We are seeking a Permanent Associate Medical Director OB/GYN in Texas.
Permanent Associate Medical Director OB/GYN
Position Type: Permanent
Specialty: Associate Medical Director OB/GYN
Location: Texas
Rate: Submit Best Perm Placement Fee
Shift: Flexible schedule, part-time with varying shifts depending on need
Start Date: Not specified
End Date: Not specified
Position Details:
Patient Population: Underserved populations; managed care patient oversight
Setting: Managed care/administrative, office-based oversight
Responsibilities:
Clinical oversight of utilization management, disease management, and quality management activities
Review prior authorizations, appeals, and peer-to-peer calls
Develop and monitor medical policies, procedures, and clinical standards
Oversight of pharmacy benefit administration and care coordination
Participate in fraud, waste, and abuse program management
Represent the organization on clinical activities with state and local bodies
Participate in committee leadership and process improvement initiatives
Supervise, train, and evaluate staff, ensuring adherence to policies and goals
Required Procedures: Oversight of clinical review, prior authorization, and utilization management processes
EMR System: Not specified
Support Staff: Multi-disciplinary team (clinical and administrative)
Days Per Month: Not specified
On-Call/Weekends: Likely on call as needed, may include weekends
Submission Requirements:
- Board Certification in OB/GYN Required
- Texas medical license (or willingness to obtain) Required
- Clean malpractice/license history Highly Preferred
- Experience in managed care and prior authorization Required
- Ability to adapt to managed care delivery model and oversee a multi-disciplinary team Required
- Familiarity with Texas Medicaid Regulations Required
- Submit Best Perm Placement Fee Required
Join us today!
