Posted: 01/23/262025-12-052026-02-22Employment Type:Temp to PermPosition:PhysicianJob Number: 60652Specialty: OB / GYN
Job Description
Position: Associate Medical Director (Locum to Perm) - OB/GYN
Overview:
We are seeking a highly qualified and dedicated Associate Medical Director with expertise in Obstetrics and Gynecology to join our team in a leadership capacity. This role offers the opportunity to transition from a locum position to a permanent leadership role within our organization, contributing to the delivery of comprehensive, patient-centered care.
Key Responsibilities:
Provide clinical oversight for OB/GYN services, including review and approval of prior authorizations, appeals, hospital stays, procedures, and medications to ensure medical necessity and appropriate care.
Conduct peer-to-peer consultations to support utilization management decisions.
Lead and support utilization management, disease management, and quality improvement initiatives, collaborating closely with senior leadership and participating in the development of evidence-based medical policies, guidelines, and clinical standards.
Analyze provider performance through data review, including provider credentialing, site reviews, and medical record audits, to ensure adherence to managed care standards.
Collaborate with Pharmacy and other clinical departments to oversee care coordination, especially in managing pharmacy benefits and medication adherence.
Support oversight of fraud, waste, and abuse programs from a clinical perspective.
Assist in the development, implementation, and monitoring of organizational goals aligned with our mission.
Contribute to educational initiatives for members and providers, evaluating and enhancing health promotion programs.
Represent the organization in clinical matters with regulatory and professional bodies, including the Texas Department of Insurance, Texas Health and Human Services Commission, and related associations.
Participate in process improvement activities, workflow optimizations, and clinical programs to enhance efficiency and quality.
Serve on or chair clinical and managed care committees, fostering collaborative efforts across the organization and the community.
Qualifications:
Board Certification in Obstetrics and Gynecology (certification must be current; re-certification required if lapsed).
Valid medical license with a clean malpractice history.
Extensive experience in OB/GYN clinical practice, ideally with prior leadership roles.
Demonstrated knowledge of managed care principles, Medicaid regulations, and healthcare compliance.
Strong leadership, organizational, and communication skills, capable of working effectively with diverse teams and stakeholders.
Proficiency in data analysis, quality improvement techniques, and clinical standards development.
Experience with pharmacy benefits, behavioral health integration, and population health management is preferred.
Ability to interpret and apply federal and state healthcare regulations accurately.
Computer literacy and familiarity with healthcare management software.
Commitment to patient-centered care and ethical practice.
Work Environment & Career Growth:
This role is initially fully remote during the locum period, with a transition to a hybrid model upon permanent appointment. Candidates will have ongoing opportunities for professional development, participation in strategic initiatives, and the potential for leadership advancement within our organization.
Additional Information:
This position is not open to 1099 or visa candidates.
Candidates must have active, unrestricted medical licenses and board certification.
Commitment to ethical standards and professional integrity is required.
To Apply:
If you meet the qualifications and are interested in a leadership role focused on quality patient care and organizational excellence, we invite you to submit your application. Note: This position involves significant leadership responsibilities and requires a commitment to advancing healthcare delivery standards within our organization and community.
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