Health Plan Medical Director Physician - MedStar Family Choice

Health Plan Medical Director Physician – Med Star Family Choice

Med Star 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 Med Star Family Choice, our Medicaid Managed Care organization, as the health plan Medical Director in the Baltimore, MD area. This is a remote telehealth work opportunity. 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.

• Conduct a daily review of current inpatients, precertification requests, pharmacy requests, emergency department visits, appeals, and consultations with nurse case managers and other associates to ensure the daily operations of the plan.
• Participate in the daily execution of case management, disease management, population health management, utilization review and other operations of the health plan.
• Make utilization review decisions for members of Med Star Family Choice (MFC) according to Utilization Management (UM) criteria, based on medical necessity and the existence of coverage.

• 5 years of clinical experience with progressively responsible leadership experience.
• Health plan experience preferred.
• Must reside in the DC / Maryland area.
• Must possess medical licensing in DC and Maryland.

• 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 with employer match

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

Med Star Health is the largest health system in the region, with 30,000 associates, working at 10 hospitals, hundreds of ambulatory care sites—overall more than 700 access points of care, covering over 225 zip codes in 17 counties. It is also ranked among the “Best Places to Work” by Baltimore magazine, Baltimore Business Journal, and Washington Business Journal. Med Star Health is committed to equity for all people and communities.

We are a proud member of the Institute for Diversity in Healthcare Management and strive to build a diverse and inclusive workplace.