Massachusetts Licensed Medical Director

A company is looking for a Health Plan Medical Director to lead medical management and clinical services operations. Key Responsibilities Collaborates with various teams to enhance quality and cost efficiency of care Partners with clinical leaders to manage medical service expenditures within budget Develops clinical programs and policies while overseeing disease management initiatives Required Qualifications Physician License for Massachusetts or willingness to obtain one 3-5 years of experience in a Health Plan setting Experience in utilization management and health plan quality Knowledge of compliance requirements for Medicare, Medicaid, and NCQA Ability to build relationships and promote diversity, equity, and inclusion

Mar 12, 2025 - 10:42

A company is looking for a Health Plan Medical Director to lead medical management and clinical services operations. Key Responsibilities Collaborates with various teams to enhance quality and cost efficiency of care Partners with clinical leaders to manage medical service expenditures within budget Develops clinical programs and policies while overseeing disease management initiatives Required Qualifications Physician License for Massachusetts or willingness to obtain one 3-5 years of experience in a Health Plan setting Experience in utilization management and health plan quality Knowledge of compliance requirements for Medicare, Medicaid, and NCQA Ability to build relationships and promote diversity, equity, and inclusion