Health Plan Medical Director Physician - MedStar Family Choice, Washington, DC

Health Plan Medical Director Physician - MedStar Family Choice

MedStar Health 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. The selected candidate must possess medical licensing in DC and Maryland.

This is a hybrid work position that includes a combination of working from our Washington, DC office and also remotely.

As a MedStar Health associate, you can expect :

• A competitive salary
• Medical, dental and vision insurance
• Paid medical licensing and 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 Health. To learn more about this position or to apply, please send your CV to April Wallace at [email protected].

MedStar Health is the largest health system in the region, with 30,000 associates, working at 10 hospitals, hundreds of ambulatory care sites all together more than 700 access points of care, covering more than 225 zip codes in 17 counties.

We are also ranked among the Best Places to Work by Baltimore magazine, Baltimore Business Journal, and Washington Business Journal.

MedStar Health is committed to equity for all people and communities. A proud member of the Institute for Diversity in Healthcare Management, we are committed to expanding career and leadership opportunities for ethnically, culturally, and racially diverse individuals.

We continue to build a diverse and inclusive workplace where people feel a sense of belonging and accomplishment at all levels of the organization.

As a leader in healthcare, we are taking action to evolve our organization and bring unique, multidimensional perspectives together to deliver equitable care, improve the health of the communities we serve, and contribute to the advancement of the healthcare industry overall.

At MedStar Health, we believe diverse teams and perspectives make us stronger, lead to better care for our patients, and foster a supportive work experience for our associates.

Our commitment to diversity is built into our SPIRIT values, where we acknowledge that teamwork and system effectiveness is built on the collective strength and cultural diversity of everyone working with open communication and mutual respect.

This position has a hiring range of $240,000 - $285,000.