Medical Director Physician
MD Staff Pointe
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,
Vacancy posted 1 day ago
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