Obstetrics & Gynecology Physician

Archway Physician Recruitment
Dallas, TX, 75201, USA

Healthcare
Full-time
OB/GYN
utilization management
prior authorization

Our job summary

This role is a full-time, hands-on clinical oversight position for an OB/GYN physician within a managed care health plan, focusing on utilization management, quality initiatives, and provider performance review. The physician will lead administrative and clinical functions, including peer consultations, prior authorization review, and policy development, while collaborating with senior leaders and interdisciplinary committees. The position requires board certification, experience in managed care, and strong leadership and communication skills, with an intent to transition from a locum to a permanent role in Dallas, TX.

Locums-to-Perm Associate Medical Director (OB/GYN) No Call Dallas, TXWhy This Role

Hands-on clinical oversight role within a large community health plan
13-week locum assignment with strong intent to transition to permanent
Leads utilization management, quality initiatives, and provider performance review

Assignment Details

Coverage Type: No Call
Schedule: Full-time administrative/clinical oversight, Monday-Friday
Setting: Managed care environment supporting utilization management, prior authorization review, appeals, quality, pharmacy oversight, fraud/waste/abuse review
Collaboration: Works closely with Chief Medical Officer, Senior Medical Director, Pharmacy Director, and interdisciplinary committees
Travel: Not open to 1099 or visa candidates; local candidates strongly preferred

Clinical Details

Reviews prior authorization and appeal requests for medical necessity
Performs peer-to-peer consultations
Provides oversight for UM, disease management, and quality programs
Develops medical policies, clinical standards, and evidence-based guidelines
Analyzes provider performance data and participates in credentialing reviews
Supports pharmacy benefit oversight and coordination
Participates in fraud/waste/abuse program evaluation
Represents the plan in interactions with state and regulatory bodies
Participates in process improvement initiatives, workflow optimization, and committee leadership
Responsible for development of departmental goals, budgeting, and staff supervision

Requirements

Board Certified OB/GYN (no exceptions)
Texas medical license or willingness to obtain
Experience in managed care and prior authorization
Experience participating in UM committees preferred
Clean malpractice and license history preferred
Ability to supervise and lead multidisciplinary teams
Strong knowledge of Texas Medicaid regulations
Experience with care coordination, population health, pharmacy integration, and behavioral health components
Strong administrative, leadership, negotiation, and communication skills
Ability to manage confidential information and adapt to shifting priorities

Compensation

Rates: Facility is accepting bids
Malpractice: Provided
Travel: Reimbursed

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