Massachusetts Licensed Senior Medical Director
Job Summary
Providing strategic leadership and clinical oversight, the full-time Massachusetts Licensed Senior Medical Director will ensure high-quality, cost-effective care for members while working remotely and collaborating with executive leadership and various operational teams.
Key responsibilities
- Develop and execute clinical strategies to improve member outcomes and support organizational goals
- Oversee utilization management programs and ensure compliance with regulatory requirements
- Lead quality improvement initiatives and collaborate with provider network teams to enhance clinical performance
Required qualifications
- Doctorate in a related field of study
- Active Massachusetts physician license or eligibility to obtain one
- 3-5 years of experience in a health plan setting
- 8-10+ years of clinical experience, with 5-7 years in managed care or population health leadership
- Prior experience in utilization management and peer-to-peer discussions
Complete Job Description
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