Physician​/Family Practice​/Texas​/Locums to Perm​/Associate Medical Director

Position: Physician / Family Practice / Texas / Locums to Perm / Associate Medical Director Job
Job Quick Facts:
Specialty:
Family Medicine Associate Medical Director Job Type: Locum-to-Perm Facility

Location:

Dallas, TX Service Setting:
Administrative Reason For Coverage:
Supplemental Coverage Period: 13 weeks Coverage Type:
Clinical only Shift

Schedule:

Mon-Fri; 8a-5p

Core Responsibilities:

- Review prior authorization & appeals for medical necessity - Peer-to-peer provider reviews - Clinical oversight for UM, disease management, and quality management - Participates in developing medical policies, clinical guidelines, and coverage rules - Analyze provider performance data - Review provider applications and quality concerns - Assist the Sr. Medical Director in oversight, evaluation, and administration of the clinical aspects of PCHP fraud, waste & abuse programs, and pharmacy coordination.

- Participate in regulatory interactions (state/local agencies), managed care committees - Support development & monitoring of annual organizational goals - Assist in evaluating job design, workflows, and processes for improvement - Ability to interpret/understand Texas Medicaid regulations - Demonstrate leadership, communication, and managed-ca reoriented skills - Application of medical knowledge within operational/business environments Other Info:

- Locum-to-perm transition expected - FULLY remote while working in locums, but will transition to a hybrid model once they go perm Travel, lodging, and malpractice insurance covered Requirements:
Active TX License (or willingness to obtain) BC in FM Clean Record (highly preferred) Familiarity with Texas Medicaid Regulation