Health Plan Medical Director

Mass General Brigham Health Plan Holding Company, Inc.

Somerville, MA, United States
$285,000.00 to $325,000.00 annually; not specified...
On-site
Utilization management expertise
Health plan quality and accreditation
Care management leadership
Mass General Brigham Health Plan is seeking a Health Plan Medical Director to provide medical management leadership and expertise in utilization management, quality assurance, and care management. The ideal candidate will have a medical license and 3-5 years of relevant health plan experience. This position offers competitive salary and benefits, emphasizing employee growth and collaboration within a mission-driven healthcare organization

Job Summary

  • The Medical Director leads as a senior physician at the health plan, working closely with the Senior Medical Director to provide medical management leadership for clinical services operations and programs.
  • This role focuses on and has expertise in utilization management, health plan quality and accreditation, care management, and other health plan functions.
  • Mass General Brigham Health Plan is on the forefront of transformation with one of the world’s leading integrated healthcare systems, providing innovative solutions centered on member health needs.

Matching Summary

Match Score: 85

Mass General Brigham Health Plan is seeking a Health Plan Medical Director to provide medical management leadership and expertise in utilization management, quality assurance, and care management. The ideal candidate will have a medical license and 3-5 years of relevant health plan experience. This position offers competitive salary and benefits, emphasizing employee growth and collaboration within a mission-driven healthcare organization.

Salary

$285,000.00 to $325,000.00 annually; Not specified; Comprehensive benefits

Skills & Requirements

Must-have

  • Utilization management expertise
  • Health plan quality and accreditation
  • Care management leadership
  • Physician license in Massachusetts
  • Collaboration with cross-functional teams

Nice-to-have

  • Exceptional member experience focus
  • Driving groundbreaking medical discoveries
  • People-first organization culture

Key Requirements

  • Physician License (Massachusetts)
  • 3-5 years of Health Plan experience
  • Prior experience in utilization management
  • Experience with peer-to-peer discussions

Work Rights

Must hold or be able to obtain a full active Massachusetts physician license

Tailored Resume

Cover Letter