Remote Medical Director

Overview

As a Remote Medical Director, you will lead medical management and quality improvement initiatives, ensuring high standards of care for our members.

In Short

• Direct and coordinate medical management and quality improvement functions.
• Provide medical leadership for utilization management and cost containment.
• Conduct medical reviews for complex medical services.
• Collaborate with clinical teams and network providers.
• Participate in provider network development and market expansion.
• Assist in developing physician education on clinical issues.
• Identify and evaluate trends in utilization of medical services.
• Represent the business unit in various medical committees.
• May require working weekends and holidays.
• Actively practice medicine and maintain relevant certifications.

Requirements

• Medical Doctor or Doctor of Osteopathy degree.
• Experience in Utilization Management preferred.
• Knowledge of quality accreditation standards.
• Board certification in a recognized medical specialty.
• Current state medical license in relevant states.
• Experience with diverse populations preferred.
• Coursework in Health Administration or related fields advantageous.
• Strong leadership and collaboration skills.
• Ability to perform under pressure and make timely decisions.
• Commitment to improving healthcare quality and outcomes.

Benefits

• Competitive pay and comprehensive benefits package.
• Health insurance and 401K plans.
• Tuition reimbursement and paid time off.
• Flexible work schedules including remote options.
• Commitment to diversity and equal opportunity employment.
• Support for candidates with accommodations during the hiring process.
• Access to innovative healthcare programs.
• Opportunity to make a significant impact on member health.
• Incentives based on performance and job-related factors.
• Support for professional development and growth.