Medical Director-Health Plan
Job ID #1962605
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About this Role
Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.
Job details
$125.00 / hour
remote, Texas
Profession: Medical Director
Facility Type: ???
Specialty: Health Plan
Division:
MedFi
Start Date: 11/03/2025
Responsibilities
• Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.
• Performs medical review activities pertaining to utilization review, quality assurance, and medical review
• Supports effective implementation of performance improvement initiatives for capitated providers
• Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members
• Provides medical expertise in the operation of approved quality improvement and utilization management programs
Required Qualifications
• Current TX state medical license without restrictions
• MD or DO with active license in TX
• ABPN required (American Board of Psychiatry and Neurology)
• 7+ years of clinical experience. (Post fellowship/internship).