Medical Director, Utilization & Population Health

Altais Health Solutions; Oakland (CA); On-site; USD 186,000 - 223,000; Full time

Benefits offered by this job

Medical, Vision, and Dental Insurance

401(k) with company match

Paid holidays and generous PTO

Flexible work arrangements

Job summary

Altais Health Solutions seeks a Utilization Management, Medical Director to advance clinical excellence and optimize resource use across our California physician-led network.

You will provide clinical oversight, support evidence-based care, and partner with care management, population health, and operational leaders to improve quality and efficiency. Strong leadership, data‑driven decisions, and regulatory acumen are essential.

Qualifications

• MD/DO degree from an accredited medical school.
• Active and unrestricted medical license.
• Board certification in a medical specialty.
• Minimum 5 years of clinical experience, at least 3 in a leadership role.

Responsibilities

• Provide clinical oversight and direction to ensure quality and efficiency of services.
• Lead quality improvement initiatives and implement evidence-based practices.
• Foster provider relations and coordinate with care teams for optimal patient outcomes.
• Lead utilization management activities and collaborate with care management and network providers.
• Chair or participate in UM committee meetings and present performance metrics to leadership.
• Ensure regulatory compliance, audits, and accreditation readiness.
• Contribute to strategic planning and network growth efforts.
• Support recruitment and onboarding of physicians and drive retention.

Skills

Clinical leadership

Quality improvement

Utilization management

Population health

Data-driven decisions

Provider relations

Communication

Strategic thinking

Education

MD/DO degree

Active medical license

Board certification

Job description

Altais Health Solutions seeks a Utilization Management, Medical Director to advance clinical excellence and optimize resource use across our California physician-led network.

You will provide clinical oversight, support evidence-based care, and partner with care management, population health, and operational leaders to improve quality and efficiency. Strong leadership, data‑driven decisions, and regulatory acumen are essential.