Texas Licensed Medical Director

Job Summary

A company is looking for a Medical Director for Health Plan (Full-time or Part-time).

Key Responsibilities

• Lead utilization management strategy and oversee medical necessity determinations
• Develop medical policies and ensure compliance with regulatory updates
• Provide medical oversight and leadership to ensure quality healthcare delivery

Required Qualifications

• Active, unrestricted medical license in Texas (TX)
• Doctor of Medicine (MD) with 8+ years of clinical experience
• Board certification in a specialty recognized by the American Board of Medical Specialties
• Experience in health insurance plans and managed care
• Strong knowledge of clinical best practices and quality improvement