaving the healthplan annually. Managed a network staff of 20.
- Chairman for statewide credentialing committee with oversite of all credentialing activities.
- Led appeal and grievance committee. Reviewed all appeals for local market and developed external review protocol. Over two year time period only one appeal was overturned by the Department of Insurance.
- Achieved consistent three-year NCQA accreditation. Recognized as one of the top healthplans for Hedis improvement.
- Lead medical director for [company name] for the region of Ohio.
- Developed statewide disease management programs and initiatives.
- Clinical responbilities for statewide benefit committee which analyzed utilization and cost data, and determined statewide fee schedules and budgets.
- Served as [company name]’s medical liaison to state legislative committees.
6-10 years of experience
Amassed track record of results for strong leadership in directing the medical component of hospice services for patients with life-limiting illnesses offering end-of-life care at home and in hospital settings. Maintained oversight of strategic planning, utilization management, quality care and appropriate clinical policies, procedures and protocols. Conducted initial clinical evaluations of new referrals, certified condition, verified program eligibility, and determined, with interdisciplinary team, medically indicated plan of care and treatment updates to limit pain and maximize quality of life. Supervised the performance of four attending physicians executing treatment plans and served as primary resource in matters related to medications, standing orders, standards of care, special equipment, emergency procedures and support to nursing professionals. Coordinated and managed day-to-day referral processes, produced medical certificates and statistical reports concerning patient hospital admissions, program withdrawals and deaths; and served as the primary interface between ancillary services and patients. Consulted on new contracts with private health insurance carriers, interpreted contract terms, benefits and negotiated coverage of hospice care services.
- Assisted in the modification and adaptation of clinical protocols, standards for progress notes, and hospital admission criteria.
- Authored instruction manual on recognizing and responding to common symptoms and signals of terminally ill patients.
- Established indicators and structured performance metrics as a basis to evaluate performance of medical staff and improve efficiencies.
0-5 years of experience
Medical Director and Laboratory director
- Performed medical evaluations and over-site supervision of medical care
- Improved planning and over-site of operations
- Analyzed and expanded regulatory affairs and commercial plan
- Executed strategic planning phase III clinical trial
- Achieved in depth understanding of regulatory environment and GCP
0-5 years of experience
Employed group practice of cardiac, thoracic, and vascular surgery in multi-hospital private health system.
- Strategic, programmatic, clinical lead in development of cardiovascular and thoracic surgery
- Introduced and championed critical outcome analysis, hardwired safety tools, standardized processes, and optimized staffing and development
- Led extensive enhancement of clinical offerings and service line development, educational and teaching opportunities for staff, and collaborative multi-disciplinary programs
- Led clinical research efforts including industry outreach and community outreach
- 2013 Truven Health Analytics (formerly Thomson Reuters) Top 50 Cardiovascular Hospitals (St. Joseph’s Hospital)
- Marked revenue enhancement
- EHR and CPOE development and implementation
6-10 years of experience
Promoted to assume responsibility for review of service authorization requests and establishment of guidelines by which Office of CMO and Department of Medical Management handle such requests according to national guidelines, community medical standards, governmental regulations, and medical acumen
- Wrote or collaborated with personnel on over two dozen departmental and corporate policies
- Established guidelines by which innovative and experimental/investigational medical services are assessed within province of medical necessity and safety
- Medical advisor and educator to personnel, ensuring that correct clinical judgment and knowledge of policies are applied to medical decisions and adjudication of issues involving service authorization requests, claims, and provider/member disputes
- Medical advisor in development and implementation of vendor contracts
- Education of network providers to ensure compliance with company policies
- Develop strategies on review and authorization determinations of service authorization requests according to NYS DOH/Medicaid and CMS requirements
- Represent CMO at internal departmental, NYS/NYC DOH, and Health Plan Association meetings
- Author of medical and behavioral health articles for provider- and member-oriented media
0-5 years of experience
- Championed and supervised medical quality in 21 hospitals.
- Evaluated, developed and promoted veterinarians within market.
- Interviewed and hired veterinarians for hospitals in Ohio and Indiana.
- Partnered with talent acquisitions in recruitment of doctors.
- Reduced doctor and technician turnover to lowest in Midwest region.
- Ensured good communication between associates, clients, field leadership, and PetSmart.
- Facilitated increased efficiency of hospitals through purposeful associate scheduling.
- Created a culture of teamwork between veterinarians, technicians and practice managers.
- Drove continual improvements for medical quality, revenue, and client experience.
- Guided hospitals in improving overall operating performance.
6-10 years of experience
- Coordinated and oversaw Continuous Quality Improvement projects for the practice.
- Collaborated with other practice leaders in Clinical Directors’ Group to create best practice policies and procedures for the organization.
- Guided implementation of Epic electronic medical records as a Super User, created templates, and trained new physicians on its use.
- Supervised first and subsequent accreditation by The Joint Commission (TJC), which we passed with much commendation.
- Managed complex office scheduling of 30 physicians with integration of inpatient, outpatient, obstetrical, and preceptor coverage.
- Increased productivity of attending physicians by nearly 20 percent by increasing efficiency of administrative time and changing scheduling templates.
- Facilitated departmental journal club and taught evidence-based medicine skills to faculty and residents.
- Developed, managed, and evaluated adult medicine, maternity care, and practice management curricula.
- Supervised residents and provided direct patient care in outpatient, maternity, and inpatient services.
10+ years of experience
Discuss cases with physician and other health professionals to prepare comprehensive patient care plan. Perform initial and follow-up evaluations including history and physical examinations, laboratory and skin test interpretations, and ordering therapy and drug treatments. Experience /skills has increased patient population by 50%.
- Treat and evaluate patients with soft tissue injuries sustained in automobile and work-related accidents.
- Conduct tests and examine patients to provide information on medical condition.
- Analyze test results and examination notes to diagnose condition of patient. Explain procedures and discuss test results on prescribed treatments with patients.
- Perform histories and physical examinations. Prescribe and administer treatment, therapy, medication, vaccination, and other specialized medical care to treat and prevent illness, disease, and injury.
6-10 years of experience
Worked as Primary Care Physician of both adults and children
- Took Care of acute and Chronic medical conditions
- Supervised Ancillary and auxillary health Care providers
- Contacted insurance companies and other health care providers toward delivering Quality medical care
- Involved in billing and marketing of the clinic
- Implemented Electronic medical Record for optimal patient care
0-5 years of experience
Serve as a medical expert for clinical research, medical affairs, pipeline development and Company’s operations. Act as a medical resource to the Company as a whole and particular to the clinical affairs department and drug safety monitoring. Clinical study protocol development, review and approval for Phase I-IV, strategy and clinical development plans for pipeline compounds. Provide protocol specific medical training for CRA and sites, kick-off and Investigator meetings. Prepare, review and approve of clinical study-related portions in IND, NDA, including product labels and package inserts.
- Clinical development of respiratory and critical care compounds
- Protocol development for Ph II-IV clinical trials for asthma and critical care
- Development, review and submission of NDA portion 2.5 and 2.7 within respiratory TA
- Pharmacovigilance activities including safety monitoring of AE / SAE with IRB, FDA reporting
- FDA communication regarding medical safety, clinical trial results and drug development pipeline.
0-5 years of experience
Collaborated as part of the compensation process, including review of physician’s salaries.
- Interviewed, evaluated and recruited qualified physicians.
- Acted as mediator in physician conflicts.
- Evaluated new programs and new practice strategies, e.g. hospitalist.
- Evaluated areas of possible malpractice and other risk management problems.
- Instructed in following guidelines for proper compliance.
- Evaluated various areas in utilization of system-wide cost effective programs, e.g. leakage.
- Align physicians as to guideline and other parameters of disease management and quality health care.
- Organized development of desirable CME activities.
- Acted as liaison to establish position of trust with participating physicians in region.
0-5 years of experience
A federally qualified health center with five neighborhood clinics that provide high quality, comprehensive and affordable medical care.
- Processes bi-weekly payroll for the medical department through ADP.
- Liaison between the medical director and HR offices for the credentialing and privileging of new and existing providers.
- Processes travel advances/reimbursements and professional development materials for Health Center staff.
- Manages the daily patient flow schedules of physicians and residents for the Health Center.
- Oversees grant clinical data tracking systems, prepares required reports, and edits content to ensure submission deadlines are met.
10+ years of experience
Provide overall medical direction and proper management to the program
- Establish and continually review policies and procedures related to medical
- Develop and continually review criteria to maintain the quality of the educational programs provided to personnel, consultants and other
- Conduct in-service education programs for departmental personnel
- Responsible for assuring that established policies, bylaws, rules and regulations of the organization are understood and followed
0-5 years of experience
Panel Member
- Telemedicine is a rapidly expanding tool to provide access to care at remote sites
- This panel addresses the quality and standardization of care inherent in this unique setting
- Identify, critique and utilize peer reviewed literature and guidelines that support sound and objective decision making and rationales in writing clinical protocols to be instituted in a telemedicine environment
0-5 years of experience
Medical director at an urgent care center serving a rural area, with a patient load of approximately 11,000 patients per year.
- Supervision of all clinical and administrative functions of the center
- Design, testing and implementation of clinical quality assurance protocols
- Provision of direct clinical care to the central Pennsylvania rural community
- Health maintenance care and counseling
- Coordination of patient care with local and regional specialists
- Comprehensive management of worker’s compensation-associated injuries
- Supervision of the on-site laboratory tests and associated quality assurance procedures
6-10 years of experience
Scheduled Medical Appointments & Transportation for Residents of Health Care Facility
- Scheduled Medical Director’s Business Appointments
- Composed and distributed correspondence to Social Security
- Composed and distributed correspondence to Funeral Directors & Homes
- Took dictation and transcribed and distributed
- Opened and distributed mail
- Scheduled Medical Director Clinic appointments
- Communicated w/Floor Nurses & Transportation Department all medical appointments
0-5 years of experience
Established, the [company name] and developed and implemented its programs as part of the Lahey Health Systems ACO and MSO including but not limited to: hiring, budget building, program development, implementation and design.
- Direct reporting responsibilities include Director of Ambulatory and Transitional Case Management, Accountable Care Pharmacy Manager, Referral Management and High Cost Case Manager, Accountable Care Support Specialists.
- Medical leadership and direction for Hospital Case Management, audits and clinical documentation improvement.
- Medical consultant and performance oversight of the performance on “risk” contracting
- Medical direction of clinical analytics to support care management, transitional care and risk contracting.
- Interacts and point of contract for payer and collaborative partners in risk contracting
- Director of utilization and referral management program
0-5 years of experience
Coordination of medical and administrative staff members to create a patient-centered medical home model of care
- Management of Anticoagulant care clinic
- Supervision of onsite pharmacy designed to provide for the needs of the rural community
- Creation of a behavioral health care center within the medical clinic providing individual and group counseling as well as medication management
- Establishment of an onsite Title X preceptor training program
0-5 years of experience
Provided medical expertise in the review of adverse experiences locally and contribute to global medical device activities.
- Provided medical and scientific input to global product development teams.
- Provided medical resources to the company as a whole and particularly to the clinical research department (protocol) and CRF writing, adverse events, discussions with investigators, and internal meetings.
- Worked closely and cooperatively with government sector in building an I.V. facility from local stream water.
0-5 years of experience
Tracking and analyzing departmental statistics in excel for ED Medical Director.
- Routinely create and update statistical reports in excel spreadsheets and graphs.
- Preparing and coordinating monthly Emergency Department Physician Meetings.
- Working independently on special projects by collecting and analyzing data.
- Routinely maintain and update confidential physician personnel files.
- Work closely with Risk Management to track and respond to ED patient complaints.
- Maintaining ED patient complaint log.
0-5 years of experience
Engage with providers, hospital leaders, and internal clinical and non-clinical personnel to lower inpatient utilization while promoting evidence based practices
- Apply MCG (Milliman Care Guidelines) to ensure the delivery of appropriate treatment at the right time and appropriate level of care
- Manage utilization for acute, long term acute, inpatient rehabilitation, and subacute levels of care for commercial and managed Medicare members in Texas and Oklahoma
- Serve on multiple committees including Medical Advisory Committee, Physician Advisory Council, and Vital Signs, an effort to promote workplace satisfaction.
- Participated in national enterprise workgroups to improve operational efficiencies.
- Participated in two national project teams regarding development of software utilities to standardize and facilitate medical director work
- Participated in national project team to analyze inpatient medical director duties and streamline medical director workflow.
- Independently developed software tools to streamline daily medical director workflow and to expedite and ensure compliant physician documentation
- Subject matter expert in MCG and adverse determination language, MD process automation, Macro-Express, daily census analysis tools
- Regular conference with UHC Network personnel to provide clinical perspective to facility and physician contracting team.
- Developed onboarding manual and provided training and mentoring of four new hires.
0-5 years of experience
Responsible for management of calendars, travel arrangements, financial spreadsheets (budget), general correspondence, minutes, translations and other general administrative tasks.
- In addition I supported members of the Quality Improvement and Informatics Council and the Research and Education Center.
- Petty cash, expenses, credit cards and processing of timesheets as related to the MSA (Master Services Agreement with Mission Hospital)
- Power point presentations, set-up of audio/video with remote audience, and conferences.
- Coordination of events, invitee lists, materials for presentations.
0-5 years of experience
- Run and Ensure Medical Checks are done in a timely manner.
- Distribute medications to kids who need them.
- Ensure that all medical forms are in order in case of an emergency.
- Administer first aid or more on the Campers, Adult Leaders or Staff that was at Camp.