Associate Medical Director

This is a fully remote position, open to applicants in Idaho, +3 more states.

📋 Description

• Utilize medical expertise within the Physician Review team to ensure members receive high-quality, cost-effective clinical care.

• Assist in the development and dissemination of medical policies and clinical programs.

• Collaborate with clinical staff on reviews of case management.

• Provide peer-to-peer consultations with healthcare providers.

• Engage in clinical project teams.

• Offer clinical consulting to staff regarding member cases and wider clinical trends.

• Conduct reviews of member cases and peer-to-peer consultations.

• Communicate with internal and external stakeholders regarding care management, utilization management, and quality programs.

• Contribute clinical insights to the review and development of medical policies.

• Participate in committees dedicated to creating clinical interventions, utilization management, and case management programs.

• Keep abreast of industry, medical, and technology trends.

• Identify and convey opportunities to improve outcomes and enhance the organization's reputation.

⛳️ Requirements

• Must be a licensed Physician with an MD or DO degree.

• Requires a minimum of 3 years of clinical experience, or a comparable combination of education and experience.

• Active, unrestricted medical license in one or more states or territories in the United States is necessary.

• At least one active medical license in Oregon, Washington, Idaho, or Utah is required.

• Applicants must reside in Oregon, Washington, Idaho, or Utah.

• Board Certification is mandatory.

• Must have the qualifications by training and experience to provide clinical opinions on medical conditions, procedures, and treatments under review.

• Experience with hospitals, provider groups, or integrated delivery systems is essential.

• Knowledge of population health and healthcare transformation is preferred.

• Strong communication, influencing, and facilitation skills are required.

• Familiarity with the health insurance industry, state and federal regulations, provider reimbursement methods, and accountable care and payment models is necessary.

• Ability to apply data effectively to health and quality outcomes.

• Proficiency in utilizing systems and technology effectively is needed.

• Capability to build relationships, show empathy, and collaborate within a team setting is essential.

• Experience with AI tools and technologies is highly desirable.

• A wired internet connection, excluding satellite or cellular, with a minimum upload speed of 5 Mb and download speed of 10 Mb is required.

• A personal mobile device is necessary for multi-factor authentication (MFA).

• A successful background check is required.

🏝️ Benefits

• Competitive base salary.

• Opportunities for bonuses.

• Leading market 401(k) plan with a substantial company match.

• Potential discretionary contributions to the 401(k) based on company performance, with no vesting period.

• Comprehensive medical, dental, and vision coverage for employees and eligible family members, including mental health benefits.

• Annual employer contribution towards a health savings account.

• Generous paid time off policy that varies by role and tenure.

• Ten company-paid holidays.

• Up to 12 weeks of paid parental leave, subject to 12 months of continuous service.

• Award-winning wellness programs that incentivize participation.

• Employee Assistance Fund available.

• Benefits for commuting and parking.

• Work-from-home options available for most positions.

• Flexible work arrangements requiring a wired internet connection.

• Access to employee resource groups.

• Community outreach programs supported by Cambia.