Associate Medical Director

Cambia Health Solutions•Washington, DC

5d•$100 - $162•Remote

About The Position

Every day, Cambia’s dedicated team of physicians are living our mission to make health care easier and lives better. 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.

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, with one of these licenses in our four-state area (OR, WA, ID, UT). Applicant must also live in four state area.
Board Certification required.
Qualification by training and experience to render clinical opinions about medical conditions, procedures and treatments under review.

Nice To Haves

Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired.

Responsibilities

Provides clinical consulting to staff on specific member cases, to ensure members receive quality, cost effective care, or on broader clinical trends.
May conduct 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 and may participate on committees that develop programs impacting clinical interventions, utilization management and case management.
Stays abreast of industry, medical and technology trends. Identifies and communicates new opportunities that would enhance outcomes and the reputation of the organization.
Demonstrated competency working with hospitals, provider groups, or integrated delivery systems to effectively manage patient care to improve outcomes.
Passion for population health and healthcare transformation.
Strong communication, influencing and facilitation skills with internal staff and external stakeholders, including the ability to resolve issues and seek optimal outcomes.
General knowledge of the health insurance industry, state and federal regulations, provider reimbursement methods and evolving accountable care and payment models.
Detail-oriented with orientation to the application of data in managing health and quality outcomes. Ability to effectively utilize systems and technology.
Demonstrated ability to effectively build relationships, demonstrate empathy and work as part of a team.

Benefits

Competitive salary
Market-leading 401(k) with a significant company match
Bonus opportunities
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
10 company-paid holidays.
Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
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.