Health Plan Medical Director Physician - MedStar Family Choice, Washington, DC

MedStar Health; Washington (District of Columbia); Remote; USD 240,000 - 285,000; Full time

Job summary

Join a leading healthcare organization as the Health Plan Medical Director in Washington, DC. This remote opportunity involves overseeing health plan operations, ensuring quality care, and utilizing your clinical expertise. Enjoy competitive salary, generous benefits, and the chance to make a significant impact in the community.

Benefits

Medical, Dental, and Vision Insurance

Paid Medical Licensing and Malpractice Insurance

Generous Paid Time Off

CME Leave and Allowance

Retirement Plan with Employer Match

Qualifications

• 5 years of clinical experience with progressive leadership roles.
• Health plan experience is preferred.

Responsibilities

• Develop and execute case management and disease management.
• Review inpatients and precertification requests.
• Consult with nurse case managers for smooth operations.

Skills

Leadership

Clinical Experience

Health Plan Experience

Job description

Health Plan Medical Director Physician - MedStar Family Choice, Washington, DC - Remote Opportunity

MedStar Health offers a rewarding career in a major marketplace. Shape your future in healthcare in a setting that's right for you and your practice. Join an organization that values your experience and input as a clinician and healthcare expert.

We seek a physician with primary care and health plan experience to join MedStar Family Choice, our Medicaid Managed Care organization, as the Health Plan Medical Director in the Washington, DC area. Responsibilities include developing and executing case management, disease management, population health management, utilization review, and other health plan operations. You will review inpatients, precertification requests, pharmacy requests, emergency department visits, appeals, and consult with nurse case managers to ensure smooth plan operations. Utilization decisions are based on UM criteria, medical necessity, and coverage.

Qualifications include 5 years of clinical experience with progressive leadership roles; health plan experience is preferred. Candidates must reside in the DC/Maryland area and hold medical licenses in DC and Maryland.

Remote Telehealth Work Opportunity

As a MedStar Health associate, you can expect:

• Competitive salary
• Medical, dental, and vision insurance
• Paid medical licensing and malpractice insurance
• Generous paid time off
• CME leave and allowance
• Retirement plan with employer match

Join a nationally recognized health system and the largest provider in the Washington, DC region. Benefit from vast resources, expand your clinical expertise, and enjoy a high quality of life in the Mid-Atlantic's diverse communities.

MedStar Health is the region’s largest health system, with 30,000 associates, 10 hospitals, and hundreds of ambulatory care sites across over 225 zip codes. Recognized as a top place to work, we are committed to equity and diversity, fostering an inclusive workplace where all feel valued and empowered.

The position offers a salary range of $240,000 - $285,000.