Health Plan Medical Director Physician - MedStar Family Choice, Maryland

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

MedStar Health offers a uniquely rewarding career in a major marketplace. Shape your future in health care in the kind of setting that’s right for you and your practice. Become part of an organization that welcomes your experience and input - as a clinician and healthcare expert.

We are looking for 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 Baltimore, MD area. In this position you will participate in the development and daily execution of case management, disease management, population health management, utilization review and other operations of the health plan. You will also conduct a daily review of current inpatients, precertification requests, pharmacy requests, review of emergency department visits, review of appeals, and consultations with nurse case managers and other associates to ensure the daily operations of the plan. Utilization review decisions for members of MedStar Family Choice (MFC) are made according to Utilization Management (UM) criteria and based on medical necessity and the existence of coverage.

Qualified candidates will have 5 years of clinical experience with progressively responsible leadership experience. Health plan experience preferred. Candidates must reside in the DC / Maryland area. The selected candidate must possess medical licensing in DC and Maryland.

This is a remote telehealth work opportunity.

As a MedStar Health associate, you can expect:

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

Be a part of a nationally - recognized health system and the largest provider of health services in the Maryland region. With our vast resources and capabilities at your disposal, you can expand your clinical expertise. Enjoy a rich career and a quality of life unique to the Mid-Atlantic region, which features a mix of urban, suburban and rural communities.

Be the provider you were meant to be, here at MedStar Health.

MedStar Health is committed to equity for all people and communities. A proud member of the Institute for Diversity in Healthcare Management, we are committed to expanding career and leadership opportunities for ethnically, culturally, and racially diverse individuals. We continue to build a diverse and inclusive workplace where people feel a sense of belonging and accomplishment at all levels of the organization. As a leader in healthcare, we are taking action to evolve our organization and bring unique, multidimensional perspectives together to deliver equitable care, improve the health of the communities we serve, and contribute to the advancement of the healthcare industry overall. At MedStar Health, we believe diverse teams and perspectives make us stronger, lead to better care for our patients, and foster a supportive work experience for our associates. Our commitment to diversity is built into our SPIRIT values, where we acknowledge that teamwork and system effectiveness is built on the collective strength and cultural diversity of everyone working with open communication and mutual respect.

This position has a hiring range of $240,000 - $285,000.

About MedStar Health

MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C. region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It’s how we treat people.

MedStar Health is ranked among the “Best Places to Work” by Baltimore magazine, Baltimore Business Journal and Washington Business Journal, and ranked as Top Organization for Diversity by Modern Healthcare

MedStar Health is an Equal Opportunity (EO) Employer and assures equal opportunity for all applicants and employees. We hire people to work in different locations, and we comply with the federal, state and local laws governing each of those locations. MedStar Health entities that are federal government contractors are Equal Opportunity and Affirmative Action employers. MedStar Health makes all decisions regarding employment, including for example, hiring, transfer, promotion, compensation, benefit eligibility, discipline, and discharge, without regard to any protected status, including race, color, creed, religion, national origin, citizenship status, sex, age, disability, veteran status, marital status, sexual orientation, gender identity or expression, political affiliations, or any other characteristic protected by federal, state or local EO laws. If you receive an offer of employment, it is MedStar Health's policy to hire its employees on an at-will basis, which means you or MedStar Health may terminate this relationship at any time, for any reason.