Medical Director Physician

Hot off the press!

I m reaching out with a brand-new

Associate Medical Director OB/GYN

opportunity in

Dallas, Texas

with a mission-driven health plan focused on delivering high-quality, affordable care to underserved populations. This is an outstanding leadership role for a physician passionate about improving outcomes, driving innovation, and supporting coordinated care. Position Overview The Associate Medical Director will take a hands-on approach in supporting and overseeing clinical activities across utilization management, quality initiatives, pharmacy collaboration, provider performance, and member/provider education. Key Responsibilities Include: Reviewing prior authorizations and appeals for medical necessity • Conducting peer-to-peer calls to support utilization management • Providing clinical oversight for UM, disease management & quality programs • Developing and refining clinical guidelines and medical policies • Analyzing provider performance and participating in credentialing reviews • Supporting oversight of the pharmacy benefit • Assisting in fraud, waste & abuse program oversight • Contributing to annual systemwide planning and goals • Supporting educational needs for members and providers • Representing the health plan with state/local agencies as assigned • Leading process improvement efforts to enhance workflows • Serving on clinical and community committees Why This Opportunity Stands Out: Mission-driven work improving access & outcomes Strategic leadership role with major impact Strong internal support & collaborative culture Located in vibrant

Dallas, TX If this aligns with what you re looking for, I d be happy to share additional details or set up a confidential call. Looking forward to connecting,