Senior Health Plan Medical Director Physician

Senior Health Plan Medical Director Physician, Baltimore, MD – Med Star Family Choice.

Med Star Medical Group 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 senior‑level health plan experience to join Med Star Family Choice, our Medicaid Managed Care Organization, as the Health Plan Senior Medical Director in the Baltimore, MD region.

• Hybrid work position: three days onsite at our Maryland office and three days remotely.
• Salary range: $275,000 – $300,000 per year.
• Senior leadership role within the Maryland plan, serving as a key thought partner and advisor to the Executive Director on clinical matters.
• Clinical oversight of the Medical Directors for Maryland.
• Leadership of the health plan’s clinical operations with a primary focus on developing clinical strategy and execution to drive clinical outcomes.
• Execution of innovative Managed Care disciplines to ensure optimal total cost of care management.
• Strategic development of value‑based contracting and other medical expense approaches.
• Maintenance of collaborative relationships with Maryland agencies, Med Star Health system leaders, academic physicians, hospitals, community physicians, and related networks.
• Enhanced visibility of Med Star Family Choice in the community and healthcare industry.

• Serve as a key thought partner and advisor to the Executive Director on clinical matters.
• Lead the health plan’s clinical operations and develop clinical strategy to drive outcomes.
• Oversee clinical operations of the Maryland plan’s Medical Directors.
• Develop and manage innovative Managed Care disciplines to optimize cost of care.
• Collaborate on strategic medical expense approaches, including value‑based contracting.
• Build and maintain collaborative relationships with state agencies, Med Star Health leaders, academic physicians, hospitals, community physicians, and related networks.
• Represent Med Star Family Choice in the community and across the healthcare industry.

• Minimum of 5 years of clinical experience.
• Prior experience in a health plan or Medicaid managed‑care environment.
• Supervisory and leadership experience.
• Experience with provider contracting models and incentive plans.
• Knowledge of NCQA certification, HEDIS reporting, quality management, and audits.
• Experience with government agencies, population health, disease management, data analysis, and interpretation.
• Familiarity with government‑sponsored programs and recipients.

• 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.

Med Star Health is the largest health system in the region, with 30,000 associates, 10 hospitals, hundreds of ambulatory care sites, and more than 700 access points of care. We are committed to equity for all people and communities and strive to build a diverse and inclusive workplace.