Medical Director in United States at Jobgether

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Medical Director in United States.

This is an exciting opportunity for a physician leader who wants to influence healthcare delivery at a broader population level while working in a flexible remote environment. In this role, you will help guide medical management strategies, quality improvement initiatives, and utilization review processes that directly impact patient outcomes and healthcare accessibility. You will collaborate with multidisciplinary teams, provider networks, and executive leadership to drive evidence-based decision-making and operational excellence. The position offers the chance to combine clinical expertise with strategic leadership in a fast-paced, mission-driven healthcare setting. Ideal candidates are passionate about improving care quality, supporting providers, and shaping innovative healthcare solutions for diverse member populations. This role is well-suited for physicians seeking meaningful impact beyond traditional clinical practice.

• Provide medical leadership for utilization management, quality improvement, credentialing, and cost-containment initiatives across the health plan.
• Review complex medical cases, appeals, and utilization requests to ensure appropriate, timely, and evidence-based decision-making.
• Collaborate with care management teams, providers, pharmacists, and clinical consultants to improve patient outcomes and coordinate care for high-risk populations.
• Support the development and implementation of performance improvement initiatives and physician education programs.
• Assist in establishing medical policies, operational goals, and quality standards aligned with regulatory and accreditation requirements.
• Participate in provider network development, physician committees, and strategic initiatives related to healthcare delivery and market expansion.
• Analyze utilization trends, provider practice patterns, and quality metrics to identify opportunities for improved efficiency and member care.
• Represent the organization in discussions with providers, committees, and external stakeholders when needed.

• MD or DO degree with an active and unrestricted Oklahoma medical license.
• Board Certification in a recognized medical specialty.
• Active clinical practice experience or recent physician practice experience within the last 5 years.
• Strong understanding of utilization management, medical review, and healthcare quality improvement processes.
• Experience collaborating with multidisciplinary clinical teams and provider networks.
• Knowledge of healthcare regulations, accreditation standards, and managed care environments preferred.
• Excellent communication, leadership, analytical, and decision-making skills.
• Experience working with culturally diverse patient populations is considered an asset.
• Additional training or coursework in healthcare administration, health financing, insurance, or personnel management is beneficial.

• Competitive salary ranging from $215,000 to $408,500 annually, based on experience and qualifications.
• Comprehensive medical, dental, and vision insurance plans.
• 401(k) retirement plan and stock purchase program.
• Flexible remote work environment with work-life balance support.
• Generous paid time off and company holidays.
• Tuition reimbursement and professional development opportunities.
• Additional incentive compensation opportunities and performance-based rewards.
• Inclusive workplace culture focused on diversity, collaboration, and employee well-being.