Medical Director

Job Description

Job Description

Job Title: LTSS Medical Director
Location: Tennessee
Reports To: Chief Medical Officer (CMO), UnitedHealthcare Community Plan of Tennessee

Contract : 06/2026- 09/2026

Position Overview

The LTSS Medical Director provides clinical leadership and oversight for the Long-Term Services and Supports (LTSS) population in Tennessee. Reporting directly to the Chief Medical Officer, this role is responsible for ensuring appropriate utilization of home and community-based services, supporting quality initiatives, and collaborating across clinical and operational teams to drive improved health outcomes.

Key Responsibilities

• Conduct daily reviews of home and community-based service requests to approve or deny services based on medical necessity and policy guidelines

• Partner with nursing staff to clarify service requests and ensure complete, accurate documentation

• Represent the health plan in Board of Hearing cases as a clinical expert

• Lead and support utilization management activities, including monitoring care management and health services interventions to ensure achievement of utilization goals

• Collaborate with Care Management, Behavioral Health, and other clinical teams to maintain alignment with performance targets

• Contribute to the development of a fully integrated clinical model across physical and behavioral health services

• Support clinical quality initiatives, peer review processes, and continuous improvement efforts

• Serve as a clinical resource and coach to internal teams, supporting organizational programs and strategic goals

• Partner with the Chief Medical Officer, clinical operations, and market leadership to meet both local and national clinical objectives

• Provide clinical leadership focused on home and community-based services, including external engagement with network physicians and providers

• Assist in the development and implementation of clinical policies, procedures, quality improvement initiatives, and performance improvement projects

Qualifications

• Active and unrestricted physician license

• Board Certification in an ABMS or AOBMS specialty

• Minimum of 5 years of clinical practice experience

• Strong knowledge of the managed care industry, with emphasis on Medicaid and LTSS populations

• 2–3 years of experience in quality management

• Familiarity with current medical practices, healthcare delivery models, and regulatory requirements

Core Competencies

• Demonstrated leadership ability with a track record of achieving results and building effective teams in a matrixed organization

• Excellent interpersonal and communication skills, with the ability to engage both clinical and non-clinical audiences

• Strong presentation and influencing skills

• Proven ability to develop and maintain relationships with network and community physicians and providers

• Effective project management capabilities

• Strong analytical skills with the ability to interpret data and focus on key performance metrics

• Strategic thinker with the ability to communicate vision and drive execution

• Skilled in negotiation and conflict resolution

• Creative problem-solving abilities

• Proficiency in Microsoft Office applications

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Company Description

Allmed is a National Staffing and Recruiting company offering short and long term staffing solutions.
We have been serving large Fortune 100 companies and providing career opportunities to job seekers for over 25 years. We specialize within the medical and healthcare industries offering temporary and permanent placement options. Our team takes the time to recognize, assess and listen to the goals of both our clients and employees. Our team is dedicated to providing the highest quality services and best qualified medical
professionals throughout the United States. We stand by our promise and guarantee success and satisfaction between our clients and employees.

Company Description

Allmed is a National Staffing and Recruiting company offering short and long term staffing solutions. \r\nWe have been serving large Fortune 100 companies and providing career opportunities to job seekers for over 25 years. We specialize within the medical and healthcare industries offering temporary and permanent placement options. Our team takes the time to recognize, assess and listen to the goals of both our clients and employees. Our team is dedicated to providing the highest quality services and best qualified medical\r\nprofessionals throughout the United States. We stand by our promise and guarantee success and satisfaction between our clients and employees.