This role provides clinical leadership and oversight for medical management activities, with a focus on guiding care decisions and supporting quality outcomes. The work is primarily administrative and physician-led, with responsibilities that may include reviewing cases, advising on clinical strategy, and collaborating with operational teams.
Key Responsibilities
- Provide medical leadership for utilization management, care management, or related clinical review processes
- Conduct case review and support appropriate care decisions
- Collaborate with interdisciplinary and operational teams on clinical strategy and program improvement
- Use clinical judgment to support quality, consistency, and evidence-based decision-making
- Participate in physician oversight and other leadership activities as needed
Required
- Medical degree (MD or DO)
- Current or eligible physician licensure
- Experience in a senior clinical leadership or medical director role
Preferred
- Experience in medical management, utilization review, or care management
- Background in quality improvement or population health