Medical Director, Utilization & Population Health

University Health; San Antonio (TX); On-site; USD 180,000 - 240,000; Full time

Job summary

University Health in San Antonio, Texas seeks a Medical Director to provide clinical leadership and oversight for utilization management across multiple product lines. Reporting to the Chief Medical Officer, you will ensure all determinations are accurate, timely, and compliant with Medicaid/Medicare, commercial, and marketplace policies while supporting a member-centered care model.

The ideal candidate holds an MD or DO with a Texas license and board certification, with at least five years of

Qualifications

• MD/DO with Texas license and board certification.
• Minimum five years of direct clinical patient care after residency.
• Experience in population health management and managed care leadership preferred.

Responsibilities

• Provide clinical leadership and oversight for utilization management across multiple product lines.
• Ensure all determinations are accurate, timely, and compliant with regulatory standards and health plan policies.
• Collaborate across departments to drive quality, efficiency, and integrated care delivery.

Skills

Utilization management

Population health management

Leadership

Healthcare policy

Education

MD/DO degree

Texas medical license

Board certification

Job description

University Health in San Antonio, Texas seeks a Medical Director to provide clinical leadership and oversight for utilization management across multiple product lines. Reporting to the Chief Medical Officer, you will ensure all determinations are accurate, timely, and compliant with Medicaid/Medicare, commercial, and marketplace policies while supporting a member-centered care model.

The ideal candidate holds an MD or DO with a Texas license and board certification, with at least five years of