Physician Leader for a Medicaid managed care plan to guide clinical strategy and operational performance.
Key Responsibilities
- Oversee medical management, utilization management, pharmacy strategy, case management, and quality improvement programs.
- Ensure compliance with applicable regulatory requirements and accreditation standards.
- Collaborate with health system leaders, clinicians, and community partners to support coordinated care.
- Provide physician leadership to strengthen clinical programs and drive measurable quality outcomes.
Qualifications & Skills
- Physician with leadership experience in clinical operations, managed care, or value-based care settings.
- Strong understanding of utilization management, pharmacy management, case management, and quality frameworks.
- Ability to lead cross-functional teams and influence clinicians and stakeholders.
- Demonstrated commitment to regulatory and accreditation compliance.