State Licensed Medical Director

Job Summary

To lead the Clinical Policy and Regulatory Affairs team, the remote State Licensed Medical Director will develop and manage clinical policies, ensure compliance with healthcare laws, and advise senior leadership on regulatory matters.

Key responsibilities:

• Lead and grow the Clinical Policy & Regulatory Affairs team
• Build and manage processes to ensure clinical policy compliance and quality
• Advise the CMO and senior leaders on compliance risks and strategy

Required qualifications:

• Active, unrestricted MD or DO license
• 10+ years of experience in healthcare or the health insurance industry
• 5+ years of experience in clinical policy compliance or clinical regulatory/government affairs
• 5+ years applying state and federal health insurance laws and regulations
• 5+ years of team leadership and people development experience