Associate Medical Director

🔥 15 hours ago

🥔 Idaho, Oregon, +2 more states – Remote

🥔 Idaho – Remote 🌲 Oregon – Remote ⛷️ Utah – Remote ☕ Washington – Remote

💵 $105 - $143 / hour

⏱ Part Time

🔴 Lead

👨‍⚕️ Medical Director

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Cambia Health Solutions

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Cambia Health Solutions is a nonprofit, mission-driven healthcare company based in Portland, Oregon, that operates consumer-focused health care and health insurance businesses and invests in health innovation. It serves as the parent organization for the Regence family of health plans and runs initiatives and subsidiaries focused on improving care delivery, providing insurance products, and developing digital health tools and services.

📋 Description

• Apply medical expertise within the Physician Review team to help ensure members receive quality, cost-effective clinical care • Support development and communication of medical policies and clinical programs • Work with clinical staff on case management reviews • Provide peer-to-peer consultations with providers • Participate on clinical project teams • Provide clinical consulting to staff on member cases and broader clinical trends • Conduct member case reviews and peer-to-peer consultations • Communicate with internal and external stakeholders about care management, utilization management, and quality programs • Provide clinical input on medical policy reviews and development • Participate on committees developing clinical intervention, utilization management, and case management programs • Monitor industry, medical, and technology trends • Identify and communicate opportunities to enhance outcomes and organizational reputation

🎯 Requirements

• 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 • At least one active license in Oregon, Washington, Idaho, or Utah • Applicant must live in Oregon, Washington, Idaho, or Utah • Board Certification required • Qualification by training and experience to render clinical opinions about medical conditions, procedures, and treatments under review • Experience working with hospitals, provider groups, or integrated delivery systems • Knowledge of population health and healthcare transformation • Strong communication, influencing, and facilitation skills • Knowledge of health insurance industry, state and federal regulations, provider reimbursement methods, and accountable care and payment models • Ability to apply data to health and quality outcomes • Ability to effectively utilize systems and technology • Ability to build relationships, demonstrate empathy, and work as part of a team • Experience with AI tools and technologies highly desired • Wired internet connection that is not satellite or cellular, with minimum 5 Mb upload and 10 Mb download speeds • Personal mobile device required for MFA • Successful background check required

🏖️ Benefits

• Competitive base pay • Bonus opportunities • Market-leading 401(k) with a significant company match • Potential discretionary 401(k) contribution based on company performance, with no vesting period • Medical, dental and vision coverage for employees and eligible family members, including mental health benefits • Annual employer contribution to a health savings account • Generous paid time off varying by role and tenure • 10 company-paid holidays • Up to 12 weeks of paid parental time off, subject to 12 months of continuous service • Award-winning wellness programs that reward participation • Employee Assistance Fund • Commute and parking benefits • Work-from-home options for most roles • Flexible work option with required wired internet connection • Employee resource groups • Cambia-supported community outreach programs