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,