Medical Director Physician - Dallas - MD Staff Pointe, LLC

    MD Staff Pointe, LLC
    MD Staff Pointe, LLC Dallas

    1 week ago

    Description
    Hot off the press

    I m reaching out with a brand-new

    Associate Medical Director OB/GYN

    opportunity in

    Dallas, Texas

    with a mission-driven health plan focused on delivering high-quality, affordable care to underserved populations.
    This is an outstanding leadership role for a physician passionate about improving outcomes, driving innovation, and supporting coordinated care.
    Position Overview

    The Associate Medical Director will take a hands-on approach in supporting and overseeing clinical activities across utilization management, quality initiatives, pharmacy collaboration, provider performance, and member/provider education.


    Key Responsibilities Include:
    Reviewing prior authorizations and appeals for medical necessity


    • Conducting peer-to-peer calls to support utilization management
    • Providing clinical oversight for UM, disease management & quality programs
    • Developing and refining clinical guidelines and medical policies
    • Analyzing provider performance and participating in credentialing reviews
    • Supporting oversight of the pharmacy benefit
    • Assisting in fraud, waste & abuse program oversight
    • Contributing to annual systemwide planning and goals
    • Supporting educational needs for members and providers
    • Representing the health plan with state/local agencies as assigned
    • Leading process improvement efforts to enhance workflows
    • Serving on clinical and community committees

    Why This Opportunity Stands Out:
    Mission-driven work improving access & outcomes
    Strategic leadership role with major impact
    Strong internal support & collaborative culture
    Located in vibrant

    Dallas, TX

    If this aligns with what you re looking for, I d be happy to share additional details or set up a confidential call.

    Looking forward to connecting,

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