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 OverviewThe 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 committeesWhy 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, TXIf 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,