Health Plan Medical Director Physician - MedStar Family Choice, Maryland - Remote Opportunity
Updated 12/02/25
$240,000
– $285,000
yearly
Maryland, Maryland, United States
Physician
Medical Director
By applying you agree to our Terms of Service
Job at a glance
Degree Required
MD/DO
Position Type
Full-Time
Work Environment
Telemedicine
Visa Sponsorship
No
Experience Level
5 years
Job description
Job description
We are looking for a physician with primary care and health plan experience to join MedStar Family Choice, our Medicaid Managed Care organization, as the health plan Medical Director in the Baltimore, MD area. In this position you will participate in the development and daily execution of case management, disease management, population health management, utilization review and other operations of the health plan. You will also conduct a daily review of current inpatients, precertification requests, pharmacy requests, review of emergency department visits, review of appeals, and consultations with nurse case managers and other associates to ensure the daily operations of the plan. Utilization review decisions for members of MedStar Family Choice (MFC) are made according to Utilization Management (UM) criteria and based on medical necessity and the existence of coverage.
Qualified candidates will have 5 years of clinical experience with progressively responsible leadership experience. Health plan experience preferred. Candidates must reside in the DC / Maryland area. The selected candidate must possess medical licensing in DC and Maryland.
If you're interested please use the link below to apply! [Register to View]
Qualified candidates will have 5 years of clinical experience with progressively responsible leadership experience. Health plan experience preferred. Candidates must reside in the DC / Maryland area. The selected candidate must possess medical licensing in DC and Maryland.
If you're interested please use the link below to apply! [Register to View]
Qualifications
By applying you agree to our Terms of Service