Medical Director

Medical Director Overview

• The Medical Director role involves applying clinical expertise across healthcare divisions to support strategic initiatives and improve health outcomes.
• Collaborate with internal and external stakeholders to enhance healthcare delivery and consumer-provider experiences.
• Lead outreach and relationship-building efforts with providers, health systems, and community partners.
• Analyze clinical data to identify opportunities for improving health outcomes and financial performance.
• Represent the organization through presentations, advisory groups, and content publication focused on healthcare transformation.
• Drive innovation by designing payment models and evaluating investment opportunities in new technologies and practices.
• Ensure alignment with organizational strategies through vendor evaluation and management.
• Support network functions including credentialing and quality model design and analysis.
• This remote contract position offers potential for permanent placement based on performance.

Medical Director Key Responsibilities & Duties

• Develop and implement strategies for healthcare initiatives, including sales management and behavioral health programs.
• Oversee medical reimbursement policies and care management processes, such as utilization management and appeals.
• Evaluate and manage vendors and solution partners to align with strategic goals.
• Engage with providers and community partners to foster collaboration and enhance healthcare accessibility.
• Analyze data to identify trends and opportunities for improving clinical outcomes and cost efficiency.
• Lead advisory groups and deliver presentations on healthcare transformation initiatives.
• Design innovative payment models and evaluate investment opportunities in emerging technologies.
• Publish impactful content to promote accessibility, quality, and affordability in healthcare.
• Support credentialing processes and quality model development for healthcare networks.

Medical Director Job Requirements

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from an accredited medical school.
• Completion of a residency training program and board certification in an ABMS/AOA-recognized specialty.
• Minimum of 7 years of experience in a related field, with 10 years preferred.
• Current North Carolina medical license and relevant non-clinical experience.
• Proven leadership skills in project planning and management within healthcare settings.
• Expertise in strategy development, care management, and healthcare program operations.
• Strong analytical skills for evaluating clinical data and identifying improvement opportunities.
• Experience in vendor management, community outreach, and partnership development.
• Ability to represent the organization in public forums and advisory groups.