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Job 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
β’ Conducting peer-to-peer calls to support utilization management
β’ Providing clinical oversight for UM, disease management & quality programs