Permanent Associate Medical Director – OB/GYN in Texas.

We are seeking a Permanent Associate Medical Director – OB/GYN in Texas.

Permanent Associate Medical Director – OB/GYN

Position Type: Permanent
Specialty: Associate Medical Director – OB/GYN
Location: Texas
Rate: Submit Best Perm Placement Fee
Shift: Flexible schedule, part-time with varying shifts depending on need
Start Date: Not specified
End Date: Not specified

Position Details:
Patient Population: Underserved populations; managed care patient oversight
Setting: Managed care/administrative, office-based oversight
Responsibilities:

• Clinical oversight of utilization management, disease management, and quality management activities

• Review prior authorizations, appeals, and peer-to-peer calls

• Develop and monitor medical policies, procedures, and clinical standards

• Oversight of pharmacy benefit administration and care coordination

• Participate in fraud, waste, and abuse program management

• Represent the organization on clinical activities with state and local bodies

• Participate in committee leadership and process improvement initiatives

• Supervise, train, and evaluate staff, ensuring adherence to policies and goals
  Required Procedures: Oversight of clinical review, prior authorization, and utilization management processes
  EMR System: Not specified
  Support Staff: Multi-disciplinary team (clinical and administrative)
  Days Per Month: Not specified
  On-Call/Weekends: Likely on call as needed, may include weekends

Submission Requirements:

• Board Certification in OB/GYN – Required
• Texas medical license (or willingness to obtain) – Required
• Clean malpractice/license history – Highly Preferred
• Experience in managed care and prior authorization – Required
• Ability to adapt to managed care delivery model and oversee a multi-disciplinary team – Required
• Familiarity with Texas Medicaid Regulations – Required
• Submit Best Perm Placement Fee – Required

Join us today!