Job Title: Perm - Associate Medical Director OB/GYN
Location: Dallas, TX
Certification Requirement: Board Certified in Obstetrics and Gynecology

About the Role:
Parkland Community Health Plan (PCHP) is seeking a dedicated and experienced Associate Medical Director specializing in OB/GYN to oversee clinical quality and utilization management for underserved populations in Dallas, Texas. This part-time, PRN leadership position offers a unique opportunity to contribute to community health and health equity within a growing, mission-driven organization committed to innovation, care coordination, and community empowerment.

Key Responsibilities:

• Review prior authorization requests, appeals, and denials related to OB/GYN services, ensuring approvals are based on medical necessity and evidence-based standards.
• Conduct peer-to-peer reviews with providers as needed to support appropriate utilization management.
• Provide clinical oversight for utilization, disease, and quality management activities, including participation in the development of policies, procedures, and clinical standards aligned with best practices.
• Analyze provider performance data, conduct site visits and medical record reviews to ensure compliance with managed care policies, and assist in provider credentialing processes.
• Collaborate with Pharmacy and other clinical departments to coordinate care and oversee medication management, ensuring optimal outcomes for members.
• Support fraud, waste, and abuse initiatives through clinical oversight and review processes.
• Participate in the development and evaluation of provider and member education programs focused on health promotion, disease prevention, and health literacy.
• Represent PCHP on clinical matters with external agencies such as Texas Department of Insurance, Texas Health and Human Services Commission, and Texas Medical Association.
• Lead process improvement initiatives to enhance clinical workflows, effectiveness, and overall program efficiency.
• Serve on and chair clinical or managed care committees, contributing to community outreach and interdisciplinary collaborations.

Qualifications:

• Board certification in Obstetrics and Gynecology is mandatory; recertification must be current.
• Valid medical license to practice in Texas with a clean malpractice history.
• Prior experience in managed care, utilization management, or clinical oversight in a hospital or health plan setting preferred.
• Strong understanding of Texas Medicaid regulations, managed care principles, and quality improvement methodologies.
• Excellent leadership, communication, and interpersonal skills, capable of engaging with diverse stakeholders including providers, community organizations, and regulatory bodies.
• Demonstrated ability to interpret clinical data, develop policies, and implement process improvements.
• Familiarity with pharmacy and behavioral health integration in care management is advantageous.
• Ability to handle confidential information with integrity and professionalism.
• Proficiency in computer applications related to clinical and administrative functions.

Additional Requirements:

• No locum, 1099, or visa candidates considered.
• Active, unrestricted medical license and current board certification required.
• Committed to the managed care philosophy and patient-centered care principles.

Compensation and Benefits:

• Competitive salary commensurate with experience; candidates are encouraged to share salary expectations.
• Comprehensive benefits package including health, dental, and vision insurance.
• 401(k) retirement plan with matching options.
• Opportunities for career growth and advancement within a mission-driven organization.
• Flexible scheduling to support work-life balance.

This role offers a rewarding leadership opportunity to influence community health outcomes while working within a collaborative and innovative environment. Candidates passionate about serving underserved populations and advancing healthcare quality are encouraged to apply.