Executive Medical Director

HealthSearch Group; New York (NY); On-site; USD 180,000 - 250,000; Full time

Job summary

HealthSearch Group is seeking a seasoned medical leader to oversee medical management across lines of business. This strategic, non-clinical executive role focuses on guiding utilization review, clinical decision-making, and policy collaboration to drive high-quality care and program improvement.

The ideal candidate will bring managed care expertise, strong analytics, and leadership experience across multidisciplinary teams, with an emphasis on NY regulatory alignment and organizational growth.

Qualifications

• MD or DO with board certification.
• Experience in medical leadership within managed care or health plan environments.
• Depth of knowledge in utilization management, quality, and regulatory compliance.
• Strong analytical skills and comfort working with data and informatics.
• Understanding of New York healthcare regulations (preferred).
• Collaborative leadership style and ability to influence across departments.

Responsibilities

• Provide leadership and oversight for medical management functions.
• Guide utilization review strategy and ensure high-quality care delivery.
• Support clinical decision-making processes and medical necessity determinations.
• Collaborate with internal and external stakeholders on policy development.
• Apply health informatics and analytics to drive program improvement.
• Contribute to planning, regulatory readiness, and organizational growth initiatives.
• Represent the organization in select professional or regulatory settings.
• Lead and mentor a team of medical directors.

Skills

Medical leadership

Utilization management

Data analytics

Cross-functional collaboration

Education

MD/DO with board certification

Tools

Health informatics platforms

EHR systems

Job description

A large, complex healthcare organization in the New York metropolitan area is seeking a seasoned physician leader to oversee key medical management functions, guide strategic initiatives, and support utilization and clinical decision-making across multiple lines of business.

This highly confidential executive search is ideal for a forward-thinking physician with deep managed care expertise and a passion for building data-driven, high-performing clinical programs.

About the Role (High-Level Overview)

This senior medical executive will play a central role in shaping medical policy, supporting clinical operations, and strengthening the alignment between quality, utilization management, regulatory affairs, and organizational strategy.

The role oversees a team of medical directors and collaborates closely with cross-functional leaders on initiatives that impact member care, operational performance, and compliance.

This is a non-clinical, strategic leadership role with significant visibility and succession potential.

• Provide leadership and oversight for medical management functions
• Guide utilization review strategy and ensure appropriate, high-quality care delivery
• Support clinical decision-making processes and medical necessity determinations
• Collaborate with internal and external stakeholders on policy development
• Apply health informatics and analytics to drive program improvement
• Contribute to planning, regulatory readiness, and organizational growth initiatives
• Represent the organization in select professional or regulatory settings
• Lead and mentor a team of medical directors

Ideal Background

• Physician (MD or DO) with board certification
• Experience in medical leadership within a managed care or health plan environment
• Depth of knowledge in utilization management, quality, and regulatory compliance
• Strong analytical skills and comfort working with data and informatics
• Understanding of New York healthcare regulations (preferred)
• Collaborative leadership style and ability to influence across departments

Highly competitive executive compensation package, inclusive of strong retirement benefits.

If you are an innovative medical leader seeking a strategic, systems-level role within a large healthcare organization, this opportunity offers both influence and long-term growth potential.