Physician Leader: Utilization Management & Quality

Altais Health Solutions; California (MO); Hybrid; USD 186,000 - 223,000; Full time

Benefits offered by this job

Medical, vision, dental coverage

401k with company match

Paid holidays & time off

Job summary

Altais Health Solutions is seeking a Medical Director for Utilization Management to provide clinical oversight, drive evidence-based care, and partner with providers and care teams across the network. The role focuses on improving quality, outcomes, and efficient resource use.

The position requires MD/DO with active licensure, board certification, and strong leadership, communication, and analytics skills. Expect collaboration with Quality, Care Management, and Population Health teams in a

Qualifications

• MD or DO degree from an accredited medical school.
• Active and unrestricted medical license.
• Board certification in a medical specialty.
• Strong understanding of quality improvement methodologies and population health concepts.

Responsibilities

• Provide clinical leadership to ensure quality and efficient services.
• Develop and implement clinical protocols and standards.
• Lead utilization management activities and coordinate care across teams.
• Participate in reviews of medical necessity determinations and care plans.
• Support provider education and engagement across the network.

Skills

Leadership

Communication

Healthcare analytics

Utilization management

Education

MD/DO

Medical license

Board certification

Job description

Altais Health Solutions is seeking a Medical Director for Utilization Management to provide clinical oversight, drive evidence-based care, and partner with providers and care teams across the network. The role focuses on improving quality, outcomes, and efficient resource use.

The position requires MD/DO with active licensure, board certification, and strong leadership, communication, and analytics skills. Expect collaboration with Quality, Care Management, and Population Health teams in a