[Hiring] Associate Medical Director @Cambia Health Solutions

Role Description

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

As a member of the Physician Review team, our Associate Medical Director applies medical expertise to help ensure our members receive quality, cost-effective clinical care. Supports development and communication of medical policies and clinical programs. May work with clinical staff on case management reviews and provide peer-to-peer consultations with providers. May participate on clinical project teams – all in service of creating a person-focused health care experience.

Are you a motivated and experienced medical professional looking for a new challenge? Do you have a passion for patient care and want to make a big difference in healthcare? Then this role may be the perfect fit.

Qualifications

• Licensed Physician with an MD or DO degree
• Minimum 3 years clinical experience, or equivalent combination of education and experience
• Active, unrestricted license to practice medicine in one or more states or territories of the United States, with one of these licenses in our four-state area (OR, WA, ID, UT)
• Board Certification required
• Qualification by training and experience to render clinical opinions about medical conditions, procedures and treatments under review

Requirements

• Provides clinical consulting to staff on specific member cases, to ensure members receive quality, cost-effective care, or on broader clinical trends
• Conducts high-quality member case reviews and peer-to-peer consultations with providers
• Communicates with a variety of internal or external stakeholders to promote understanding of care management, utilization management and quality programs
• Participates on various teams to provide clinical input on medical policy reviews and development
• Stays abreast of industry, medical and technology trends
• Identifies and communicates new opportunities that would enhance outcomes and the reputation of the organization
• Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired

Benefits

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits
• Annual employer contribution to a health savings account
• Generous paid time off varying by role and tenure in addition to 10 company-paid holidays
• Market-leading retirement plan including a company match on employee 401(k) contributions
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave)
• Award-winning wellness programs that reward you for participation
• Employee Assistance Fund for those in need
• Commute and parking benefits