Medical Director (Defined Term)

Central California Alliance for Health; Tijuana; Híbrido; MXN 5,674,000 - 7,016,000; Jornada completa

Descripción de la vacante

A regional nonprofit health plan is seeking a Medical Director to provide clinical leadership within Health Services. This hybrid position requires a Doctor of Medicine or Doctor of Osteopathy and focuses on delivering high-quality care to Medicaid populations. The ideal candidate has experience in medical program administration and a background in pediatrics. This role includes responsibilities like enhancing stakeholder relations and ensuring regulatory compliance. Competitive compensation ranges from $330,000 to $408,000, along with comprehensive benefits.

Servicios

Medical, Dental and Vision Plans

Ample Paid Time Off

401(a) Retirement Plan

Formación

• Experience in medical programs administration.
• Board certification in a recognized specialty.
• Ability to lead and navigate complex systems.

Responsabilidades

• Provide clinical leadership within Health Services.
• Enhance relationships with stakeholders.
• Ensure compliance with regulatory standards.

Conocimientos

Critical thinking

Strategic clinical leadership

Pediatric expertise

Data analysis

Educación

Doctor of Medicine or Doctor of Osteopathy

Descripción del empleo

OUR COMMITMENT TO A HUMAN HIRING PROCESS

We believe every candidate deserves thoughtful consideration. That’s why we do not use AI or automated systems to review applications. Every application is reviewed by a real human member of our team. Because we take the time to give each submission the attention it deserves, our review process may take a little longer — and we genuinely appreciate your patience as we work through applications carefully and respectfully.

SERVICE AREA PREFERENCE

While we encourage all interested applicants to apply, we do give priority to those who live in or near our service counties: Santa Cruz, Monterey, Merced, San Benito, and Mariposa. Our mission of accessible, quality health care guided by local innovation leads everything we do, and having team members who are connected to the communities we serve strengthens our ability to deliver on that commitment.

We have an opportunity to join the Alliance as the Medical Director (MD). This is a hybrid position with the expectation to work in our service area(s) 2-3 days per month. The Alliance service area includes Santa Cruz, Monterey, Merced, San Benito, and Mariposa counties.

This is a Defined Term position, which is designated by the Alliance and is a position of limited duration. Defined Term employees are usually hired to work in a specific department on specific long‑term project work until the work is completed or to a specific end date not to exceed December 31, 2026. This is a Defined Term and fully benefited position.

WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to the Chief Medical Officer, this position:

• Provides clinical leadership within one or more of the Health Services functional areas, such as Utilization Management, Quality Improvement and Population Health, Pharmacy, Care Management, and Enhanced Health Services
• Develops and improves relationships with internal and external stakeholders, including the professional medical community, and maintains and enhances communications with similar Health Plan organizations
• Participates in all aspects of regulatory compliance related to Health Services functions

THE IDEAL CANDIDATE

• Enjoys a fast‑paced, demanding environment that requires critical thinking to develop and implement effective solutions in a timely manner
• Is dedicated to providing strategic clinical leadership for Medicaid populations, ensuring high‑quality, equitable care while integrating social determinants of health into program and policy decisions
• Works with a broad and diverse group of stakeholders to problem‑solve and build innovative programs
• Brings pediatric expertise, including experience with well‑child visits, developmental screenings, immunization schedules, family‑centered preventive care and whole child model of care
• Has the latitude to think broadly, make operational and strategic decisions, and oversee the implementation and continuous process improvement related to key internal and external priorities
• Leverages clinical informatics experience to interpret data, guide program design, and support technology‑enabled care delivery

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description and list of requirements, click here.

• Knowledge of:
  • The methods of designing, operationalizing, evaluating, and iterating workflows and programs
  • Data collection and management practices, as related to utilization and quality of medical care
  • The principles and practices of program development and project management
  • Applying and promoting change management principles
  • The Managed care, Medi‑Cal, Medicaid, and Medicare programs and healthcare regulatory processes
• Ability to:
  • Independently navigate complex systems to effectively and efficiently implement new programs in a timely manner
  • Communicate clearly and consistently and work collaboratively with stakeholders and partners, such as patients, community‑based organizations, and healthcare providers
  • Evaluate, qualitatively and quantitatively, a broad variety of programs and processes and use these evaluations to ensure ongoing quality improvement
  • Analyze issues and think critically to ensure success in leading system change, make informed operational and strategic decisions, and oversee implementation and continuous process improvement related to key internal and external priorities
  • Manage multiple projects simultaneously, organize work, and achieve goals and timelines
• Education and Experience:
  • Doctor of Medicine or Doctor of Osteopathy from an accredited medical school and a current active and unrestricted license to practice medicine issued by the State of California, Board certification in a specialty recognized by the American Board of Medical Specialties, and a minimum of three years of experience working in medical programs administration, including experience with the peer review process; or an equivalent combination of education and experience may be qualifying.

OTHER INFORMATION

• We are in a hybrid work environment, and we anticipate that the interview process will take place remotely via Microsoft Teams.
• While some staff may work full telecommuting schedules, attendance at quarterly company‑wide events or department meetings will be expected.
• In‑office or in‑community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.

Compensation

The full compensation range for this position is listed by location below.

The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).

Typical areas in Zone 1: Bay Area, Sacramento, Los Angeles area, San Diego area

Typical areas in Zone 2: Fresno area, Bakersfield, Central Valley (with the exception of Sacramento), Eastern California, Eureka area

Zone 1 (Monterey, San Benito and Santa Cruz) $350,000 — $408,000 USD Zone 2 (Mariposa and Merced) $330,000 — $385,000 USD

OUR BENEFITS

Available for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro‑rated basis for part‑time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance.

• Medical, Dental and Vision Plans
• Ample Paid Time Off
• 12 Paid Holidays per year
• 401(a) Retirement Plan
• 457 Deferred Compensation Plan
• Robust Health and Wellness Program
• Onsite EV Charging Stations

ABOUT US

We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.

Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non‑profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at Fact Sheet.

The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E‑Verify participating employer.

At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full‑time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.