Location: Texas (Remote during locum Hybrid upon permanent hire)
Job Type: Locum-to-Perm
Locum Duration: 13 weeks
Schedule: Full-time
Remote: Yes (Locum phase only)

A Texas-based health plan is seeking an experienced Associate Medical Director (Family Medicine) for a locum-to-permanent opportunity. The role is fully remote during the locum assignment, with an expected transition to a hybrid model once permanent.

This is a leadership-focused position ideal for physicians with strong experience in managed care, utilization management, and Medicaid populations.

• Review prior authorization and appeals requests for medical necessity

• Conduct peer-to-peer discussions as needed

• Provide clinical oversight for utilization management, disease management, and quality programs

• Participate in development of medical policies, clinical standards, and evidence-based guidelines

• Review provider performance, applications, and site/medical record audits

• Assist with pharmacy benefit oversight and fraud, waste, and abuse initiatives

• Collaborate with state and local agencies related to Medicaid and managed care

• Support process improvement, population health initiatives, and interdisciplinary committees

• Supervise and support clinical staff as assigned

• Board Certified in Family Medicine (required no exceptions)

• Active Texas medical license (or willingness to obtain)

• Managed care and prior authorization experience (required)

• Familiarity with Texas Medicaid regulations (required)

• Clean malpractice and license history (highly preferred)

• Must be W-2 eligible

• Board certification must be current (no lapsed certifications)

• Locum assignment is 100% remote

• Permanent role requires hybrid on-site presence in Texas

• Opportunity to transition into a long-term leadership role

• Competitive compensation package offered

A physician leader who is detail-oriented, comfortable in a managed care environment, and interested in shaping clinical quality, utilization, and population health outcomes.