Executive Medical Director

A large, complex healthcare organization in the New York metropolitan area is seeking a seasoned physician leader to oversee key medical management functions, guide strategic initiatives, and support utilization and clinical decision-making across multiple lines of business. This highly confidential executive search is ideal for a forward-thinking physician with deep managed care expertise and a passion for building data-driven, high-performing clinical programs. About the Role (High-Level Overview) This senior medical executive will play a central role in shaping medical policy, supporting clinical operations, and strengthening the alignment between quality, utilization management, regulatory affairs, and organizational strategy. The role oversees a team of medical directors and collaborates closely with cross-functional leaders on initiatives that impact member care, operational performance, and compliance. This is a non-clinical, strategic leadership role with significant visibility and succession potential. Provide leadership and oversight for medical management functions Guide utilization review strategy and ensure appropriate, high-quality care delivery Support clinical decision-making processes and medical necessity determinations Collaborate with internal and external stakeholders on policy development Apply health informatics and analytics to drive program improvement Contribute to planning, regulatory readiness, and organizational growth initiatives Represent the organization in select professional or regulatory settings Lead and mentor a team of medical directors Ideal Background Physician (MD or DO) with board certification Experience in medical leadership within a managed care or health plan environment Depth of knowledge in utilization management, quality, and regulatory compliance Strong analytical skills and comfort working with data and informatics Understanding of New York healthcare regulations (preferred) Collaborative leadership style and ability to influence across departments Highly competitive executive compensation package, inclusive of strong retirement benefits. If you are an innovative medical leader seeking a strategic, systems-level role within a large healthcare organization, this opportunity offers both influence and long-term growth potential. #J-18808-Ljbffr