Job Summary

• The Medical Director leads as a senior physician providing medical management leadership for clinical services operations and programs within Mass General Brigham Health Plan.
• This role focuses on expertise in utilization management, health plan quality and accreditation, care management, and ensuring medical service expenditures remain within budget.
• Candidates will collaborate with the CMO to develop disease management programs and handle initial determinations, appeals, and grievances under key regulatory entities.

Matching Summary

Salary

Base: $285,000.00 to $325,000.00 annually; Bonus/Equity: Not specified; Benefits: Comprehensive benefits, career advancement opportunities, differentials, premiums, and bonuses

Skills & Requirements

Key Requirements

• Must hold full active Massachusetts physician license
• Requires 3-5 years of Health Plan experience
• Must have prior experience in utilization management
• Must have prior experience in peer to peer discussions

Work Rights