🚀 Locum-to-Perm Associate Medical Director – OB/GYN (Remote → Hybrid)

We are seeking a dedicated and experienced Associate Medical Director specializing in OB/GYN for a locum-to-perm opportunity. This role begins as a fully remote locum assignment (13 weeks) with the expectation to transition into a hybrid permanent position.

Role Overview:
The Associate Medical Director will provide clinical oversight, support utilization management activities, and ensure high-quality care delivery. This position requires a hands-on approach and leadership in guiding multi-disciplinary teams while maintaining compliance with managed care principles and Texas Medicaid regulations.

Responsibilities:

• Review prior authorization and appeals requests for medical necessity

• Conduct peer-to-peer calls as needed

• Provide oversight for utilization management, disease management, and quality management activities

• Develop and implement medical policies, clinical standards, and guidelines

• Analyze provider performance, review applications, and ensure adherence to standards

• Assist with pharmacy benefit administration and coordination

• Oversee clinical aspects of fraud, waste, and abuse programs

• Participate in state and local regulatory activities

• Identify opportunities for process improvement and workflow efficiency

• Chair or participate in managed care and interdisciplinary committees

• Train, supervise, and evaluate staff to ensure maximum team performance

• Stay current with clinical advancements and integrate into work practices

Requirements:

• Board Certification in OB/GYN (or relevant medical specialty) – required, no exceptions

• Texas medical license (or willingness to obtain)

• Clean malpractice/license history

• Experience in managed care and prior authorization

• Participation in a managed care UM committee (preferred)

• Ability to oversee a multi-disciplinary team in a managed care model

• Familiarity with Texas Medicaid regulations

• Strong leadership, organizational, and interpersonal skills

Skills & Abilities:

• Patient-centered and detail-oriented

• Ability to adapt to changing priorities

• Knowledge of care coordination, population health, social determinants of health, and value-based care

• Effective negotiation and confidential information management skills

• Hands-on approach with practical problem-solving

Certifications Required:

• Board Certified

• State License: Texas

This is an exciting opportunity for a physician leader looking to make a meaningful impact in managed care while transitioning from locum to permanent leadership.