Health Plan Medical Director Physician
2 weeks ago
MedStar Medical Group offers a uniquely rewarding career in a major marketplace. Shape your future in health care in the kind of setting that's right for you and your practice. Become part of an organization that welcomes your experience and input — as a clinician and healthcare expert.
We are looking for a physician with primary care and health plan experience to join MedStar Family Choice, our Medicaid Managed Care organization as the health plan Medical Director in the Washington, DC area. In this position you will participate in the development and daily execution of case management, disease management, population health management, utilization review and other operations of the health plan. You will also conduct a daily review of current inpatients, precertification requests, pharmacy requests, review of emergency department visits, review of appeals, and consultations with nurse case managers and other associates to ensure the daily operations of the plan. Utilization review decisions for members of MedStar Family Choice (MFC) are made according to Utilization Management (UM) criteria and based on medical necessity and the existence of coverage.
Qualified candidates will have 5 years of clinical experience with progressively responsible leadership experience. Health plan experience preferred. Candidates must reside in the DC / Maryland area. This is a hybrid work position that includes a combination of working from our Washington, DC office and also remotely.
As a MedStar Medical Group clinician, you can expect
- A competitive salary
- Medical, dental and vision insurance
- Paid malpractice insurance
- Generous paid time off
- CME leave and CME allowance
- Retirement savings plan – 403(b) with % employer match, 457(b), and 457(f)
Be a part of a nationally - recognized health system and the largest provider of health services in the Washington region. With our vast resources and capabilities at your disposal, you can expand your clinical expertise. Enjoy a rich career and a quality of life unique to the Mid-Atlantic region, which features a mix of urban, suburban and rural communities.
Be the provider you were meant to be, here at MedStar. To learn more about this position or to apply, please send a CV to April Wallace at
MedStar Medical Group is an equal opportunity employer.
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