A growing health plan in Dallas, TX is seeking a dedicated, experienced Associate Medical Director (OB/GYN) to support clinical operations and improve access to high-quality, affordable care for underserved communities. This is a rare opportunity to combine clinical expertise with system-level impact driving better outcomes, shaping care standards, and guiding the future of women s health within a managed care environment.

• Location: Dallas, TX

• Schedule: Full-time

• Employment Type: W2 only (no Locums, no 1099, no visa sponsorship)

• Focus Areas: Utilization management, clinical oversight, quality, pharmacy collaboration, policy development, and care coordination

• Team Environment: Collaborative, mission-driven, community-centered

• Review prior authorizations, appeals, and medical necessity determinations

• Conduct peer-to-peer provider consultations

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

• Assist in developing policies, procedures, and clinical standards based on evidence-based guidelines

• Analyze provider and practice data to evaluate performance and support credentialing

• Collaborate with pharmacy leadership on care integration between medical and pharmacy benefits

• Support fraud, waste, and abuse program operations

• Represent the organization to state and community stakeholders when assigned

• Participate in continuous quality improvement and process optimization across clinical workflows

• Develop, implement, and evaluate annual departmental goals

• Support provider and member education initiatives

• Serve on internal committees and cross-functional groups

• Mentor and support multidisciplinary team members

• Maintain regulatory, compliance, and accreditation standards

• Board Certified OB/GYN

• Texas medical license (or willingness to obtain)

• Experience in managed care and prior authorization

• Experience in or ability to lead multidisciplinary teams

• Working knowledge of Texas Medicaid Regulations

• Clean malpractice & license history (highly preferred)

• Experience participating in UM committees (preferred)

• Strong leadership, communication, and organizational skills

• Ability to interpret regulations, manage confidential information, and make data-driven decisions

• Strong understanding of managed care models

• Excellent communication with executives, providers, and community stakeholders

• Ability to interpret treatment plans and apply medical judgment to operational decisions

• Knowledge of care coordination, population health, SDOH, and value-based care strategies

• Calm, adaptable, detail-oriented, and solutions-focused

• Proficiency with technology and clinical review systems

• Competitive, customizable compensation package (To be discussed during interview - providers encouraged to share expectations)

• Comprehensive medical, dental, and vision coverage

• 401(k) plan

• Flexible schedule & work-life balance

• Opportunities for advancement in a rapidly growing, mission-aligned organization

This position is ideal for OB/GYN physicians who want to make a broader impact outside of traditional clinical practice improving systems, shaping policy, and advocating for vulnerable populations while working in a stable, supportive environment.