Hawaii Licensed Medical Director

Job Summary

Offering a remote opportunity, the Hawaii Licensed Medical Director will provide clinical leadership and oversight for interdisciplinary teams, manage utilization management programs, and ensure high-quality patient care across various health plans, with both full-time and part-time candidates considered.

Key responsibilities

• Provide clinical oversight and consultation to the Medical Management team, ensuring appropriate care for at-risk patients
• Develop and implement Utilization Management programs to monitor and improve patient care quality and cost-effectiveness
• Collaborate with corporate clinical teams to establish and interpret medical policies and ensure compliance with accreditation standards

Required qualifications

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree, or equivalent international degree with U.S. residency completion
• At least 3 years of post-residency clinical experience with direct patient care
• Unrestricted current and valid license to practice medicine in Hawaii
• Experience with medical decision analysis, quality assurance, and continuous quality improvement processes
• Ability to lead and implement changes effectively within clinical settings